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DISTRICT COURT CIVIL Supreme Court ApprovedDOMESTIC CIVIL FORM 4A-111 October 29, 2001[NEW MATERIAL ]4A-111STATE OF NEW MEXICO____________________ COUNTY____________________ JUDICIAL DISTRICT_____________________________________,Petitioner,v. No. _____________________________________________________,Respondent. MOTION FOR TEMPORARY ORDER (domestic relations actions) 1 I, ___________________ (name of petitioner or respondent) request the court to enter temporary orders for the purpose of: (check all applicable alternatives) (1) [ ] temporary domestic order2 ; DISTRICT COURT CIVIL Supreme Court ApprovedDOMESTIC CIVIL FORM 4A-111 October 29, 2001[NEW MATERIAL ](2)[ ] temporary custody of minor children;(3) [ ] temporary parenting time;(4)[ ] temporary child support;(5) [ ] temporary division of community property;(6) [ ] temporary division of income and debts;(7) [ ] temporary order withholding child support from (respondent's) (petitioner's) wages and having the child support paid directly to _______________ (petitioner) (respondent); (8)[ ] _______________________________ (other) . _______________________________________Signature of party or attorney _______________________________________Name (print) _______________________________________ DISTRICT COURT CIVIL Supreme Court ApprovedDOMESTIC CIVIL FORM 4A-111 October 29, 2001[NEW MATERIAL ]Address (print) _______________________________________City, state and zip code (print) _______________________________________Telephone number CERTIFICATE OF SERVICE I hereby certify that on this ____ day of ________, ___________ this motion was[mailed by United States mail, postage prepaid, and addressed to:Name: __________________________________Address: __________________________________City, stateand zip code: __________________________________][faxed by ________________________ (name of person who faxed) to _____________________ (defendant or defendant's attorney) . The transmission was reported as complete and without error. The time and date of the transmission was _____ (a.m) (p.m) on _______________ DISTRICT COURT CIVIL Supreme Court ApprovedDOMESTIC CIVIL FORM 4A-111 October 29, 2001[NEW MATERIAL ] 4 (date) .] [e-mailed by ________________________ (name of person who transmitted) to ______________________ at _________________ (electronic 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 signatureIf this notice was served by a person other than an attorney, the following must also be completed and filed with the court: AFFIDAVIT OF SERVICEI declare under penalty of perjury that a copy of this motion for temporary order was served by [mail] [fax] [electronic transmission] as described above on this ____ day of __________________, ________. DISTRICT COURT CIVIL Supreme Court ApprovedDOMESTIC CIVIL FORM 4A-111 October 29, 2001[NEW MATERIAL ] 5 ______________________________________ ____Signature of person who made serviceSubscribed and sworn to before me this ___ day of _____________, _____.______________________________Judge, notary or other officerauthorized to administer oaths______________________________Official title USE NOTES 1. See Committee Commentary to Rule 1-120 NMRA for what constitutes a domestic relations action. 2. See Rule 1-121 NMRA and Domestic Relations Form 4A-112 NMRA for the Supreme Court approved Temporary Domestic Order. [Approved, effective November 1, 2000 until November 1, 2001; approved, DISTRICT COURT CIVIL Supreme Court ApprovedDOMESTIC CIVIL FORM 4A-111 October 29, 2001[NEW MATERIAL ] 6 effective November 1, 2001.]