Fillable Printable Affidavit of Ownership Form - New Hampshire

Affidavit of Ownership Form - New Hampshire

NHJB-2771-D (0 8/17/2012)

THE STATE OF NEW HAMPSHIRE

JUDICIAL BRANCH

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

Court Name:

Case Name:

Case Number:

(if known)

AFFIDAVIT OF OWNERSHIP

A. I hereby certify that the owner of the property in the above-entitled action is:

(Name)

(Street)

(City, State, Zip Code)

B. The real estate, which is the subject of this eviction, is rented for:

Non-Residential purposes

Residential purposes and consists of one of the following kinds of real estate:

A single-family house where the owner of such house does not own more than three single

family houses at one time.

A rental unit in an owner-occupied building containing a total of four dwelling units or fewer.

A rental unit in a vacation or recreational building not rented for vacation or recreational

purposes.

A single-family house acquired by bank or other mortgagee through foreclosure.

Other residential purposes.

C. Please provide rental amount paid: $ weekly OR $ monthly.

D. I understand that if this affidavit is incorrect, the court may summarily dismiss this case.

Date Printed Name

Signature

CHECK one box below:

I am the actual owner of the real estate in question.

I am an employee of the actual owner of the real estate.

I am an employee of a corporation that is the actual owner of the real estate in question.

I am the fiduciary OR attorney for the owner of the real estate in question.