THE STATE OF NEW HAMPSHIRE
Clear Form
JUDICIAL BRANCH http://www.courts.state.nh.us
Court Name: Case Name: Case Number: (if known)
AFFIDAVIT OF NON-COHABITATION
I,
, the petitioner in the above-entitled
matter, first being duly sworn, say: I have not cohabited with since
.
Date
Signature of Petitioner
State of
, County of
This instrument was acknowledged before me on My Commission Expires Affix Seal, if any
NHJB-2198-FS (12/06/2006)
by Signature of Notarial Officer / Title
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