Form 4A-206. Request for hearing (domestic relations actions).

STATE OF NEW MEXICO COUNTY OF _______________ __________________ JUDICIAL DISTRICT COURT _______________________________, Petitioner, v. No. __________ _______________________________, Respondent. REQUEST FOR HEARING (domestic relations actions)1 Assigned judge: ________________________________________________________ Matters to be heard: _____________________________________________________ Hearings presently set: ___________________________________________________ Amount of time requested: ________________________________________________ (Provide names, mailing addresses, and telephone numbers of parties who need to be notified — attach a list if necessary.) ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ Hearing requested by: ____________________________ Signature of party ____________________________ Name (print) ____________________________ Mailing address (print) ____________________________ City, state, and zip code (print) ____________________________ 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 request by United States mail, postage prepaid, to: Name: ________________________________________________________________ Mailing address: ________________________________________________________ City, state, and zip code: _________________________________________________; [ ] delivered a copy of this request to ________________________ (the other party or the other party’s attorney); or [ ] faxed a copy of this request 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 party __________________________________ Date of signature