Form 4-956. Certificate of service; expungement of records upon conviction.

[For use with District Court Rule 1-077.1 NMRA] STATE OF NEW MEXICO COUNTY OF _________________________ _______________ JUDICIAL DISTRICT COURT In re _________________________________, No. _____________ Petitioner. CERTIFICATE OF SERVICE (Required for Petitions filed under Section 29-3A-5 NMSA 1978 (Expungement of Records upon Conviction)) I hereby certify that on the ______ (day) of _______ (month) _______(year), an endorsed copy of the Petition to Expunge New Mexico Arrest Records and Public Records under Section 29-3A-5 NMSA 1978, filed on ________________(date), and this Certificate of Service were mailed via first-class United States mail to:  The New Mexico Department of Public Safety P.O. Box 1628, Santa Fe, New Mexico 87504-1628  The district attorney in the _______________Judicial District __________________________________________________ (Address)  The law enforcement agency that arrested Petitioner __________________________________________________ (Address)  Petitioner is pro se OR  Petitioner is represented by counsel I, Petitioner, declare under penalty of perjury under the laws of the State of New Mexico that the statements herein are true and correct. _____________________________________ Petitioner Printed Name ___________________________________ Attorney Printed Name _____________________________________ Petitioner Address ___________________________________ Attorney Address _____________________________________ ___________________________________ Attorney Telephone Number _____________________________________ ___________________________________ Petitioner Telephone Number _____________________________________ Date of Signature ___________________________________ Petitioner Signature _____________________________________ Attorney Signature ___________________________________ Date of Signature