Form 4-1012. Respondent's motion to terminate a one-year extreme risk firearm protection order.

[Extreme Risk Firearm Protection Order Act, NMSA 1978, Sections 40-17-1 to -13] STATE OF NEW MEXICO COUNTY OF __________________ __________________ JUDICIAL DISTRICT IN THE MATTER OF AN EXTREME RISK FIREARM PROTECTION ORDER FOR _______________________________ _____________________ (Respondent’s full date of birth) No. _________________________ RESPONDENT’S MOTION TO TERMINATE A ONE-YEAR EXTREME RISK FIREARM PROTECTION ORDER 1. I am Respondent in this case. 2. I currently live at the following address: ____________________________________________________________________ street address ______________________________________________, city __________ state ___________ zip 3. My attorney’s name, address, and telephone number are: ________________________________________________________________ If you do not have an attorney, write "none”. 4. A One-Year Extreme Risk Firearm Protection Order was entered against me on ______________________________. date 5. The One-Year Extreme Risk Firearm Protection Order expires on ___________. date 6. I am requesting to terminate the One-Year Extreme Risk Firearm Protection Order for the following reasons: _______________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ add another page if necessary _________________________________ Signature of Respondent ___________________________ Date _________________________________ Print Name of Respondent CERTIFICATE OF SERVICE I HEREBY CERTIFY that on ____________________________ a copy of this Request to date Terminate a One-Year Extreme Risk Firearm Protection Order was served on □ Petitioner by _______________________________ at ________________________ enter service method (U.S. Mail, personal service, etc.) street address _____________________________________, city ____________________ state ____________ zip □ Petitioner’s Attorney by _________________________ at ______________________ enter service method (U.S. Mail, personal service, etc.) street address _____________________________________, city ____________________ state ____________ zip ____________________________________ Signature of Respondent