Class A B

NHJB-****-D (**/**/****) Page * or *

I am charged with a:

Violation Class B Misdemeanor Class A Misdemeanor Felony I did not pay my fine because:

I did not appear for my court date because:

I REQUEST THAT THE COURT

Vacate the default Vacate the $50 administrative fee Recall the warrant Establish a time payment schedule Schedule a hearing

Date Signature

**Address (indicate any address changes below) Printed Name Town, State, Zip Code Telephone (cell)

** Change of address notification Effective immediately Effective on Clerk Review (For use in defaults in appearance on Violations, Class B Misdemeanors and/or non-payment of fines on Violations, Class A & B misdemeanors):

VACATE EBW

Fine ONLY - No ability/partial ability to pay – collect payment (if any), schedule next hearing and issue Notice of Cleared Default

Fine ONLY - Ability to pay – Clerk to collect fine and administrative fee and issue Notice of Cleared Default (no further hearing)

Failure to Appear - schedule next hearing before court and issue Notice of Cleared Default DEFAULT FEE UNPAID, TO BE ADDRESSED AT COURT HEARING. Date Signature of Clerk

Printed Name of Clerk

THE STATE OF NEW HAMPSHIRE

JUDICIAL BRANCH

http://www.courts.state.nh.us

Court Name:

Case Name:

Case Number:

(if known)

MOTION TO VACATE DEFAULT AND/OR RECALL WARRANT

Case Name:

Case Number:

MOTION TO VACATE DEFAULT AND/OR RECALL WARRANT

NHJB-2978-D (08/01/2021) Page 2 or 2

Judge Review (For failure to appear on Class A Misdemeanors/Felonies): Granted Vacate warrant and issue Notice of Cleared Default Waive administrative fee.

Next hearing to be scheduled in the normal course. Denied. Schedule for hearing at next available court date. Date Signature of Judge

Printed Name of Judge

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