Fill and Sign the In the Matter of Karen Alexander and Jonathan Evans New Form

Type or print clearly. SU-WWW-M002 (4/98) THE STATE OF NEW HAMPSHIRE SUPERIOR COURT _________________County Case No. _______________ In the matter of ___________________________________ PETITION FOR CONTEMPT 1. Your Name ___________________________________ Date of Birth __________________________ Residence Address __________________________________________________________________ Town/City CountyState 2.Other Party’s Name _________________________________Date of Birth_____________________Residence Address ___________________________________________________________________ Town/City CountyState 3.What type of case resulted in the present court order (divorce, paternity action, etc.)? And, what court issued the order?_________________________________________________________________________________________ _4. What orders are not being followed? (Be specific, and explain if necessary.)____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________ _5. Please check one of the following regarding public assistance:[ ] No public assistance (AFDC/TANF) is now being or has within the last 6 months been provided, nor is medical assistance (Medicaid) presently being provided, for any minor children of the parties.[ } The N.H. Department of Health and Human Services is providing or has provided within the last 6 months public assistance (AFDC/TANF) and/or medical assistance (Medicaid) for any minor children of the parties. If this is checked, you must mail copies of this petition and the personal data sheet to the Department at: OCS Legal Office6 Hazen Drive Concord, NH 03301 6. By filing this petition, you are asking that the court:A. Hold the other party in contempt.B. Order the other party to immediately obey the orders referred to above.C. Order the other party to pay attorney’s fees (if you have an attorney). Type or print clearly. SU-WWW-M002 (4/98)D. Make the following other orders (be specific): _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ E. Grant any other orders which may be appropriate._________________________________ ___________________________________________DateSignature (Sign in front of Notary Public or Justice of the Peace) ___________________________________________Attorney (if any)___________________________________________Attorney’s Address State of New Hampshire_______________________ County The person signing this petition appeared and signed it before me and took oath that the statements in this petition are true, to the best of his or her knowledge and belief, and that he/she has mailed copies of the petition and personal data sheet to OCS (if required under paragraph 5). ________________________________________Date Notary Public/Justice of the Peace