Form 4A-104 NMRA
Form 4A-104. Response.
STATE OF NEW MEXICO
COUNTY OF _______________
__________________ JUDICIAL DISTRICT COURT
_______________________________,
Petitioner,
v.
No. __________
_______________________________,
Respondent.
RESPONSE
Respondent, ____________________, responds to the Petition for Dissolution of
Marriage, and states:
1.
I admit (agree with) the statements in the following paragraphs (list the paragraph
numbers below) of the Petition: ____________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
2.
I deny (disagree with) the statements in the following paragraphs (list the
paragraph numbers below) of the Petition: ___________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
3.
I also want a divorce and the legal remedies to which I am entitled.
4.
OPTIONAL (Cross out if this does not apply to you): I want my name to be
restored to my former name, _____________________.
Respondent asks that the Court:
A.
Enter a Final Decree of Dissolution of Marriage on the grounds of incompatibility;
B.
Confirm any separate property and separate debt of the parties;
C.
Equitably divide any community property and community debt of the parties;
D.
Enter an order for spousal support, as appropriate;
E.
Provide for the custody, support, and maintenance of the child/children. (cross
out if this does not apply);
F.
Order that my name be restored to my former name of _____________________
(cross out if this does not apply); and
G.
Provide for such other and further relief as the Court may deem just and proper.
Submitted by:
____________________________
Name
____________________________
Mailing address
____________________________
City, State, Zip
____________________________
Physical Address (this must be
provided unless address is sealed
by court order)
____________________________
City, State, Zip
____________________________
Telephone number
VERIFICATION OF SERVICE
I affirm under penalty of perjury under the laws of the State of New Mexico that on
_____________ (date), I (check the applicable item below and fill in all information)
[ ]
mailed a copy of this response by United States mail, postage prepaid, to:
Name: _______________________________________________________________
Mailing address: _______________________________________________________
City, state, and zip code:_________________________________________________;
[ ]
delivered a copy of this response to ________________________ (the other
party or the other party’s attorney); or
[ ]
faxed a copy of this response to _____________________ (the other party or the
other party’s attorney) using the following fax number: ___________________. The
transmission was reported as complete and without error. The time and date of the
transmission was _______ (a.m.) (p.m.) on _______________ (date).
__________________________________
Signature of person who made service
__________________________________
Date of signature