Form 4-110. Request for hearing.

[District Court Civil Rules]1 STATE OF NEW MEXICO COUNTY OF _________________________ _____________________ JUDICIAL DISTRICT No.__________________ ___________________________________, Plaintiff v. ___________________________________, Defendant REQUEST FOR HEARING Assigned judge: ________________________________________________________ Matters to be heard: _____________________________________________________ Hearings presently set: ___________________________________________________ Time requested by plaintiff: ________________________________________________ Time requested by defendant: _____________________________________________ (Provide names and addresses of parties who need to be notified – attach a list if necessary.)2 ________________________________ ___ ________________________________ ___ ________________________________ ___ ________________________________ ___ ________________________________ ___ ________________________________ ___ I hereby certify that I have caused a copy of the foregoing to be [mailed] [delivered] [faxed] to each of the opposing parties listed above on or before ____________________________ (date of service). Hearing requested by: _______________________________________________ Signature Printed name: ________________________________ Address: ________________________________ ________________________________ ________________________________ Telephone: ________________________________