Form 4A-315 NMRA
Form 4A-315. Default judgment and final decree of dissolution of marriage (with children).
STATE OF NEW MEXICO
COUNTY OF _______________
__________________ JUDICIAL DISTRICT
_______________________________
Petitioner,
v.
No. __________
_______________________________
Respondent.
DEFAULT JUDGMENT AND
FINAL DECREE OF DISSOLUTION OF MARRIAGE
(with children)1
_________________________ (Petitioner’s name) and
_______________________ (Respondent’s name) are married. Respondent failed to
respond to the petition for dissolution of marriage after being served. The judge may
make changes to this default decree and both parties must comply with any changes
made.
The parties were married on ____________ (date of marriage).
I.
PROPERTY BEING DIVIDED2
A.
Personal property (such as clothing, furniture, jewelry, or artwork). Attached is a
Personal Property List (Attachment A) showing all property and which party shall
receive that property.
(Choose 1 or 2)
[ ]
1.
Each party already has possession of all the personal property each party will rece
(Or)
[ ]
2.
The party in possession of personal property to be received by the other party sha
party within ____ days after this default judgment is signed by the judge and filed
B.
Real Property (such as a home, mobile home, condominium, lot, or commercial
building).3
(Choose all that apply)
[ ] 1.
Neither party owns real property.
[ ] 2.
The parties own a marital home, which is located at ____________________________
(street address), and with which they shall do the following:
(Complete the correct section: a. Keep the home; b. Sell the home; or c. Other plan.)
[
]
a
.
Keep the home.
_________________________________ (name of Petitioner or
Respondent) shall keep the home and shall be responsible for all debts
related to the home.
The person who keeps the home is called the “homeowner.” The other
person is called the “moving spouse.”
(Choose all that apply)
[
]
i. The amount owed to the moving spouse to buy out that person’s
interest is $______________, which is included in the calculation of
the Cash Payment, Section III, below.
[
]
ii. The homeowner shall apply to refinance the debt owed on the home
no later than _______________________________ (date).
[
]
iii
.
The homeowner shall buy out the moving spouse’s interest in the
home or get the moving spouse off of the loan papers as follows:4
______________________________________________________
___________
______________________________________________________
___________
______________________________________________________
___________
______________________________________________________
___________
[
]
b
.
Sell the home. The home shall be sold and the money from the sale
shall be divided as follows:
_________________________________________________________
____________
_________________________________________________________
____________
_________________________________________________________
____________.
While the home is being sold, [ ] Petitioner (or) [ ] Respondent (choose
one) shall stay in the home.
Until the home sells, the parties shall pay expenses, including
mortgage, taxes and insurance, utility bills, and repairs for the home as
follows (describe who is to pay and how much each person will pay):
_________________________________________________________
____________
_________________________________________________________
____________
_________________________________________________________
____________.
The parties shall cooperate with the showing of the home and the sale
of the home, including signing all paperwork needed in order to sell it
and transfer title. Both parties shall preserve the home in a reasonable
way including the following things:
_________________________________________________________
____________
_________________________________________________________
____________
_________________________________________________________
____________.
[
]
c
.
Other plan. Attached is a separate sheet with the plan regarding the
home.
[
]
.
One or both of the parties has other real property as set forth in the
attached Real Property List (Attachment B), and that property shall be
divided as set forth in the attachment. If one party owes the other money for
the division of the other real property, that amount is included in the
calculation of the Cash Payment, Section III, below.
C.
Bank and investment accounts (such as checking accounts, savings accounts,
stocks, bonds, certificates of deposit, mutual funds, or life insurance policies with cash
value).
(Choose 1 or 2)
[ ] 1. The parties do not have any bank or investment accounts.
(Or)
[ ] 2. The parties have the following bank or investment accounts and shall divide them as follo
Petitioner shall have the following bank or investment accounts:
Name of institution
________________________________
________________________________
________________________________
Last four (4) digits
of account number
___________________
___________________
___________________
Respondent shall have the following bank or investment accounts:
Name of institution
________________________________
________________________________
________________________________
Last four (4) digits
of account number
___________________
___________________
___________________
D.
Retirement Plans (such as IRAs, retirement accounts, pension plans, or
401(k) plans).5
(Choose 1 or 2)
[ ]
1.
Neither party has a retirement plan.
(Or)
[ ]
2.
