STATE OF NEW MEXICO COUNTY OF McKINLEY ELEVENTH JUDICIAL DISTRICT COURT ______________________________________, Petitioner, -vs- No. D-1113-_______________________ ______________________________________, Respondent. MOTION TO MODIFY PREVIOUS DECREE/JUDGMENT/ORDER ______________________________________, who was the Petitioner/Respondent (circle one) in the previous proceeding, appearing pro se, requests the Court to consider the following modifications: 1. DECREE/JUDGMENT/ORDER TO BE MODIFIED: a. Name of Document:____________________________________________ b. Date previous document was filed in Court: __________________________ c. Judge who signed previous document: _______________________________ 2. CHANGE OR MODIFICATION REQUESTED: _________________________ _________________________________________________________________ a.. The present ages of our children are: ________________________________ b. On page number ________ of the previous document there was an order that provided: _____________________________________________________ _____________________________________________________________ d. I believe the change is necessary in order to provide for the best interest of the Motion to Modify February 2010 rev American LegalNet, Inc. www.FormsWorkFlow.com affected children because: ________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ 3. COMMUNICATION WITH OTHER PARTY: (Complete a or b below) a. I have discussed this modification or change with the other party. The other party has: 1. ________ Agreed to the change. We have signed the Stipulation for Modification and completed a proposed Order of Modification, and file them with this Motion; OR 2. ________ Agreed to part of the requested change and did not agree to part. A. We have agreed about: ______________________________ _______________________________________________________________ B. We have cannot agree about: _________________________ _______________________________________________________________ OR b. _______ Not agreed to the proposed change. 4. REQUEST FOR ACTION: (Check A or B below) A. _______ We have agreed to the changes requested as shown on the Stipulation for Modification and the Order of Modification which is submitted with this Motion. We request that the Judge sign the Order of Modification. B. _______ We have not been able to stipulate to the requested change and Motion to Modify February 2010 rev American LegalNet, Inc. www.FormsWorkFlow.com need to have a hearing time scheduled at least thirty (30) days from the date of service upon the opposing party. Respectfully submitted, Signature: _________________________________ Capacity: ____ Petitioner ___ Respondent Pro se Print Name: _______________________________ Address: __________________________________ Mailing address (if different): _________________________________________ _________________________________________ Telephone________________________________ Copy of this Motion was _____ mailed ____ hand-delivered on the _____ day of ________________, 20______, to: Name___________________________________ Capacity: ____ Petitioner ____ Respondent Pro se Address: _________________________________ _________________________________________ Mailing address (if different): _________________________________________ _________________________________________ Telephone: _______________________________ Motion to Modify February 2010 rev 3 American LegalNet, Inc. www.FormsWorkFlow.com