Form 4A-208. Notice of compliance with Rule 1-123 NMRA (domestic relations actions).

[For use with Rule 1-123 NMRA] STATE OF NEW MEXICO COUNTY OF _______________ __________________ JUDICIAL DISTRICT _______________________________, Petitioner, v. No. __________ _______________________________, Respondent. NOTICE OF COMPLIANCE WITH RULE 1-123 NMRA (domestic relations actions)1 In accordance with the mandatory disclosure requirement of Rule 1-123 NMRA, I certify that I served all required documents as indicated below to the opposing party on ____________________ (date) as required in the rule. [ ] Property and Debt (Check this box if there is property and debt to be divided, and check all boxes below for the documents that you completed and provided to the other party.) [ ] Interim monthly income and expenses statement (Form 4A-212) List documents used to complete this statement: ______________________________________________________________________ [ ] Community property and liabilities schedule (Form 4A-214) List documents used to complete this schedule: ______________________________________________________________________ [ ] Separate property and liabilities schedule (Form 4A-215) List documents used to complete this schedule: ______________________________________________________________________ [ ] Spousal support or child support (Check this box if spousal support and/or child support is an issue in your case, and check all boxes below for the documents that you completed and provided to the other party.) Documents provided: [ ] Federal and state tax returns, including all schedules, for the year preceding the request [ ] W-2 statements for the year preceding the request [ ] Internal Revenue Service Form 1099s for the year preceding the request [ ] Work related daycare statements for the year preceding the request [ ] Dependent medical insurance premiums for the year preceding the request [ ] Wage and payroll statements for four months preceding the request [ ] (Spousal support only) Interim monthly income and expenses statement (Form 4A-212) ____________________________ 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 notice by United States mail, postage prepaid, to: Name: ________________________________________________________________ Mailing address: ________________________________________________________ City, state, and zip code: _________________________________________________; [ ] delivered a copy of this notice to ________________________ (the other party or the other party’s attorney); or [ ] faxed a copy of this notice 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