SECOND JUDICIAL DISTRICT COURT COUNTY OF BERNALILLO STATE OF NEW MEXICO Petitioner, vs. DM- Respondent. PROOF OF SERVICE STATE OF NEW MEXICO ) )ss COUNTY OF ) I, being duly sworn, on oath, state that I am over the age of eighteen (18) years and not a party to this lawsuit, and that I served items checked below in County, by delivering a copy thereof, as set out below. The person being served is (name of person being served) on the day of , 20.(check one box and fill in appropriate blanks) to the (name of person being served) (used when person being served accepts a copy of the documents or refuses to accept the documents) to the (name of person being served) by mail courier service as provided by Rule 1-004 NMRA (used when service is by mail or commercial courier serviceattach copy of proof of delivery by the mail or commercial courier service). After attempting to serve the documents on (name of person being served) by personal service or by mail or commercial courier service, by delivering a copy of these documents, in the following manner: to , a person over fifteen (15) years of age and residing at the usual place of abode of the person being served (used when the person being served is not presently at place of abode) and by mailing a copy of the documents by first class mail to the person being served at (insert last known mailing address of the person being served). to the person apparently in charge at the actual place of business or employment of the person being served and by mailing by first class mail to the person being served at (insert business address of the person being served) and by mailing the documents by first class mail to the person being served at (insert last known mailing address of the person being served). to , an agent authorized to receive service of process for person being served. . to , parent guardian conservator guardian ad litem of person being served (used when person being served is a minor or an incompetent person). ITEMS SERVED: Fees: Motion filed on . Request for hearing on the motion. Notice of hearing on . . American LegalNet, Inc. www.FormsWorkFlow.com Proof of Service Page 2 2 Signature of Person making service Title (if any) SUBSCRIBED AND SWORN TO before me this day of , 20, by (name of person making service). Notary Public My commission expires: American LegalNet, Inc. www.FormsWorkFlow.com