Fill and Sign the Petition Motion to Attach with Notice Form

NHJB-2316-DPS (10/25/2010) Page 1 of 2 (Probate – formerly AOC 240-003) THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH Court Name: Case Name: Case Number: (if known) v. Plaintiff/Petitioner Defendant/Respondent PETITION / MOTION TO ATTACH WITH NOTICE The Plaintiff/Petitioner requests permissi on to make the following attachments: Category of Property to be attached (check one) Name of Defendant/Respondent Real Estate P rovide address or book & page reference. Attach additional pages if necessary. Other Amount of attachment $ $ $ In support of this petition, the Plaintiff/Petitioner certifies that he/ she believes there is a reasonable likelihood that the Plaintiff/Pet itioner will recover the amount stat ed above, including interest and costs, in the amount of $ . Date Plaintiff/Petitioner Signature (If petitioner is a corporation or partnership, a duly authorized officer or partner shall sign.) State of , County of This instrument was ack nowledged before me on by My Commission Expires Affix Seal, if any Signature of Notarial Officer / Title Case Name: V. Case Number: PETITION TO ATTACH WITH NOTICE NHJB-2316-DPS (10/25/2010) Page 2 of 2 (Probate – formerly AOC 240-003) NOTICE TO DEFENDANT/RESPONDENT The Plaintiff/Petitioner intends to attach your property to secure any judgment or decree the Plaintiff/Petitioner may obtain in this action. You hav e the right to object in writing to this attachment, ask for a hearing and request that the attachment not be made. If you fail to file such a request by the return date of , you will be deemed to have waived your right to a hearing with reference to the attachm ent, but not with reference to the meri ts of the petitioner’s claim. If you transfer any property after receiving this notice, and before th e attachment, if allowed, is made, you will be subject to the pr ovisions of RSA 511-A:6. Even if you do not object to the attachment, you should file an appearance with the court by ; otherwise, the Petitioner/Plainti ff may obtain a judgment by default. (return date) Date Plaintiff/Petitioner or Plaintiff/Petitioner Attorney ORDER Petition / motion to attach is denied. Petition / motion to attach is granted. The petitioner is granted permission to make the above attachment(s) within days. Petition / motion to attach is granted s ubject to the following modifications: Date Judge