STATE OF NEW MEXICO COUNTY OF BERNALILLO SECOND JUDICIAL DISTRICT COURT NO. Plaintiff(s) VS. Defendant(s). VERIFIED APPLICATION FOR RESTRAINING ORDER 1.I (We) live in Bernalillo County, New Mexico.2.The person(s) I want a Restraining Order against live at (street address, city, state, zipcode): 3.I (We) know the Defendant(s) because he/she (they) is (are): (CHECK ALL THAT APPLY)[ ] my husband or ex-husband OR [ ] my wife or ex-wife [ ] married to or involved with [1 my husband or ex-husband OR [ ] my wife or ex-wife [ ] my boyfriend or ex-boyfriend OR [ ] my girlfriend or ex-girlfriend [ ] the parent of my child(ren) OR married to or involved with the parent of my children) [ ] a family member (describe the family relationship) [ ] my neighbor(s) [ ] my co-worker(s) American LegalNet, Inc. www.FormsWorkFlow.com [ ] other (describe the relationship) 4.Defendant(s) has (have) seriously harmed or threatened to harm me (us). The acts ofham/threats are: (include the place(s), the date(s) and the time(s) and add extra pages if needed). 5.I (we) should not be required to provide a bond or other security because:no party will be damaged financially or otherwise should the Temporary Restraining Order be issued or [ ] (other reason) . 6.There [ ] ARE [ ] ARE NOT other current lawsuits between Plaintiff(s) andDefendant(s). Name, case number and details of any such lawsuits: [ ] PLAINTIFF(S) REQUEST(S) that the Court issue a Temporary Restraining Order without the requirement of a bond or other security until a hearing can be held on this matter. PLAINTIFF(S) SPECIFICALLY REQUEST(S) that the Court include in the Temporary Restraining Order that: [ ] Defendant(s) not threaten, harm, harass, or annoy me (us) or my (our) family and household members; American LegalNet, Inc. www.FormsWorkFlow.com [ ] Defendant(s) stay at least yards away from me (us), my (our)residence(s), my (our) workplace(s) and my (our)children's school; [ ] Defendant(s) not telephone me (us) or contact me (us) in any way; [ ] Defendant(s) not block me (us) in public places or roads; [ ] I (We) also request that Defendant(s) be ordered NOT to do the following: PLAINTIFF(S) ALSO REQUEST(S) any other relief that the Court deems proper. RESPECTFULLY SUBMITTED, (Signature of Plaintiff) Print Name Address City/State/Zip Code Phone or "None" American LegalNet, Inc. www.FormsWorkFlow.com STATE OF NEW MEXICO COUNTY OF BERNALILLO ) s s. , being first duly sworn upon my oath, (Print Name) depose and state that I am the Plaintiff in the above - entitled cause. I have read the Application for Restraining Order. I state that the contents thereof are true and correct to the best of my informatio n and belief Signature of Plaintiff SUBSCRIBED AND SWORN TO before me, a notary public, this date: Notary Public My Commission Expires: [Seal] American LegalNet, Inc. www.FormsWorkFlow.com