New Hampshire Final Decree for Dissolution of Marriage Form
The Final Decree of Dissolution of Marriage is a form that is authorized by the judge in the final hearing of a divorce case after the successful appearing of the spouses.
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NHJB-2071-FS (12/01/2011) Page 1 of 6
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Name:
Case Number:
(if known)
FINAL DECREE ON PETITION FOR DIVORCE, LEGAL SEPARATION, OR CIVIL UNION DISSOLUTION
This decree is (choose one):
Agreed to by Parties Proposed By
Ordered by the Court after hearing on at which petitioner respondent appeared.
1. Type of Case:
(Choose Divorce, Legal Separation or Civil Union Dissolution)
DIVORCE:
A decree of divorce is granted to the
petitioner respondent parties based on:
Irreconcilable differences that have ca used the irremediable breakdown of the
marriage; or
Grounds stated in the petition. Cros s petition, if any, is dismissed.
LEGAL SEPARATION:
A decree of legal sepa ration is granted to
petitioner respondent parties based on :
Irreconcilable differences that have ca used the irremediable breakdown of the
marriage; or
Grounds stated in the petition. Cros s petition, if any, is dismissed.
CIVIL UNION DISSOLUTION:
A decree of civi l union dissolution is granted to
petitioner respondent parties based
on
:
Irreconcilable differences that have caus ed the irremediable breakdown of the civil
union; or
Grounds stated in the petition. Cros s petition, if any, is dismissed.
2. Parenting Plan and Uniform Support Order
N/A
See attached Parenting Plan and Uniform Support Order
3. Tax Exemptions for Children
N/A
The parties shall claim the mino r child(ren) as dependent(s) for all income tax purposes, in
the following manner:
Petitioner shall be entitled to claim as tax
dependent(s) in
all even odd years.
Respondent shall be entitled to claim as tax
dependent(s) in
all even odd years.
A parent may only claim a ch ild as a dependent if that parent is current on child
support for the applicable tax year.
4. Guardian ad Litem Fees
N/A
See Order on Appoint ment of Guardian ad Litem
Other:
Case Name:
Case Number:
FINAL DECREE ON PETITION FOR DIVORCE, LEGAL SEPARATION, OR CIVIL UNION DISSOLUTION
NHJB-2071-FS (12/01/2011) Page 2 of 6
5. Alimony N/A
shall pay the sum of $ per as alimony.
This obligation shall terminate:
. See attached Uniform Support Order.
6. Health Insurance for Spouse
N/A
The continuation of ’s employer-sponsored group health
medical/dental health insurance benefits on behalf of
shall be governed by RSA 415:18 , VII. The following additional provisions, if any, apply:
shall maintain health insu rance for the benefit of
. This obligation shall terminate: .
shall be responsible for payment of the premiums.
This obligation shall terminate:
.
Each party shall be responsib le for his/her own medical and dental insurance and for
paying all of his/her own unrei mbursed medical, dental, optical, and other expenses not
otherwise covered by insurance.
7. Life Insurance
N/A
Each party is awarded any and all life insu rance policies owned by that party, free and
clear of any right, title, or interest of the other.
shall maintain a life insurance policy in the minimum
amount of $
designating as trustee for the
benefit of the child(ren). This obligation shall continue as long as the insured is obligated
to pay support.
Other:
8. Motor Vehicles
N/A
Each party is awarded the vehicles in his/her name or possession, free of any right, title or
interest of the other.
is awarded the free
and clear of any interest of
is awarded the free
and clear of any interest of
Each party shall be responsib le for all expenses as to his/her vehi cles, including car
payments, maintenance, regi stration and insurance.
Case Name:
Case Number:
FINAL DECREE ON PETITION FOR DIVORCE, LEGAL SEPARATION, OR CIVIL UNION DISSOLUTION
NHJB-2071-FS (12/01/2011) Page 3 of 6
9. Furniture and Other Personal Property N/A
The parties have already fairly divided between themselves their household furniture,
furnishings and all other tangible property (other than as specifically set forth below), and
each party is awarded that property currently in his/her possession, free and clear of any
interest of the other.
Petitioner is awarded the following sp ecific items of personal property:
Respondent is awarded the following specific items of personal property:
10. Retirement Plans and Other Tax-Deferred Assets
N/A
Each party is awarded any in terest in any pension, retirement, 401(k), IRA, or other
retirement account that s/he may have and as shown on hi s/her respective financial
affidavits free and clear of any interest of the other.
is awarded one-half of ‘s
IRA and/or 401(k) as of the date of this decree.
is awarded one-half of ‘s
pension plan which accrued betw een the date of the marriage or civil union and the date of
the filing of the petition for divorce, legal separation, or dissolution pursuant to the Hodgins
formula. Subject to the above distribution,
is awarded all other right, ti tle, and interest in his/her
pension plan, free of an y further interest of
.
A Qualified Domest ic Relations Order (QDRO) shall be prepared by
within a reasonable period of time from the date of this decree and filed with the Court for
approval.
Other:
11. Other Financial Assets
N/A
The parties are awarded thei r respective checking and/or savings bank accounts, credit
union accounts, certificates of deposits and th e like, and all similar accounts as shown on
their individual financial affi davits filed with the court.
