Form 9-514A. Defendant information sheet.

[For use with Rules 5-602.1, 6-507.1, and 8-507.1 NMRA] STATE OF NEW MEXICO [COUNTY OF _______________] [CITY OF ___________________] __________________ COURT [STATE OF NEW MEXICO] [COUNTY OF _______________] [CITY OF ___________________] v. No. __________ _______________________________, Defendant. DEFENDANT INFORMATION SHEET (Please provide the following information about the defendant.) Full name: Date of birth: Sex: SSN: Home address: Phone number(s): Email address: __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ Is the defendant incarcerated? [ ] Yes [ ] No If yes, in what facility? ____________________________________________________ Current charge(s): _______________________________________________________ ______________________________________________________________________ (Select all that apply) [ ] Misdemeanor Felony: [ ] 1st degree [ ] 2nd degree [ ] 3rd degree [ ] 4th degree Submitted by: __________________________________________________________