STATE OF NEW MEXICO COUNTY OF McKINLEY ELEVENTH JUDICIAL DISTRICT _____________________________, Plaintiff v. _____________________________, Defendant No. D-1113-___________ REQUEST FOR HEARING Assigned judge: ________________________________________________ Matters to be heard: _____________________________________________ Hearings presently set: ___________________________________________ Time requested by plaintiff: _______________________ Time requested by defendant: ______________________ (Provide names and addresses of parties who need to be notified -- attach a list if necessary.)2 __________________________ ________________________ __________________________ ________________________ __________________________ ________________________ I hereby certify that I have caused a copy of the foregoing to be [mailed] [delivered] [faxed] to each of the opposing parties listed above on or before __________________ (date of service). Hearing requested by: __________________________________________ Signature Printed name:______________________________ Address: __________________________________ ___________________________________ ___________________________________ Telephone: ________________________________ 2/10 revision    American LegalNet, Inc. www.FormsWorkFlow.com