Petitioner is awarded the follo wing bank accounts, stocks, b onds, mutual funds or other
intangible personal property:
Respondent is awarded the follo wing bank accounts, stocks, bond s, mutual funds or other
intangible personal property:
Other:
Case Name:
Case Number:
FINAL DECREE ON PETITION FOR DIVORCE, LEGAL SEPARATION, OR CIVIL UNION DISSOLUTION
NHJB-2071-FS (12/01/2011) Page 4 of 6
12. Business Interests of the Parties N/A
is awarded all right, title, and interest in the business known
as
free of any claim or inte rest of the other party.
shall be solely responsible for all debts of the business and
shall be entitled to receive all prof its from the business.
shall
transfer all property interest and stock to
forthwith and
shall resign as an officer or director in the business forthwith.
Other:
13. Division of Debt
N/A
The parties shall each be responsible for any debt they have incurred after the date of
separation, holding each othe r harmless of the same.
The parties’ joint marital/civil unio n debt shall be divided as follows:
Petitioner shall assume and be solely responsible for the following marital/civil union debts
and obligations incurred durin g the marriage/civil union:
Respondent shall assume and be solely responsible for the following marital/civil union
debts and obligations incurred during the marriage/civil union:
14. Marital/Civil Union Home
N/A
is awarded all right, title and inte rest in the real estate located
at:
free of any right, title or
interest of the other party.
shall be responsible for the
payment of the mortgage, insu rance, and real estate taxes for this property and all
expenses for this property.
shall refinance the mortgage on the home so as to remove
the other party’s name from the mortgage by
or the home
will be placed on th e market and sold.
The marital/civil union home shall be sold and, upon sale, the net proceeds shall be
divided equally between the parties.
Other:
Case Name:
Case Number:
FINAL DECREE ON PETITION FOR DIVORCE, LEGAL SEPARATION, OR CIVIL UNION DISSOLUTION
NHJB-2071-FS (12/01/2011) Page 5 of 6
15. Other Real Property N/A
The real estate located at is awarded
to the
, free of any right, title or interest of the other party,
but subject to any encumbrance thereon.
Other:
16. Enforceability after Death
N/A
The terms of this decree shall be a charge against eac h party’s estate.
17. Signing of Documents
N/A
Each party shall, within thir ty (30) days, sign and deliver to the other party any document
or paper that is needed to fulfill or accomplish the terms of this decree.
18. Restraining Order
N/A
is restrained and enjoined fr om entering the home or the
place of employment of the ot her party, and from harassing, intimidating or threatening the
other party or his/her relative s or other household members.
Other:
19. Name Change
(Divorce or Civil Union Dissolution Only) N/A
may resume use of her/his former name:
20. Other Requests
Attorney's Fees: Any party that unreaso nably fails to comply with this decree or other
court orders (including "Unifo rm Support Order") may be re sponsible to reimburse the
other party for whatever costs, including reasonable attorney’s fees, that may be incurred
in order to enfo rce compliance.
Tax Refunds : Any tax refund due or an ticipated by the parties resulting from their having
filed a joint federal and/or stat e income tax return for this or any prio r year shall, upon
receipt, be endorsed by both parties and equally distribu ted between them.
Disclosure of Assets : The parties warrant that they have fully disclosed all assets within
their knowledge on their respecti ve Financial Affidavit, specifically including any pension,
profit sharing or retirement account, along with reasonable estimated values of each asset.
The financial information cont ained on each party's Financial Affidavit is accurate and
complete and has been relied upon by the other party.
Compliance With Rule 1.25-A (Family Division Only) :
The parties have fully complied with Rule 1.25-A; or
The parties agreed to limit their docu ment exchange under Rule 1.25-A.
Mutual Releases : Other than as set forth in this decree or other order of this court
(including "Uniform Support Order") each party releases an d agrees to defend, indemnify
and hold the other harmless from any and all claims of any nature whatsoever arising out
of the marriage (including any claim for alimony).
Case Name:
Case Number:
FINAL DECREE ON PETITION FOR DIVORCE, LEGAL SEPARATION, OR CIVIL UNION DISSOLUTION
NHJB-2071-FS (12/01/2011) Page 6 of 6
Obligations : Unless specifically mentioned in this decree, each part y shall be solely
responsible for any bills, obligat ions or other indebtedness that he or she has charged or
incurred before or during th e marriage or civil union.
Change in Address or Employment : Each party shall promptly notify the other of any
change in his/her address or telephone number, and of any material change in
employment as long as there are any continui ng obligations under this decree. “Material
change” will include availability of medical, dental or life insurance and any substantial
increase or decrease in earnings or other income.
Waiver of Attendance : Both parties waive atte ndance at a final hearing.
Miscellaneous :
I/we believe that this is a fair and reasonable resolution of all the issues related to our marriage or civil
union. I/we request that the Court approve this decree and incorporate all of its terms and conditions as
part of the Decree of Di vorce, Decree of Legal Separation, or Decree of Civil Union Dissolution.
Witness/Attorney for Petitioner Petitioner Signature Date
Witness/Attorney for Respondent Respondent Signature Date
I certify that on this date I mailed/deliver ed a copy of this document to
(the other party) or to (the other party’s attorney) .
Date Signature
Recommended:
Date Signature of Marital Master
Printed Name of Marital Master
So Ordered:
I hereby certify that I have r ead the recommendation(s) and agree tha t, to the extent the marital
master/judicial referee/hearing officer has made factual findings, she/he has applied the correct legal
standard to the facts determined by the marita l master/judicial referee/hearing officer.
Date Signature of Judge
Printed Name of Judge
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