Case Name:
Case Number:
FINAL DECREE ON PETITION FOR DIVORCE, LEGAL SEPARATION, OR CIVIL UNION DISSOLUTION
Obligations: Unless specifically mentioned in this decree, each party shall be solely
responsible for any bills, obligations or other indebtedness that he or she has charged or
incurred before or during the 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 continuing 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 attendance 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 Divorce, 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 state that on this date I provided a copy of this document to
or to
(other party)
by:
Hand-delivery OR
US Mail OR
(other party’s attorney)
E-mail
.
(E-mail only by prior agreement of the parties based on Circuit Court Administrative Order)
Date
Signature
Recommended:
Date
Signature of Marital Master
Printed Name of Marital Master
So Ordered:
I hereby certify that I have read the recommendation(s) and agree that, 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 marital master/judicial referee/hearing officer.
Date
Signature of Judge
Printed Name of Judge
NHJB-2071-FS (08/27/2013)
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