New Mexico > Statewide > Domestic Violence
Request For Order To Omit Petitioners Address And Telephone Number From Petition 4-961B - New Mexico
| Request For Order To Omit Petitioners Address And Telephone Number From Petition Form. This is a New Mexico form and can be used in Domestic Violence Statewide . |
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DISTRICT COURT CIVIL FORM Supreme Court Approved 4-961B February 27, 2001 1 4-961B 2 [Standard simplified request to seal petitioners address form, 3 Family Violence Protection Act, Sections 40-13-1 to 40-13-8 NMSA 1978.] 4 5 _______________ JUDICIAL DISTRICT COURT 6 COUNTY OF ___________________________ 7 STATE OF NEW MEXICO 8 9 ________________________________________ 10 Petitioner 11 12 v. No. ____________13 14 _________________________________________ 15 Respondent 16 17 REQUEST FO R ORDER TO OMIT PETITION ERS ADDRE SS 18 AND TELEPHONE NUMBER FROM PETITION, 19 TO PLACE REFERENCES TO PETITIONERS ADDRESS UNDER 20 SEAL AND FOR AN ORDER PROVIDING 21 ALTERNATIV E MEANS OF SERVICE ON PETITIONER 22 23 1. I do not want my current address and telephone number to be made known to the24 respondent for the following reasons: ___________________________ 25 ______________________________________________________________ 26 ______________________________________________________________ 27 ______________________________________________________________ 28 ______________________________________________________________ 29 30 2. My current mailing address and telephone number are: 31 32 ____________________________________ 33 (address) 34 35 ____________________________________ 36 (city, state and zip code) 37 38 My telephone numbers are: 39 40 phone number work phone message phone 41 ____________ ___________ _____________ 42 43 3. I ask the court not to disclose my current address and telephone number. 44 45 4. I ask that if my request is granted, all process and papers be served on me by46 delivering them to the clerk of the court who shall serve me at my current address.47 48 5. I agree that if either my address or telephone number change during this lawsuit, I49 will immediately file another form like this one giving my new address or 50 telephone number. 51 52 VERIFIC ATION <<<<<<<<<********>>>>>>>>>>>>> 2 DISTRICT COURT CIVIL FORM Supreme Court Approved 4-961B February 27, 2001 1 STATE OF NEW MEXICO } 2 COUNTY OF ___________________ } ss 3 TRIBE OR PUEBLO _____________ } 4 5 The petitioner was sworn and states: I have read the above information and it is 6 true to the best of my knowledge and belief. I understand that I can be punished both 7 civilly and criminally if any information in this petition is false. 8 9 ___________________ ______________________________________10 Date Signature of petitioner11 12 ______________________________________13 Petitioners street address 14 15 ______________________________________16 (City, state and zip code 17 18 Signed and sworn before me on this _____ day of ____________, _____.19 20 ________________________ My commission expires:21 Notary Public ________________________22 23 I have reviewed this request 24 [ ] I recommend that the request be granted. 25 [ ] I recommend that the request be denied. 26 27 ________________________________28 Signed 29 30 ________________________________31 Title 32 33 ________________________________34 Courts telephone number35 36 [ ] Request of petitioner is granted. The respondent shall serve all pleadings and37 other papers required to be served by filing them with the clerk who will note on38 the pleading or papers the date and manner of service. The clerk shall promptly39 serve such pleadings and papers on the petitioner, noting in the court file the date40 and manner of service upon petitioner. 41 42 [ ] Request of the petitioner is denied. The petitioner shall place petitioners name,43 address and phone number in the appropriate places on the petition prior to44 service of the petition upon the respondent. 45 46 47 ________________________________48 District Judge49 50 ________________________________51 Date 2 <<<<<<<<<********>>>>>>>>>>>>> 3 DISTRICT COURT CIVIL FORM Supreme Court Approved 4-961B February 27, 2001 1 [Approved, effective November 1, 1999 until July 1, 2001; approved, effective May 1, 2 2001.] 3 4 COMMITTEE COMMENT 5 6 The committee assumes that the district court has inherent power to grant requests 7 of this type under compelling circumstances when petitioner demonstrates a reasonable 8 basis to believe that the petitioners physical safety or that of a household member would 9 be threatened if petitioners current address is made available to respondent. The form10 provides an alternative means by which respondent can serve pleadings and other papers11 on petitioner. 12 13 3
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