The parties shall divide the retirement plan(s) as follows:
Petitioner has the
following
retirement
plan(s):
(Circle one to show whether
Petitioner will KEEP the entire
plan, DIVIDE the plan with
Respondent, or TRANSFER the
entire plan to Respondent)
If plan will be DIVIDED, the
amount or % to be given to
Respondent:
[KEEP] [DIVIDE] [TRANSFER]
[KEEP] [DIVIDE] [TRANSFER]
[KEEP] [DIVIDE] [TRANSFER]
Respondent has
the following
retirement
plan(s):
(Circle one to show whether
Respondent will KEEP the
entire plan, DIVIDE the plan
with Petitioner, or TRANSFER
the entire plan to Petitioner)
If plan will be DIVIDED, the
amount or % to be given to
Petitioner:
[KEEP] [DIVIDE] [TRANSFER]
[KEEP] [DIVIDE] [TRANSFER]
[KEEP] [DIVIDE] [TRANSFER]
If any retirement plan will be divided, a Qualified Domestic Relations Order (“QDRO”)
shall be prepared and submitted to the Court by Petitioner by
_______________________________ (date).6
E.
Vehicles (such as cars, trucks, motorcycles, recreational vehicles, boats,
tractors, or trailers).7
(Choose 1 or 2)
[ ]
1. The parties do not have any vehicles.
(Or)
[ ]
2. The parties have vehicles and shall divide them as follows:
Petitioner shall keep the following vehicles and assume any debt relating to each vehicle (
and year of each vehicle and list the vehicle identification number):
Vehicle description
________________________________
________________________________
________________________________.
Vehicle Identification No. (last six digits)
________________________________
________________________________
________________________________.
Respondent shall keep the following vehicles and assume any debt relating to each vehic
model, and year of each vehicle and list the vehicle identification number):
Vehicle description
________________________________
________________________________
________________________________.
Vehicle Identification No. (last six digits)
________________________________
________________________________
________________________________.
Each party listed above as keeping the vehicles shall pay for the costs of the vehicles, inc
parties shall transfer title by the following date:
[ ] ___________________________ (date).
(Or)
[ ] when the vehicle is paid off.
(or)
[ ] the party who is keeping the vehicle already has the title in his/her name.
F.
Other property (such as business interests, patents, trademarks, copyrights,
royalties, manuscripts, or any other property).
(Choose 1 or 2)
[ ]
1. Neither party has any other property.
(Or)
[ ]
2. One or both parties has the other property listed below, and shall divide it as follows:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________.
II.
DEBTS BEING DIVIDED8
A.
Debt. Attached is a Debt List (Attachment C) which lists all of the parties’ debts,
including mortgages, vehicle payments, taxes, credit cards, student loans, medical
debts, judgments, and any other debts the parties may have. Any debt not listed is the
responsibility of the person who created it. Each party shall pay debts created by that
party prior to the marriage, unless stated differently here. Unless stated differently here,
a party who takes property (such as a house or car) with a debt associated with it, shall
take the debt.
(Choose all that apply)
[ ]
The parties have no debt from the marriage.
[ ]
Each party shall pay the debts as listed on Attachment C.
[ ]
The amount owed from ______________________ to _____________________
for the division of the debts is $_______________, which is included in the calculation
of the Cash Payment, Section III, below.
B.
Credit cards and charge cards. Each party shall turn in and cancel all joint
credit cards, or shall have the credit card company take the other party’s name off of the
account.
C.
Taxes. The parties shall share information necessary to correctly file income tax
returns. Each party will get the help needed to file taxes.
D.
Problem with tax returns. If any tax returns that the parties filed jointly are
audited or contested, the parties should meet to decide what to do. If the parties cannot
decide who pays the taxes owed or who gets any refund, they will ask a judge to decide
at the time the problem comes up.
E.
Failure to pay debts. If either party fails to pay the debts each is ordered to pay,
the other party may end up making that payment. If that happens, the party who should
have paid may have to repay the other party, including any other extra costs caused by
the failure to pay, such as attorney fees, late fees, and interest charged by the creditor.
III.
CASH PAYMENT
To equalize the division of property and debts, ___________________
(name) shall pay _____________________ (name) the amount of
$______________ no later than _______________ (date). Judgment shall enter
in this amount for _____________________ (name of person owed money). The
statutory interest rate shall apply as provided in Section 56-8-4(A) NMSA 1978.
