STATE OF NEW MEXICO COUNTY OF BERNALILLO SECOND JUDICIAL DISTRICT , Petitioner, v. No. , Respondent. AFFIDAVIT AS TO RESPONDENT222S FAILURE TO PLEAD OR OTHERWISE DEFEND (domestic relations actions)1 Petitioner affirms under penalty of perjury under the laws of the State of New Mexico that the following statements are true and correct: (1)I am the Petitioner, and I submit this Affidavit to show that Respondent has failedto file an answer or otherwise respond to the Petition For Dissolution of Marriage that I filed on . (2)Respondent was served as follows (choose and complete one): [ ] As shown by the Affidavit of Service filed on , Respondent was personally served on . (Or) [ ] As shown by the Affidavit of Publication filed on , Respondent was served by publication. (3)Respondent has not filed an answer, motion, or otherwise responded, and morethan thirty (30) days have passed since Respondent was served with the Summons and Petition for Dissolution of Marriage. (4)Upon information and belief, Respondent is not in the military service of theUnited States and is not an infant or incompetent person. [ ] YES (required) I have attached a certificate verifying Respondent222s active duty status.2 1 Rev. /3/1 American LegalNet, Inc. www.FormsWorkFlow.com WHEREFORE, Petitioner asks the Clerk of this Court to certify Respondent222s Default. Signature of party Name (printed) Mailing address City, state, and zip code (print) Telephone number VERIFICATION I, , affirm under penalty of perjury under the laws of the State of New Mexico that I am the Petitioner in the above-entitled cause, and I know and understand that the contents contained in the above Affidavit are true to the best of my knowledge and belief. Signature of Petitioner Date 2 Rev. American LegalNet, Inc. www.FormsWorkFlow.com DO NOT FILE THIS PAGE: FOR PARTY USE ONLY USE NOTE 1.This form may be used anywhere in this state to request the clerk of the court to issue a certificate as to the state of the record (Form 4A-312 NMRA) in a domestic relations action. 2.This affidavit must include a certificate verifying the petitioner222s active dutystatus, whichyou can obtain online at [Approved by Supreme Court Order No. 13-8300-010, effective for all pleadings and papers filed on or after May 31, 2013, in all cases pending or filed on or after May 31, 2013; as amended by Supreme Court No. 14-8300-011, effective for all pleadings and papers filed on or after December 31, 2014, in all cases filed or pending on or after December 31, 2014.] Rev. American LegalNet, Inc. www.FormsWorkFlow.com