New Mexico Forms Library

4-968. Application to modify, terminate, or extend the order of protection from domestic abuse. 

[Standard simplified domestic abuse form,

Family Violence Protection Act,

Sections 40-13-1 to 40-13-8 NMSA 1978] 

 

STATE OF NEW MEXICO

COUNTY OF _______________

__________________ JUDICIAL DISTRICT COURT

 

_______________________________, Petitioner

     

v.                                                                                                                     No. __________

 

_______________________________, 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) (months) because: _____________________________________________________________.

 

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.  

 

VERIFICATION

 

            I, the [  ] Petitioner [  ] Respondent, affirm under oath and penalty of perjury under the laws of the State of New Mexico that I am the [  ] Petitioner [  ] Respondent in the above-entitled cause; that I have read this application to modify, terminate, or extend the order of protection from domestic abuse; and that the contents of the application are true and correct to the best of my information and belief.

 

________________________________            ________________________________

Date                                                                            Signature of party filing this application     

 

STATE OF NEW MEXICO                         )

COUNTY OF _____________                  ) ss

TRIBE OR PUEBLO ______________   )

 

Signed and sworn before me on this ____ day of _____________, ______.  

 

_________________________________ 

Notary public

 

My commission expires: _______________________.

 

CERTIFICATE OF SERVICE

 

I hereby certify that on this ____ day of ______________, ______ this application was  

 

[mailed by United States mail, postage prepaid, and addressed to: 

Name:            ___________________________________________ 

Address:        ___________________________________________ 

City, State and zip code: __________________________________]  

 

[faxed by ________________________ (name of person who faxed document) to ______________________ (name of recipient) at _________________ (telephone number). 

 

The transmission was reported as complete and without error.  The time and date of the transmission was ________ (a.m.) (p.m.) on _____________________ (date).]  

 

[e-mailed by __________________________ (name of person who transmitted) to ______________________ (name of recipient) at _________________ (electronic mail address of recipient) who agreed to service in this manner.  The transmission was successful.  The time and date of the transmission was _________ (a.m.) (p.m.) on _____________________ (date).]

 

                                                                                    ________________________________

                                                                                    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:

 

AFFIDAVIT OF SERVICE

 

            I affirm under penalty of perjury under the laws of the State of New Mexico that a copy of this application was served by [mail] [fax] [electronic transmission] as described above on this ________ day of ______________, __________.

 

                                                                                    ________________________________

                                                                                    Signature of person who made service

 

[Approved, effective November 1, 1999 until July 1, 2001; approved, effective May 1, 2001; as amended by Supreme Court Order No. 08-8300-40, effective December 15, 2008; by Supreme Court Order No. 12-8300-026, effective for all cases filed or pending on or after January 7, 2013; as amended by Supreme Court Order No. 14-8300-023, effective for all pleadings and papers filed on or after December 31, 2014; as amended by Supreme Court Order No. 15-8300-024, effective for all pleadings and papers filed after November 18, 2015.]