Form 4A-211 NMRA
Form 4A-211. Objection to hearing officer report (domestic relations actions).
[For use with Rule 1-053.2 NMRA]
STATE OF NEW MEXICO
COUNTY OF _______________
__________________ JUDICIAL DISTRICT
_______________________________,
Petitioner,
v.
No. __________
_______________________________,
Respondent.
OBJECTION TO HEARING OFFICER REPORT
(domestic relations actions)1
I, ___________________ (name of Petitioner or Respondent), object to the Hearing
Officer Report filed on _______________________ (date) for the following reasons:
(identify the specific paragraph(s) to which you are objecting, and state the reason(s) for
each objection)
1.
__________________________________________________________________________
__________________________________________________________________________.
2.
__________________________________________________________________________
__________________________________________________________________________.
3.
__________________________________________________________________________
__________________________________________________________________________.
4.
__________________________________________________________________________
__________________________________________________________________________.
5.
__________________________________________________________________________
__________________________________________________________________________.
____________________________
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 objection by United States mail, postage prepaid, to:
Name: ________________________________________________________________
Mailing address: ________________________________________________________
City, state, and zip code: _________________________________________________;
[ ]
delivered a copy of this objection to ________________________ (the other
party or the other party’s attorney); or
[ ]
faxed a copy of this objection 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