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Application To Modify Terminate Or Extend Order Of Protection 4-968 - New Mexico

Application To Modify Terminate Or Extend Order Of Protection Form. This is a New Mexico form and can be used in Domestic Violence 3rd Judicial District Local District Court .
 Fillable pdf Last Modified 11/26/2013
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STATE OF NEW MEXICO COUNTY OF DONA ANA THIRD JUDICIAL DISTRICT COURT , Petitioner, v. No. DV Judge: , Respondent. APPLICATION TO MODIFY, TERMINATE OR EXTEND THE ORDER OF PROTECTION FROM DOMESTIC ABUSE PETITIONER RESPONDENT asks the court (check and complete applicable alternatives): to modify the protection order as follows: to terminate the protection order because: to extend the protection order for an additional (days) or because: (months) APPLICATION TO MODIFY, TERMINATE OR RENEW ORDER OF PROTECTION D istrict C ourt C ivil Form (4-968) effective D ecem ber 15, 2008; revised M arch, 2010; by S upreme C ourt O rder effective for all cases filed or pending on or after January 7, 2013 American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 5 The other party: objects to the extension, modification or termination of the protection order. agrees to the extension, modification or termination of the protection order. has not told me whether (he) (she) objects or agrees to the extension, modification or termination of the protection order. The current address of the parties: PETITIONER: Name: Address: City, State and zip code: Telephone: OR . . . My address and telephone number are protected from the Respondent by order of this court. RESPONDENT: Name: Address: City, State and zip code: Telephone: OR . . . My address and telephone number are protected from the Petitioner by order of this court. APPLICATION TO MODIFY, TERMINATE OR RENEW ORDER OF PROTECTION D istrict C ourt C ivil Form (4-968) effective D ecem ber 15, 2008; revised M arch, 2010; by S upreme C ourt O rder effective for all cases filed or pending on or after January 7, 2013 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 5 VERIFICATION STATE OF NEW MEXICO COUNTY OF TRIBE OR PUEBLO } } } The (petitioner) (respondent) was sworn and states: I, being duly sworn upon my oath, depose and state that I am the PETITIONER RESPONDENT, in the aboveentitled cause and I have read this application to modify, terminate or extend the order of protection from domestic abuse. I state that the contents thereof are true and correct to the best of my information and belief. Date Signature of party filing this application Signed and sworn before me on this day of , 20 . Notary public or other officer Authorized to administer oaths Title My commission expires: Indefinite Date APPLICATION TO MODIFY, TERMINATE OR RENEW ORDER OF PROTECTION D istrict C ourt C ivil Form (4-968) effective D ecem ber 15, 2008; revised M arch, 2010; by S upreme C ourt O rder effective for all cases filed or pending on or after January 7, 2013 American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 5 CERTIFICATE OF SERVICE I hereby certify that on this this application was: day of , 20 , Mailed by United States mail, postage prepaid, and addressed to: Name: Address: City, State and zip code: Faxed by to: at: (name of person who faxed document): (name of recipient) (telephone number) The transmission was reported as complete and without error. The time and date of the trans mission was (a.m.) (p.m.) on , 20 . e-mailed by to: at: (name of person who (transmitted): (name of recipient) (electronic mail address of recipient) who agreed to service in this manner. The transmission was successful. The time and date of the trans mission was (a.m.) (p.m.) on , 20 . By: Signature of attorney Date of signature IF THIS NOTICE WAS SERVED BY A PERSON OTHER THAN AN ATTORNEY, THE FOLLOWING MUST ALSO BE COMPLETED AND FILED WITH THE COURT $ $ APPLICATION TO MODIFY, TERMINATE OR RENEW ORDER OF PROTECTION D istrict C ourt C ivil Form (4-968) effective D ecem ber 15, 2008; revised M arch, 2010; by S upreme C ourt O rder effective for all cases filed or pending on or after January 7, 2013 American LegalNet, Inc. www.FormsWorkFlow.com Page 4 of 5 AFFIDAVIT OF SERVICE STATE OF NEW MEXICO COUNTY OF ) ) ss ) I declare under penalty of perjury that a copy of this application was served by: mail fax electronic transmission day of , 20 . as described above on this Signature of person who made service SUBSCRIBED and sworn before me this day of , 20 . Judge, notary or other officer authorized to administer oaths My commission expires: Official title APPLICATION TO MODIFY, TERMINATE OR RENEW ORDER OF PROTECTION D istrict C ourt C ivil Form (4-968) effective D ecem ber 15, 2008; revised M arch, 2010; by S upreme C ourt O rder effective for all cases filed or pending on or after January 7, 2013 American LegalNet, Inc. www.FormsWorkFlow.com Page 5 of 5
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