New Mexico > Statewide > Domestic Relations
Domestic Relations Cover Sheet (Required For Attorneys Only) 4A-101 - New Mexico
| Domestic Relations Cover Sheet (Required For Attorneys Only) Form. This is a New Mexico form and can be used in Domestic Relations Statewide . |
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DOMESTIC RELATIONS FORMS Supreme Court Approved 4A-101 (recompiled from 4-211) October 23, 2000 1 4A-101. Domestic relations cover sheet. 2 1 3 DOMESTIC R ELATIONS COV ER SHEET 4 Type or print responses. Required for attorneys only. 5 (Do not use in domestic violence cases.) 6 _____________________________________________________________________________ 2 7 THIS SECTION F OR OFFICIAL USE ON LY 8 Case number: __________ Assigned judge: ____________ Free process: Y N 9 _____________________________________________________________________________ 10 11 Information for court clerks use. 12 13 A. Parties names and petitioners attorney information. 14 15 Petitioners information 16 Petitioners name: ______________________________________________ 17 Attorneys name: _______________________________________________ 18 Attorney address: _______________________________________________ 19 City: _________________________________________________________ 20 State: ________________________________________________________ 21 Zip code: _____________________________________________________ 22 Telephone: ____________________________________________________ 23 24 Respondents name: ____________________________________________ 25 3 26 B. Case tracking (select codes from page 3) 27 Primary case type (Insert three letter code) ______________. 28 Primary claim for relief (cause of action) (Insert three letter code) _______________. 4 29 Other claims for relief (cause of action) (Insert three letter codes) : ________________. 30 31 C. Type of pleading (mark only one) 32 ___ FIRST PLEA DING for this party (petition) 33 ___ RE-OPENED (Post judgment decree, motions, petitions for enforcement or 34 modification) 35 36 Information for judges use (mark all that apply) 37 Has mediation or settlement facilitation been attempted? ___Yes ___No. 38 Are there any pending or closed cases, including any domestic violence or childrens court cases, 39 involving the same parties or children? ___Yes ___ No. 40 5 41 END OF COVER SHEET. GO TO INFORMATION SHEET . 642 NOTE TO CLERK : PLACE THE COVER SHEET IN THE COURT FILE. 43 <<<<<<<<<********>>>>>>>>>>>>> 2 DOMESTIC RELATIONS FORMS Supreme Court Approved 4A-101 (recompiled from 4-211) October 23, 2000 6 1 NOTE TO COURT CLERK: DO NOT FILE THE INFORMATION SHEET. 2 DOMESTIC R ELATIONS INF ORMATION SHEET 3 Case number: __________ Assigned judge: ____________ 4 5 The following information is required by New Mexico law and federal law for child support 6 enforcement. The information also is needed to identify and monitor the case. 7 8 1. Information regarding petitioner and respondent. (Do not use an attorneys mailing 9 address. Use a separate sheet if necessary.) 10 11 Petitioner Respondent 12 Name: ____________________________Name: ________________________________ 13 (Last name, first, middle) (Last name, first, middle) 14 Other names (e.g. maiden name): Other names (e.g. maiden name): 15 _________________________________________________________________________ 16 Address: __________________________Address: _____________________________ 17 City: _____________________________City: ________________________________ 18 State: ____________________________State: _______________________________ 19 Zip code: _________________________Zip code: ____________________________ 20 Date of birth: _____________________Date of birth: _______________________ 7 7 21 Social Security number : _____________ Social Security number : ______________22 23 2. Parties minor children. (Provide the date of birth and social security number for each24 minor child, if any. Use a separate sheet if necessary.) 25 26 Name: ____________________________Name: ________________________________ 27 (Last name, first, middle) (Last name, first, middle) 28 Date of birth: _____________________Date of birth: __________________________ 29 Social Security number: ____________Social Security number: ____________________ 30 31 Name: ____________________________Name: ________________________________ 32 (Last name, first, middle) (Last name, first, middle) 33 Date of birth: _____________________Date of birth: _______________________ 34 Social Security number: ____________Social Security number: ______________ 35 36 Has any court made an order for child support? ___Yes ___No 37 Has any court changed the amount of child support you requested? ___Yes ___No 38 If you answered "Yes" to either question, what state and what court issued the order? 39 ________________ State ________________ Court. 40 41 42 43 3. Request to limit access to information. 44 (Optional - complete only if applicable) 45 [ ] The [petitioner] [respondent] has reason to fear domestic violence or child abuse. 46 For this reason, please limit access to information about the [petitioner] 47 [respondent] in the Child Support & Paternity Case Registry to the extent 48 possible. The [petitioner] [respondent] realizes that this request may make it more49 difficult to assist in collecting child support. The [petitioner] [respondent]50 understands that the other party and the public might still view information about 2 <<<<<<<<<********>>>>>>>>>>>>> 3 DOMESTIC RELATIONS FORMS Supreme Court Approved 4A-101 (recompiled from 4-211) October 23, 20001 this case under some circumstances. 2 3 I affirm that this request is legitimately made and not designed to harass or intimidate the4 other party or mislead the court. 5 6 END OF INFORMA TION SHEET 3 <<<<<<<<<********>>>>>>>>>>>>> 4 DOMESTIC RELATIONS FORMS Supreme Court Approved 4A-101 (recompiled from 4-211) October 23, 2000 1 NOTE TO ATTORNEYS: DO NOT SUBMIT INFORMATION BELOW THIS LINE TO THE 5 2 CLERK. 3 4 CLAIMS FOR RELIEF (CAUSES OF ACTION) 5 6 Select the primary case type, primary claim for relief and all other claims for relief from the 7 following list. Primary case types are in bold print and are either underlined or appear in italics. 8 "Claims for relief" appear in regular lettering to the left and below each "primary case type". 9 Write the appropriate codes in the appropriate blank spaces on the cover sheet. 10 11 PRIMARY12 CASE TYPE13 14 ESTABLISH DISSOLUTION -- MINOR CHILDREN DDC15 ANNULMENT with custody DAC 16 DIVORCE with custody DDC 17 LEGAL SEPARATION with custody DLC 18 NOT MARRIED with children DNC 19 20 ESTABLISH DISSOLUTION -- NO MINOR CHILD DDN21 ANNULMENT no minor child DAN 22 DIVORCE no minor child DDN 23 LEGAL SEPARATION no minor child DLN 24 NOT MARRIED no minor child DNN 25 26 ESTABLISH CUSTODY OR VISI
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