Form 4-112. Request for hearing.

[For use with Magistrate Court Civil Rule 2-307 NMRA and Metropolitan Court Civil Rule 3-307 NMRA] STATE OF NEW MEXICO IN THE ________________________ COURT ______________________________ COUNTY 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.)1 _________________________________ ________________________________ _________________________________ ________________________________ _________________________________ ________________________________ Hearing requested by: ____________________________________________ Signature Printed name: _________________________________________________________________ Address: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Telephone: _________________________________________________________________ CERTIFICATE OF SERVICE I hereby certify that on this ____ day of ______________, ______ this ______________ (insert paper served, such as "answer" or "notice") was [mailed by United States first class mail, postage prepaid, and addressed to: Name: __________________________________________________________________ Address: __________________________________________________________________ City, State __________________________________________________________________ and zip code: __________________________________________________________________ [faxed by ________________________ (name of person who faxed document) to ______________________ (name of recipient) at _________________ (telephone number). The transmission was reported as complete. The time and date of the transmission was ________ (a.m.) (p.m.) on _____________________ (date).] [e-mailed to ______________________ (name of party or attorney) at _________________ (electronic mail address of recipient) upon agreement of the party to accept electronic service. The transmission was reported as complete. The time and date of the transmission was _________ (p.m.) (a.m.) on _____________________ (date).] [delivered to __________________________ (Specify how service by delivery was made. See Use Note 1 for the methods service may be made using this alternative.) ________________________________________________:] ________________________________ Signature of person sending paper ________________________________ Date of signature