Form 4-226. Civil complaint provisions; consumer debt claims.

[For use with District Court Rule 1-009(J) NMRA, Magistrate Court Rule 2-201(E) NMRA, and Metropolitan Court Rule 3-201(E) NMRA] In addition to the requirements set forth in the New Mexico Rules of Civil Procedure, a pleading asserting a claim subject to Rule 1-009(J) NMRA, Rule 2-201(E) NMRA, or Rule 3-201(E) NMRA shall include, at a minimum, the following provisions: STATE OF NEW MEXICO COUNTY OF ________________________________ _______________________________ JUDICIAL DISTRICT/MAGISTRATE COURT/ METROPOLITAN COURT _______________________________, Plaintiff v. No. __________ _______________________________, Defendant CIVIL COMPLAINT ___ (a) The full name and address of the Defendant is as follows: ___________________ ______________________________________________________________________________ ______________________________________________________________________________ (b) The last two (2) digits of the Defendant’s social security number, contained in the original creditor’s records are as follows: _________________________________ _______________________________________________________________________________ (c) If the Plaintiff does not provide the social security number above, Plaintiff states, with specificity, that the basis on which it was determined that the named Defendant is the debtor on the debt is as follows: __________________________ _______________________________________________________________________________ _______________________________________________________________________________ ___ [ ] The Plaintiff in this action IS the original creditor; OR [ ] The Plaintiff IS NOT the original creditor and the name and address under which the original creditor did business with the Defendant is as follows: _____________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ___ The last four (4) digits of the Defendant’s account number, used by the original creditor as of the date of default are as follows: ___________________________________________ _______________________________________________________________________________ ___ The balance due at the time of default is as follows: _______________________________ _______________________________________________________________________________ ___ (a) The total amount of the debt claimed is $ ___________________, itemized as follows: Principal amount due: ______________________________________________________ Interest: _____________________________________________________________ Other charges, fees, and expenses (specified individually): ________________________________________________________________________ The itemization of the amount of the debt claimed set forth above does not include attorney fees and court costs. (b) The basis for each of the itemized charges, fees, or expenses is as follows: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ___________________________ ___ The date of last payment made by Defendant is as follows: _________________________ ___ Plaintiff states, consistent with Rule 1-011 NMRA, Rule 2-301 NMRA, or Rule 3-301 NMRA, that the applicable statute of limitations on this claim has not run. ___ The name and address of the current owner of this debt is as follows: _______________________________________________________________________________ _______________________________________________________________________________ ________________________________________ ___ Plaintiff [ ] IS or [ ] IS NOT a collection agency. If the Plaintiff is a collection agency: (a) the name and address of the collection agency is as follows: _________________ _______________________________________________________________________________ _______________________________________________________________________________ ________________________________________ (b) The New Mexico license number for the collection agency is as follows: _______________________________________________________________________________ _____________________________________________________ (c) The specific facts demonstrating that the collection agency is the real party in interest are as follows: _______________________________________________________________________________ _______________________________________________________________________________ ________________________________________ ___ [ ] The original or copy of any instrument of writing on which the action is founded IS attached as Exhibit A. See Rule 1-009(J)(2) NMRA, Rule 2-201(E)(2) NMRA, or Rule 3-201(E)(2) NMRA. [ ] The original or copy of any instrument of writing on which the action is founded IS NOT attached. The reason the instrument of writing is not attached is as follows: _______________________________________________________________________________ _____________________________________________________ ___ [ ] Plaintiff alleges entitlement to enforce the debt but is not the original creditor. Plaintiff has attached an affidavit showing the chain of title or assignment of the debt. See Rule 1- 017(E)(2) NMRA, Rule 2-401(D)(2) NMRA, or Rule 3-401(D)(2) NMRA. ___ Plaintiff also seeks court costs and the following additional relief as specified: _______________________________________________________________________________ _______________________________________________________________________________ ________________________________________ WHEREFORE, Plaintiff demands judgment in the amount of $ ____________, and costs [and attorney fees] and such further relief as the court deems proper. __________________________ Date ____________________________________ Signature ____________________________________ Name (print) ____________________________________ Address (print) ____________________________________ City, State, and Zip Code (print) ____________________________________ Telephone Number