Fill and Sign the For Use with District Court Rule 5 209 Form

9-211 [For use with District Court Rule 5-209, Magistrate Court Rule 6-207,Metropolitan Court Rule 7-207 andMunicipal Court Rule 8-206] STATE OF NEW MEXICO [COUNTY OF___________________][CITY OF_____________________] __________________________ COURT No. ___________ [STATE OF NEW MEXICO] [COUNTY OF __________________][CITY OF ____________________] v.________________________________, DefendantAFFIDAVIT FOR BENCH WARRANT The undersigned, being duly sworn, on his oath, states that he has reason to believe that on or about the ______ day of _________________, ______, in the [County] [City] of ___________________, State of New Mexico, the above-namedperson: (check appropriate box or boxes) [ ] failed to appear at the time and place ordered by this court [ ] failed to appear as required by a subpoena issued by this court [ ] failed to appear in accordance with the conditions of release imposed by this court [ ] should appear for review of conditions of release previously imposed [ ] failed to pay fines or costs previously imposed [ ] failed to comply with conditions of probation [ ] ________________________________ (describe contempt) The undersigned further states the following facts on oath to establish probable cause to believe that the above-named person: ________________________________________________________________________________________________________________________________________________ 2 ________________________________________________________________________ ________________________________________________________________________ (set forth facts in support of affidavit including any hearsay relied upon) ___________________________ Affiant's name (print/type) _____________________________Signature of affiant _____________________________ Official title (if any) Subscribed and sworn to before me in the above-named[county] [city] of theState of New Mexico this ___day of _______________, ______ ______________________________ Judge, Notary or Other Officer Authorized to Administer Oaths NOTE: This form is needed only if the judge does not have personal knowledge of the failure to appear or do the thingordered. [As amended, effective January 1, 1996.]