Form 4-904A NMRA
Form 4-904A. Post-judgment application for writ of restitution and request for hearing.
Length: 720 wordsOfficial source
[For use in Magistrate, Metropolitan, and District Courts with the
Eviction Prevention and Diversion Program]
STATE OF NEW MEXICO
_______________ COURT
_____________________ COUNTY
_______________________________, Plaintiff(s),
v.
No. ____________
_______________________________, Defendant(s).
POST-JUDGMENT APPLICATION FOR WRIT OF RESTITUTION
AND REQUEST FOR HEARING1
(Uniform Owner-Resident Relations Act; Mobile Home Park Act)
Plaintiff, whose name is _____________________________________________
________________________ (include names of all Plaintiffs, if more than one), states
as follows:
1.
Plaintiff is an owner, landlord, or authorized representative of management2 that
has a
(check one of the following)
[ ] Judgment for Restitution under the Uniform Owner-Resident Relations Act;
or
[ ] Judgment for Possession under the Mobile Home Park Act.
2.
The Judgment is against Defendant, whose name is
__________________________________________________ (include names
of all Defendants, if more than one).
3.
Defendant’s contact information is as follows (check one of the following):
[ ] Per Plaintiff’s good faith search, Defendant’s last known contact information
is as follows (include for all Defendants, if more than one):
Physical address: ___________________________________________
__________________________________________________________
Mailing address (if different): __________________________________
_________________________________________________________
Phone number with area code: _________________________________
_________________________________________________________
Email address: ______________________________________________
__________________________________________________________
[ ] Despite Plaintiff’s good faith search, Plaintiff has been unable to determine
Defendant’s current physical, mailing, or email address or phone number,
and Plaintiff states that Plaintiff communicates with Defendant as follows
(include information for all Defendants, if more than one):
______________________________________________________
___________________________________________________________
___________________________________________________________
4.
Defendant is a resident of, and remains in possession of, the property identified
in Plaintiff’s rental agreement with Defendant, located at the following full street
address (include street number and street, name of apartment complex,
building, and unit number (if any), city, state, and zip code):
________________________________________________________
______________________________________________________________
5.
The Judgment is dated: ____________________________________.
6.
The total amount awarded in the Judgment, including unpaid rent, damages,
attorney’s fees, costs, and interest, is $ ________________.
7.
Since the date of the Judgment, Defendant has accrued the following additional,
itemized unpaid rent and/or other charges in the total amount of
$ __________________.
(attach an itemized list or insert amounts below for the monthly rent and other
charges due through the date of this Application, as may be evidenced by the
rental agreement(s))
Itemized charges:
__________________
__________________
__________________
__________________
__________________
__________________
A copy of any relevant rental agreement with Defendant is attached to this
application.
(check, if applicable, and complete)
8.
[ ] Since the Judgment, Plaintiff has received payments from Defendant
totaling $ __________________ to address the Judgment.
[ ] Since the date of Judgment, Plaintiff has received $_________________ in
total government rental assistance on behalf of the Defendant for the
premises listed in Paragraph 4. $______________ addressed the
Judgment, and $_______________ was applied for rent due subsequent to
the Judgment.
[ ] Plaintiff is aware of a pending government rental assistance application
made on behalf of Defendant for the premises listed in Paragraph 4 by:
[ ] Defendant
[ ] Plaintiff
[ ] Other (specify): ________________________________
9.
Plaintiff holds $ ______________ as a damage deposit for Defendant under the
rental agreement.
10.
The unpaid balance now due from Defendant to Plaintiff, including the amount
from Questions 7 and 8 above, is $ ____________________.
11.
The undersigned certifies that the stay of writs of restitution for nonpayment of
rent provided by Supreme Court Order Nos. 20-8500-007 and 20-8500-008 has
been lifted by Supreme Court Order No. 22-8500-___ in this judicial district prior
to the time and date of this application.1
12.
Plaintiff certifies that Plaintiff has provided, or immediately will provide, a copy of
the Resource Information Sheet3 designated for use in this particular Court to
the Defendant, along with this Post-Judgment Application for Writ of Restitution
and Request for Hearing.
13.
Under Supreme Court Order No. 22-8500-___,1 Plaintiff seeks a post-judgment
writ of restitution and requests a hearing on this application.4
_________________________________________
Plaintiff (signature)
_________________________________________
Plaintiff (print)
______________________________________________________________________
______________________________________________________________________
Plaintiff address (include street number and street, name of apartment complex,
building, and unit number (if any), city, state, and zip code):
______________________________________________________________________
Plaintiff telephone number (include area code)
______________________________________________________________________
Plaintiff email address
AFFIRMATION
(required, unless signed by an active New Mexico attorney)
I SWEAR OR AFFIRM, under penalty of perjury under the laws of the State of New
Mexico, that the statements in this application are true and correct to the best of my
knowledge.
_________________________________
Plaintiff’s signature
_________________________________
Date of signature