STATE OF NEW MEXICO COUNTY OF BERNALILLO SECOND JUDICIAL DISTRICT , Petitioner, v. No. , Respondent. NOTICE OF COMPLIANCE WITH RULE 1-123 NMRA (domestic relations actions)1 In accordance with the mandatory disclosure requirement of Rule 1-123 NMRA, I certify that I served all required documents as indicated below to the opposing party on (date) as required in the rule. [ ] Property and Debt (Check this box if there is property and debt to be divided, and check all boxes below for the documents that you completed and provided to the other party.) [ ] Interim monthly income and expenses statement (Form 4A-212) List documents used to complete this statement: [ ] Community property and liabilities schedule (Form 4A-214) List documents used to complete this schedule: [ ] Separate property and liabilities schedule (Form 4A-215) List documents used to complete this schedule: [ ] Spousal support or child support (Check this box if spousal support and/or child support is an issue in your case, and check all boxes below for the documents that you completed and provided to the other party.) Documents provided: [ ] Federal and state tax returns, including all schedules, for the year preceding the request [ ] W-2 statements for the year preceding the request [ ] Internal Revenue Service Form 1099s for the year preceding the request 1 Rev. 12/31/14 American LegalNet, Inc. www.FormsWorkFlow.com [ ] Work related daycare statements for the year preceding the request [ ] Dependent medical insurance premiums for the year preceding the request [ ] Wage and payroll statements for four months preceding the request [ ] (Spousal support only) Interim monthly income and expenses statement (Form 4A-212) Signature of party Name (print) Mailing address (print) City, state, and zip code (print) Telephone number VERIFICATION OF SERVICE I affirm under penalty of perjury under the laws of the State of New Mexico that on (date), I (check the applicable item below and fill in all information) [ ] mailed a copy of this notice by United States mail, postage prepaid, to: Name: Mailing address: City, state, and zip code: ; [ ] delivered a copy of this notice to (the other party or the other party222s attorney); or [ ] faxed a copy of this notice to (the other party or the other party222s attorney) using the following fax number: . The transmission was reported as complete and without error. The time and date of the transmission was (a.m) (p.m) on (date). Signature of party Date of signature 2 Rev. 12/31/14 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 give notice of a party222s compliance with Rule 1-123 NMRA in a domestic relations action. [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 Order 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. 12/31/14 American LegalNet, Inc. www.FormsWorkFlow.com