IV.
SPOUSAL SUPPORT9
(Choose 1 or 2)
[ ]
1.
No spousal support. Each party can support himself or herself and neither shall
other.
(Or)
[ ]
2.
Spousal support. [ ] Petitioner (or) [ ] Respondent (choose one) shall pay spousa
Spousal support shall be paid as follows:
(Choose i, ii, or iii)
[ ]
i.
$_______________ per month on the _________________ (date) of each month
(period of time), which is not modifiable.
(Or)
[ ]
ii.
$_______________ per month on the ________________ (date) of each month u
[ ]
iii.
Other plan:
________________________________________________________________
________________________________________________________________
________________________________________________________________
V. CUSTODY PLAN10
(Provide identification and contact information for each parent and child)
Parent’s name
______________________
Physical address and
phone number
______________________
______________________
______________________
Place of employment
and phone number
______________________
______________________
______________________
______________________
______________________
______________________
______________________
______________________
______________________
______________________
Child’s name
______________________
______________________
______________________
Year of birth
______________________
______________________
______________________
Age
___________
___________
___________
[ ]
The parties shall advise each other of any change to this contact information
within ten (10) days of new information becoming available.
(Choose either Option A, Sole legal custody, or Option B, Joint legal custody)
[ ]
A. Sole legal custody and visitation plan. (Do not fill out Option B if you choose this op
(Complete 1, 2, and 3)
1. _______________________________ (name of parent with sole custody) shall have
children. The parent with sole custody shall make the important decisions regarding th
2. The reason that sole custody is in the best interest of the children is because:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
3. This is the visitation plan:
(Choose a, b, or c)
[ ] a.
There shall be no visitation until further order of the Court.
(Or)
[ ] b.
_______________________________ (name of other parent) shall have unsu
the children as follows: (Fully describe visitation plan to include who shall trans
where and when the visitation shall occur. Attach additional sheets if necessary
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
(Or)
[ ] c.
_______________________________ (name of other parent) shall have supe
children as follows: (Fully describe visitation plan to include who shall supervis
transport the children and where and when the visitation shall occur. Attach ad
necessary.)
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
[ ]
B. Joint legal custody and parenting plan. (Do not fill out Option A if you choose this o
1. Important decisions. The parents shall share joint legal custody of the children and s
decisions about the children together. No change regarding any of the following shall h
both agree to the change in writing or the court changes it:
a.
City and county of residence: ______________________________________
b.
Religion: ______________________________________________________
c.
Activities: _____________________________________________________
d.
Doctor
Name
____________________
Address and telephone
______________________
______________________
e.
Dentist
____________________
______________________
______________________
f.
School
____________________
______________________
______________________
g.
Child care
____________________
______________________
______________________
h.
Other
____________________
______________________
______________________
2. Solving arguments. The parents shall resolve any parenting or time-sharing disputes
talking together or communicating in writing. If a parent requests a change to the plan
change, the answering parent should respond within five (5) days. If the answering pa
change, that parent must say why, and if possible make a new proposal.
3. Timesharing schedule.
(Complete “Schedule 1” or “Schedule 2” below.)
[ ]
Schedule 1. Same schedule each week or every two weeks.
(Set out the time that each parent shall have the children for that day.)
Week 1
________’s time
(name of parent)
________’s time
(name of parent)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
Week 2
________’s time
(name of parent)
________’s time
(name of parent)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
[ ]
Schedule 2. Write your own schedule. (Write your own schedule here or atta
calendar or make additions to Schedule 1.)
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________.
4. Vacation and holiday plan.
a.
Vacations. The parents shall each have ____ [days] [weeks] (circle one) of un
children each year. Each parent shall give the other parent at least ____ [days
notice of the vacation time.
b.
Holidays. Regardless of the day of the week, the children shall spend holidays
of parent who will have the children on each holiday)
Holidays:
Even year
Odd Year
Times
(if split)
Mother’s Day
______
______
From ______
To _______
Father’s Day
______
______
From ______
To _______
Child’s Birthday
______
______
From ______
To _______
Halloween
______
______
From ______
To _______
Thanksgiving
break
______
______
From ______
To _______
Winter religious
holidays
______
______
From ______
To _______
1st 1/2 winter
break
______
______
From ______
To _______
2nd 1/2 winter
break
______
______
From ______
To _______
Spring Break
______
______
From ______
To _______
July 4th
______
______
From ______
To _______
Other religious
holidays
______
______
From ______
To _______
Other:
______
______
From ______
To _______
The Monday of a 3-day weekend due to a school, federal, or state holiday is the
schedule unless the parents both agree differently in writing or the court orders a
arrangement.
