STATE OF NEW MEXICO COUNTY OF SAN JUAN ELEVENTH JUDICIAL DISTRICT COURT ___________________________________ Plaintiff/Petitioner, v. No. D-1116- __________________________________ Defendant/Respondent. REQUEST FOR HEARING Assigned judge: ___________________________________ Matters to be heard: ______________________________ Dates of hearings presently set: _____________________ Amount of time requested by plaintiff/petitioner: _____________ Amount of time requested by defendant/respondent: _____________ (Provide names and addresses of parties who need to be notified -- attach a list if necessary.) __________________________ ________________________ __________________________ ________________________ __________________________ ________________________ 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: ________________________________ American LegalNet, Inc. www.FormsWorkFlow.com