Dom. Rel. Forms. 4A-208
[For use with Rule 1-123 NMRA]
STATE OF NEW MEXICO
COUNTY OF _______________
__________________ JUDICIAL DISTRICT
_______________________________ ,
Petitioner,
v. No. __________
_______________________________ ,
Respondent.
NOTICE OF COMPLIANCE WITH
RULE 1-123 NMRA
(domestic relations actions)1
In accordance with the mandatory disclosure requirement of Rule 1-123 NMRA, I certify that I served all required documents as indicated below to the opposing party on ____________________ (date) as required in the rule.
[ ] Property and Debt (Check this box if there is property and debt to be divided, and check all boxes below for the documents that you completed and provided to the other party.)
[ ] Interim monthly income and expenses statement (Form 4A-212 )
List documents used to complete this statement:
______________________________________________________________________
[ ] Community property and liabilities schedule (Form 4A-214 )
List documents used to complete this schedule:
______________________________________________________________________
[ ] Separate property and liabilities schedule (Form 4A-215 )
List documents used to complete this schedule:
______________________________________________________________________
[ ] Spousal support or child support (Check this box if spousal support and/or child support is an issue in your case, and check all boxes below for the documents that you completed and provided to the other party.)
Documents provided:
[ ] Federal and state tax returns, including all schedules, for the year preceding the request
[ ] W-2 statements for the year preceding the request
[ ] Internal Revenue Service Form 1099s for the year preceding the request
[ ] Work related daycare statements for the year preceding the request
[ ] Dependent medical insurance premiums for the year preceding the request
[ ] Wage and payroll statements for four months preceding the request
[ ] (Spousal support only) Interim monthly income and expenses statement (Form 4A-212 )
____________________________
Signature of party
____________________________
Name (print)
____________________________
Mailing address (print)
____________________________
City, state, and zip code (print)
____________________________
Telephone number
VERIFICATION OF SERVICE
I affirm under penalty of perjury under the laws of the State of New Mexico that on _____________ (date), I (check the applicable item below and fill in all information)
[ ] mailed a copy of this notice by United States mail, postage prepaid, to:
Name: ________________________________________________________________
Mailing address: ________________________________________________________
City, state, and zip code: _________________________________________________ ;
[ ] delivered a copy of this notice to ________________________ (the other party or the other party's attorney); or
[ ] faxed a copy of this notice to _____________________ (the other party or the other party's attorney) using the following fax number: ___________________ . The transmission was reported as complete and without error. The time and date of the transmission was _______ (a.m.) (p.m.) on _______________ (date).
__________________________________
Signature of party
__________________________________
Date of signature
USE NOTES
Dom. Rel. Forms. 4A-208
ANNOTATIONS The 2014 amendment, approved by Supreme Court Order No. 14-8300-011, effective December 31, 2014, changed the former Certificate of Service form to a Verification of Service form; in the signature block, after "Signature" deleted "of party"; in the title of the service form, changed "CERTIFICATE" to "VERIFICATION", in the first sentence, deleted "I certify that on ______ (date), I" and added "I affirm under penalty of perjury under the laws of the State of New Mexico that on ______ (date), I" and under the signature line, after "Signature of", changed "attorney" to "party"; following the service verification form, deleted the former sentence which provided that if the notice was served by a person other than an attorney, the verification must be filed with the court; and deleted the former Verification of Service form.