5. Details about the timesharing.
a. Communication. Each parent may have reasonable communication with the children a
parent shall unreasonably interfere with the children’s communications with the other pa
b. Transfer of children. Responsibility for transferring the children from one parent to the
follows (write what the parents will do here):
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
c. Long-distance transfer of children. Responsibility for transferring the children from o
in long-distance arrangements shall be as follows (write down what the parents will do
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
d. Emergencies. If there is a medical emergency, the parent with the children shall try to
about the emergency. to If the other parent cannot be reached, any decision for emerge
shall be made by the available parent in the best interest of the children.
e. Changes. Each parent may ask the other for changes to this schedule. The other paren
“no.” If the other parent says “no,” the parent asking for changes shall not argue or critic
decision.
VI. CHILD SUPPORT OBLIGATION.11
A.
Child Support Worksheet.12 A signed child support worksheet is attached to this
plan.
(Complete and sign a child support worksheet prior to completing this section.)
Child support: ________________________ pays ________________________
$____________ per month. Payments shall begin on ______________________ (date)
and shall be paid in the amount of $____________ every [ ] week [ ] two weeks [ ]
month. Payments shall continue each month until the youngest child turns eighteen
(18); however, if the youngest child turns eighteen (18) while still attending high school,
payments shall continue until the month the child graduates or turns nineteen (19),
whichever occurs first.13
(Choose 1 or 2)
[ ]
1. This amount is the amount shown on the worksheet.
(Or)
[ ]
2. This is a deviation from the amount shown on the child support worksheet because (fill
___________________________________________________________________
___________________________________________________________________.
B.
Health insurance coverage.15
(Choose 1, 2, or 3)
[ ] 1. ____________________ (name of parent) shall keep the minor children covered by health
policy of insurance available from his or her employer or other group health care insurance
(Or)
[ ] 2. Neither parent has private health or dental insurance coverage available at a reasonable c
under Medicaid, the child support obligor shall pay a cash medical support payment as det
in which the State of New Mexico, Child Support Enforcement Division (“CSED”), has been
the stipulation of the parties and with the agreement of CSED. The notification to and agre
cash medical support.
(Or)
[ ] 3. Other health insurance coverage shall be provided as follows:
_______________________________________________________________________
_______________________________________________________________________
______________________________________________________________________.
C.
Additional healthcare expenses to be determined by percentage. The
parents shall split the cost of uncovered necessary healthcare expenses in proportion to
their income on the child support worksheet.
D.
Wage withholding of child support.
(Choose and complete 1 or 2)
[ ]
1.
Withhold wages for child support. Child support payment shall be withheld from
paycheck.16
(Choose a or b)
[ ] a.
Attached is a completed Form 4A-304 NMRA Wage Withholding Order which di
the Child Support Enforcement Division (“CSED”).
(Or)
[ ] b.
___________________________ (name of parent) shall l take a copy of this ch
signed by the Court to CSED to open a case and to request that CSED issue a
[his] [her] behalf.
(Or)
[ ]
2. Other plan. Wage withholding is not appropriate at this time as the parties have made th
arrangements for the payment of support (describe alternate payment arrangements, sub
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
E.
Health and dental insurance. The parents shall do the following:
1.
follow the insurance plan in selecting a doctor or dentist;
2.
use doctors and dentists who are part of the insurance plan;
3.
make sure each parent has a copy of the insurance card and policy; and
4.
cooperate and work together to promptly submit all insurance forms.
F.
Exchange of information. Once a year either parent can ask, in writing, for both
parties to exchange the following information (this paragraph is required by statute,
Section 40-4-11.4 NMSA 1978):17
1.
federal and state tax returns for the prior year;
2.
W-2 statements for the prior year;
3.
IRS form 1099s for the prior year;
4.
work related day care statements for the prior year;
5.
dependent medical insurance premiums for the prior year; and
6.
wage and payroll statements for the four months prior to the request.
G.
