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Fill and Sign the Third Year Practice Manual Liberty University Form

Fill and Sign the Third Year Practice Manual Liberty University Form

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THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) PERSONAL DATA SHEET 1. Name of person(s) completing this form (Check if applicable) Because I believe that my safety , or the safety of my children is at risk, I request that the information contained in this Personal Data Sheet not be disclosed to the other party. The r e aso ns are : 2. Type of case filed today: Petition for Divorce Petition for Legal Separation Joint Petition for Legal Separation Joint Petition for Divorce Domestic Violence Petition Petition for Civil Union Dissolution Parenting Petition Joint Petition for Civil Union Dissolution Paternity/Legitimation Petition to Change Court Order/Modification O th er: 3. Name of Petitioner Date of Birth State of Birth Residence Address Social Security Number Mailing Address (if different) Telephone (Cell) E -m ail A ddre ss (Home) (Work) Employer’s Name and Address 4. Name of Respondent State of Birth Residence Address Date of Birth Social Security Number Mailing Address (if different) Telephone (Cell) E -m ail A ddre ss (Home) (Work) Employer’s Name and Address 5. Child(ren)’s Full Name(s) Date of Birth Social Security # State of Birth Date Signature Date Signature (if joint petition) NHJB-2077-F (03/31/2018) Page 1 of 1

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