Fill and Sign the Motion Temporary Order Form

DISTRICT COURT CIVIL Supreme Court Approved DOMESTIC CIVIL FORM 4A-111 October 29, 2001 [ NEW MATERIAL ] 4A-111 STATE 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 order 2 ; (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); DISTRICT COURT CIVIL Supreme Court Approved DOMESTIC CIVIL FORM 4A-111 October 29, 2001 [ NEW MATERIAL ] (8) [ ] _______________________________ (other) . _______________________________________ Signature of party or attorney _______________________________________ Name (print) _______________________________________ 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, state and 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 _______________ (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) .] DISTRICT COURT CIVIL Supreme Court Approved DOMESTIC CIVIL FORM 4A-111 October 29, 2001 [ NEW MATERIAL ] ________________________________ 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 fled with the court: AFFIDAVIT OF SERVICE I 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 __________________, ________. __________________________________________ Signature of person who made service Subscribed and sworn to before me this ___ day of _____________, _____. ______________________________ Judge, notary or other ofcer authorized to administer oaths ______________________________ Ofcial 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, efective November 1, 2000 until November 1, 2001; approved, efective November 1, 2001.]