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Domestic Relations Information Sheet (For Self Represented People) 4A-102 - New Mexico
| Domestic Relations Information Sheet (For Self Represented People) 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-102 October 23, 2000 1 Domestic relations information sheet. 2 DOMESTIC R ELATIONS INF ORMATION SHEET 3 (for self-represented people) 4 ________________________________________________________________________ 1 5 THIS SECTION F OR OFFICIAL USE ON LY 6 Case number: __________ Assigned judge: ____________ 7 ________________________________________________________________________ 8 The following information is required by New Mexico law and federal law 9 for child support enforcement. The information also is needed to identify 10 and keep up with your case. If child support is not paid, this information 11 will help the court get the money for your child(ren). 12 13 1. Information regarding petitioner and respondent. (Look at the paperwork you 14 are giving to the court to see who is listed at the top as petitioner and respondent. Use a15 separate sheet if necessary.) 16 17 Petitioner Respondent 18 Name: ___________________________Name: ____________________________ 19 (Last name, first, middle) (Last name, first, middle) 20 Other names (e.g. maiden name): Other names (e.g. maiden name):21 _________________________________ ___________________________________ 22 Address: __________________________Address: __________________________ 23 City: _____________________________City: _____________________________ 24 State: ____________________________State: ____________________________ 25 Zip code: _________________________Zip code: _________________________ 26 Date of birth: _____________________Date of birth: ____________________ 2 2 27 Social Security number : ____________ Social Security number : _____________28 29 2. Parties minor children. (Provide the date of birth and social security number30 for each minor child, if any. Use a separate sheet if necessary.) 31 32 Name: ____________________________ Name: _______________________________33 (Last name, first, middle) (Last name, first, middle) 34 Date of birth: _______________________ Date of birth: __________________________35 Social Security number: _______________ Social Security number: _________________36 37 Name: ____________________________ Name: _______________________________38 (Last name, first, middle) (Last name, first, middle) 39 Date of birth: _______________________ Date of birth: __________________________40 Social Security number: _______________ Social Security number: _________________41 42 Has any court made an order for child support? ___Yes ___No 43 44 Has any court changed the amount of child support you requested? ___Yes ___No 45 If your answer is "Yes" to either question, what state and what court are they located in?46 ______________ State __________ Court. 47 48 3. Request to limit access to information. 49 (Optional - complete only if applicable) 50 [ ] I have reason to fear domestic violence or child abuse. For this reason, please51 limit access to information about me in the Child Support & Paternity Case52 Registry to the extent possible. I realize that this request may make it more53 difficult to assist me in collecting child support. I also understand that the other<<<<<<<<<********>>>>>>>>>>>>> 2 DOMESTIC RELATIONS FORMS Supreme Court Approved 4A-102 October 23, 20001 party and the public might still view information about my case under some2 circumstances. 3 Under penalty of perjury, I affirm that this request is legitimately made and not designed4 to harass or intimidate the other party or mislead the court. 5 6 NOTE TO COURT CLERK: 37 DO NOT PLACE THIS INFORMATION SHEET IN THE COURT FILE. 2 <<<<<<<<<********>>>>>>>>>>>>> 3 DOMESTIC RELATIONS FORMS Supreme Court Approved 4A-102 October 23, 2000 1 DOMESTIC RELATIONS INFO RMATION SHEET INSTRUCTIONS 2 3 If you need more space to write, you can attach a separate sheet with the information. 4 5 To Petitioner: 6 7 If you and your spouse or the other person who owes child support have agreed on everything 8 before this case was filed, then you must give the Information Sheet to the court clerk with your 9 petition. 10 11 If you do not agree it means the case is contested. If the case is contested, you MUST do two12 things: 13 14 1. give the information sheet to the court clerk; and 15 16 2. have a sheriff or process server give a blank copy of the Information Sheet to your17 spouse or other person who owes child support. 18 19 To Respondent: 20 21 You must submit the information sheet when you file your first paper with the court. You must22 write the name of the judge and the case number on the Information Sheet. You can find that23 information on the papers the petitioner gave you. 24 25 After you fill out this form, you will need to submit the other paper work required by law. 26 If you choose to represent yourself in a claim, you may still wish to talk with an attorney to27 discuss your rights. The people who work in the court cannot give you legal advice.28 29 Purpose: 30 31 You must give the information requested on the sheet for the State Case Registry. This32 information is required by federal and state law. The information is needed to identify and keep33 up with your case. If your child(ren) do not receive the child support ordered, this information34 will help the court get the money for your child(ren). 35 36 If you have more than one social security number, include all social security numbers. Social37 security numbers will be given to state and federal agencies which are required by law to collect38 the information. Social security numbers will not be given to the public. 39 40 41 Your addresses are used by the court to obtain feedback from both of you. 42 3 <<<<<<<<<********>>>>>>>>>>>>> 4 DOMESTIC RELATIONS FORMS Supreme Court Approved 4A-102 October 23, 2000 1 USE NOTES 2 3 1. The information contained in the "official use only" section of the Domestic 4 Relations Information Sheet, including the case number and assigned judge, will 5 be filled in by the court clerk. 6 7 2. If the party has more than one social security number, please include it. 8 9 3. Unless there are more than four children, the information sheet is to be10 submitted on a single page. The clerk will key-enter the information on11 the information sheet. The information sheet will not be filed in the court12 file. The Domestic Relations Information Sheet Instructions are not13 submitted to the court clerk. 14 15 4. The Child Support & Paternity Case Registry is a required, nationwide16 database of child support and paternit
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