New Mexico Forms Library
Decision Information
Rule Set 5 - Rules of Criminal Procedure for the District Courts - cited by 2,154 documents
Rule Set 6 - Rules of Criminal Procedure for the Magistrate Courts - cited by 565 documents
Rule Set 7 - Rules of Criminal Procedure for the Metropolitan Courts - cited by 447 documents
Rule Set 8 - Rules of Procedure for the Municipal Courts - cited by 364 documents
Decision Content
9-301A. Pretrial release financial affidavit.
[For use with District Court Rule 5-401 NMRA,
Magistrate Court Rule 6-401 NMRA,
Metropolitan Court Rule 7-401 NMRA, and
Municipal Court Rule 8-401 NMRA]
STATE OF NEW MEXICO
[COUNTY OF _______________]
[CITY OF __________________]
____________________ COURT
STATE OF NEW MEXICO
[COUNTY OF _______________]
[CITY OF __________________]
v. No. __________
_______________________________, Defendant.
PRETRIAL RELEASE FINANCIAL AFFIDAVIT
(This form may be used to gather the available information concerning the defendant’s employment status, employment history, and financial resources available to secure a bond.)
INCOME & ASSETS
A. EMPLOYMENT
Are you now employed? Yes ___ No ___
If yes, please provide the name and address of employer.
________________________________________________________________
________________________________________________________________
________________________________________________________________
How much do you earn per month? ____________________________________
If no, give month and year of last employment. __________________________
How much did you earn per month? ___________________________________
Do you receive unemployment benefits? Yes ___ No ___
If yes, how much do you receive per month? ____________________________
If married, is your spouse employed? Yes ___ No ___
If yes, how much does your spouse earn per month? ______________________
B. PUBLIC ASSISTANCE
Do you receive public assistance? Yes ___ No ___
If yes, please check the applicable programs and list how much you receive per month.
Department of Health Case Management Service (DHMS) _________________
Temporary Assistance for Needy Families (TANF) ________________________
General Assistance (GA) ____________________________________________
Food Stamps _____________________________________________________
Medicaid _________________________________________________________
Public Housing ____________________________________________________
Social Security Income/Social Security Disability Income ___________________
A Disability _______________________________________________________
C. OTHER INCOME
Have you received within the past 12 months any income from other sources?
Yes ___ No ___
If yes, give value and description for each.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
D. ASSETS
Do you have any cash on hand or money in savings or checking accounts?
Yes ___ No ___
If yes, total amount? ________________________________________________
Do you own any real estate, automobiles, or other valuable property (excluding ordinary household furnishings)? Yes ___ No ___
If yes, give value and description for each.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
OBLIGATIONS & DEBTS
A. DEPENDENTS
List persons you actually support and your relationship to them.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
B. MONTHLY EXPENSES
House payment/rent ________________________________________________
Utilities __________________________________________________________
Groceries (after food stamps) ________________________________________
Car payment _____________________________________________________
Gas ____________________________________________________________
Insurance ________________________________________________________
Child care ________________________________________________________
Student and consumer loans _________________________________________
Court-ordered family support obligations ________________________________
Other court-ordered payments ________________________________________
Medical expenses _________________________________________________
Other ___________________________________________________________
I hereby swear or affirm that the above information regarding my financial condition is correct to the best of my knowledge. I hereby authorize the court to obtain information from financial institutions, employers, relatives, the federal internal revenue service and other state agencies.
___________________________ ________________
Defendant’s Signature Date
___________________________
Defendant’s Printed Name
USE NOTES
Use of this form is optional. A defendant may use this form to support a motion or petition for pretrial release under Rule 5-401(H) or (K) NMRA, Rule 6-401(H) or (J) NMRA, Rule 7-401 (H) or (J) NMRA, or Rule 8-401(G) or (I) NMRA.
[Adopted by Supreme Court Order No. 17-8300-005, effective for all cases pending or filed on or after July 1, 2017.]