THE STATE OF NEW HAMPSHIRE

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

Court Name: 9th Circuit - Family Division - Manchester

Case Name: Hector Pizarro Litigation for Paternity & Parental rights for D
Case Number:
(if known)
DECREE ON PARENTING PETITION
This decree is (choose one):
Agreed to by Parties ✔ Proposed By H e c t o r G P i z a r r o
Ordered by the Court after hearing on at which petitioner respondent appeared.
This decree is (choose one):
TEMPORARY. The completed paragraphs apply while this case is pending with this Court.
✔ FINAL. The completed paragraphs will be incorporated in the Court’s final order.
1. Parenting Plan and Uniform Support Order N/A
✔ See attached Parenting Plan and Uniform Support Order
2. Tax Exemptions for Children N/A
✔ The parties shall claim the minor child(ren) as dependent(s) for all income tax purposes, in the
following manner:
✔ Reneee Depalo shall be entitled to claim D a ' v o n t e D e p a l o as
his/her tax dependent in all ✔ even odd years.
✔ Hector G Pizarro shall be entitled to claim D a ' v o n t e D e p a l o as
his/her tax dependent in all even ✔ odd years.
A parent may only claim a child as a dependent if that parent is current on child support for
the applicable tax year.
3. Guardian ad Litem Fees ✔ N/A
See Order on Appointment of Guardian ad Litem
Other:
4. Life Insurance ✔ N/A
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:
Health Insurance shall be covered with who ever places the minor on
expenses shall be covered on a jointly agreed outcome and at 50/50.

5. Enforceability After Death ✔ N/A

The terms of this decree shall be a charge against each party’s estate.
6. Restraining Order ✔ N/A
is restrained and enjoined from entering the home or
the place of employment of the other party, and from harassing, intimidating or threatening the
other party or his/her relatives or other household members.
Other:
NHJB-2078-F (11/25/2013) Page 1 of 3
Case Name: Hector Pizarro Litigation for Paternity & Parental rights for Da'vonte Depalo
Case Number:
DECREE ON PARENTING PETITION
7. Other Requests
✔ Attorney's Fees: Any party that unreasonably fails to comply with this decree or other court
orders (including "Uniform Support Order") may be responsible to reimburse the other party for
whatever costs, including reasonable attorney’s fees, that may be incurred in order to enforce
compliance.
✔ 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.
Compliance with Rule 1.25-A:
✔ The parties complied fully with Rule 1.25-A; or
The parties agreed to limit their document exchange under Rule 1.25-A.
✔ Miscellaneous:
Respect Petitioners Sexuality and religious beliefs.

8. Post-Secondary Educational Expenses N/A

IMPORTANT NOTE: The court cannot order parties to pay for college or other educational expenses beyond
the completion of high school unless BOTH parties agree. However, if the parties agree to contribute to
these expenses by checking the boxes in Section 4, below, this agreement will become an enforceable order
of the court.
✔ The parties agree to contributions to college or other educational expenses beyond the
completion of high school in the following manner:
Type of contribution (check all that apply):
✔ Contributions to an account by Petitioner Respondent ✔ Both
(Specify the amount and frequency of contributions and account information. Also specify what
will happen to the contributions in the event the child does not incur post-secondary educational
expenses):
50 Petitioner 50 Respondent ( upon 100% agreeable )

✔ Contribution of an asset:
(Specify the account or other asset being contributed and its current balance or value. If an asset
is identified specify how the asset will be used. Also specify what will happen to the contributions
in the event the child does not incur post-secondary educational expenses):
If Child refuses to attend or follow through all finances or agreement will be
disqualified.

✔ Payments shall be made as post-secondary education expenses are incurred.

Payments shall be made by Petitioner Respondent ✔ Both
(Specify amount to be paid by each party or the percentage or other formula agreed upon to
determine the post-secondary education expense obligation agreed to by the parties):
Payments shall be given to which ever parties is currently with the minor at the
event of payment of renewals stage.

NHJB-2078-F (11/25/2013) Page 2 of 3

Case Name:
Case Number:
DECREE ON PARENTING PETITION
Select one of the following:
Both parties agree that this post-secondary educational expense agreement IS modifiable
based on a substantial change in circumstances that was not foreseeable when the
agreement was signed.
✔ Both parties agree that this post-secondary education expense agreement is NOT
modifiable and the specific dollar amount to be contributed by either or both parents is set
forth above.
Note: Before any court hearing to modify or enforce the agreement described above, the
parties shall participate in mediation.
I/we request that the Court approve this decree.

Date Signature of Petitioner

Date Signature of Attorney/Witness for Petitioner

Date Signature of Respondent

Date Signature of Attorney/Witness for Respondent

I certify that on this date I provided a copy of this document to (other party) or to
(other party’s attorney) by: Hand-delivery OR US Mail OR
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-2078-F (11/25/2013) Page 3 of 3