Tax issues.18 The parents shall address tax issues, such as the dependency
exemption, that relate to the children as follows:
[ ] Follow IRS regulations; or
[ ] Adopt another plan as follows:
___________________________________________________________________
___________________________________________________________________
H.
Other expenses. Each parent shall provide the children with items that they
need while they are with that parent.
The Court, having considered the evidence FINDS AND CONCLUDES:
1. The Court has jurisdiction over the subject matter of this action and over the
parties.
2. The parties are incompatible.
3. The division of property and debts in this Default Judgment and Final Decree of
Dissolution of Marriage is fair and reasonable.
4. The Custody Plan in this Default Judgment and Final Decree of Dissolution of
Marriage is fair, reasonable, and in the best interests of the children.
5. The Child Support Obligation in this Default Judgment and Final Decree of
Dissolution of Marriage is fair, reasonable, and in the best interests of the children.
6. Respondent’s default has been certified by the Court.
IT IS THEREFORE ORDERED, ADJUDGED, AND DECREED:
1. The marriage of Petitioner and Respondent is dissolved on the grounds of
incompatibility.
2. The parties are ordered to comply with the terms of this Default Judgment and
Final Decree of Dissolution of Marriage.
3. The Court has continuing jurisdiction over issues relating to the children of the
marriage until the children reach the age of majority as provided by law.
(Select and complete the following paragraphs if applicable)
[ ]
4.
The Court retains jurisdiction to enter QDROs or other orders dividing the retirement pla
Judgment and Final Decree of Dissolution of Marriage.
[ ]
5.
Judgment in favor of [ ] Petitioner (or) [ ] Respondent is awarded in the amount of $____
Section III (Cash Payment) of this Default Judgment and Final Decree of Dissolution of
interest rate shall apply as provided in Section 56-8-4(A) NMSA 1978.
[ ]
6.
Petitioner’s name is restored to the former name of ____________________________
________________________________
Date
SO ORDERED:
________________________________
District Court Judge
VERIFICATION
I, __________________________, am the Petitioner, and I affirm under oath and
penalty of perjury under the laws of the State of New Mexico the following:
I am signing this document alone because Respondent is in default;
I have disclosed all assets and debts known to me;
This document and the statements in it are true and correct to the best of my
knowledge and belief;
I understand that I can be punished both civilly and criminally if any information in
this document is false.
Submitted/Approved by
________________________________
Petitioner
Date
________________________________
Mailing address
________________________________
City, state, and zip code
________________________________
Telephone number
STATE OF NEW MEXICO
)
COUNTY OF __________________
) ss.
Acknowledged, signed and sworn to before me this _____ day of _____________,
_____ by _______________________, the petitioner.
_________________________
Notary public
My commission expires: __________________.
ATTACHMENT A: PERSONAL PROPERTY LIST
(Attach additional pages if needed)
List all items of value to you, such as furniture, household items, electronics, art,
jewelry, and tools.
Item
Dollar
Value
Will belong to (check box for each item):
Petitioner
Respondent
ATTACHMENT B: REAL PROPERTY LIST
(Attach additional pages if needed)
List all homes (other than the marital home), land, or other real property owned by
Petitioner or Respondent.
Other Real Property
1.
Address/Description of property: ______________________________________
The parties shall do the following with the property after the divorce:
(Choose all that apply)
_____ Petitioner will keep the property;
_____ Respondent will keep the property;
_____ [ ] Petitioner [ ] Respondent shall pay the other party $____________.
_____ The property will be sold and the proceeds divided as follows:
________________________________________________________________
________________________________________________________________
_____ Other plan:
________________________________________________________________
________________________________________________________________
2.
Address/Description of property: ______________________________________
The parties shall do the following with the property after the divorce:
(Choose all that apply)
_____ Petitioner will keep the property;
_____ Respondent will keep the property;
_____ [ ] Petitioner [ ] Respondent shall pay the other party $____________.
_____ The property will be sold and the proceeds divided as follows:
________________________________________________________________
________________________________________________________________
_____ Other plan:
________________________________________________________________
________________________________________________________________
ATTACHMENT C: DEBT LIST
(Attach additional pages if needed)
(NOTE: This document is a public document. DO NOT list the full account number for
any credit card or other loan information that you would not want to make public.)
This decree may not bind creditors.
Creditor
Last four (4)
numbers on
account
Amount
owed
Will be paid by (check box):
Petitioner
Respondent