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Get Nh Nhjb-2175-p 2013-2024

1. Petitioner Name Telephone Mailing Address Petitioner Name Telephone Mailing Address 2. Minor Name Telephone Mailing Address Relationship of petitioner to minor 3. Attorney Name Telephone Mailing Address 4. Bar ID# Are there any pending guardianship, juvenile, domestic violence, marriage dissolution, domestic relations, paternity, legitimization, custody or other proceedings affecting this child or the Yes No If yes, attach a separate sheet proposed adoptive parents of this child?.

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