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Financial Affidavit Application To Proceed In Forma Pauperis Form. This is a New Mexico form and can be use in 6th Judicial District Local District Court.
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Tags: Financial Affidavit Application To Proceed In Forma Pauperis, 1.02, New Mexico Local District Court, 6th Judicial District
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Sixth Judicial District
LR6-Form 1.02
1
LR6-Form 1.02
Index No.
Supreme Court Approved
:
Calendar No.
June 29, 2000
Plaintiff(s)
-against-
:
JUDICIAL SUBPOENA
:
2
:
3
STATE OF NEW MEXICO
4
COUNTY OF ___________________________
:
5
SIXTH JUDICIAL DISTRICT COURT
6
Defendant(s)
7
_____________________________, Petitioner,
:
......................................................
8
9
v.
No. ___________
10
11
_____________________________, Respondent
THE
12 PEOPLE OF THE STATE OF NEW YORK
13
FINANCIAL AFFIDAVIT APPLICATION TO PROCEED
TO
14
IN FORMA PAUPERIS
15
16
Pursuant to LR6-108 NMRA, I ________________________
17
(name
GREETINGS: of party), request that the court enter an order
18
permitting me YOU, that allthis case without laid aside, you andof fees attend before
WE COMMAND to file business and excuses being prepayment each of you
the Honorable
at the
,
Court
19
and
located at
County of costs and state upon my oath or affirmation the
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
following statement regarding my financial, marital and
or adjourned date, to testify and give evidence as a witness in this action on the part of the
20
21
22
employment status:
A.
Background and Residence
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
23
1.
Full name: ________________________________
result of your failure to comply.
24
2.
Age:
________________________________
Witness, Honorable
, one of the Justices of the
25
3.
Sex:day of
________________________________
Court in
County,
, 20
26
4.
27
Present address: ___________________________
(Attorney must sign above and type name below)
_____________________________________________
28
5.
How long at this address? _________________
29
6.
Attorney(s) for
Phone number: ____________________
30
7.
Married ___
31
Separated ___
Single ___
Divorced ___
Office and P.O. Address
32
8.
Number of dependents: _____________________
33
9.
Telephone No.:
Ages of children living with you: ___________
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Sixth Judicial District
LR6-Form 1.02
Supreme Court Approved
:
Calendar No.
June 29, 2000
Plaintiff(s)
1
Index No.
:
JUDICIAL SUBPOENA
___________________________________________
-against-
2
10.
:
List name and relationship of other
:
3
dependents living with you: ________________
4
____________________________________________
6
depending on you for your support:
:
Defendant(s)
:
. . . . . . . . . . . . . . . . . . 11. . . .List. . any . dependents . .in . items 7 and 8
....
.... .... ............. ..
5
THE PEOPLE OF THE STATE OF NEW YORK
7
________________________________
TO
8
B.
9
Employment and income
1.
10
GREETINGS:
Are you employed? __________
Are you self-employed? ______________
11
2.
Name all business and excuses being laid aside,
WE COMMAND YOU, thatand address of employer: you and each of you attend before
,
the Honorable
at the
Court
12
________________________________
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
13 adjourned date, to testify and give evidence as a witness in this action on the part of the
________________________________
or
14
3.
Position: ______________________
15
Salary per month: _________________
17
____________________________________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
16
4.
If self-employed, nature of business:
result of your failure to comply.
Witness, Honorable
, one of the Justices of the
18
5.
Income of
previous ,month from self-employment:
Court in
County,
day
20
19
20
$_____________________.
6.
21
22
(Attorney must sign above job or
If unemployed, how long since last and type name below)
self-employment? __________________________
7.
Attorney(s) for
Any other income including, but not limited
23
to, disability pay, workman's compensation,
24
social security, pension,and P.O. Address note and
Office interest,
25
loan repayments, dividends, trust funds and
2
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Sixth Judicial District
LR6-Form 1.02
Supreme Court Approved
:
Calendar No.
June 29, 2000
Plaintiff(s)
1
Index No.
:
JUDICIAL SUBPOENA
unemployment compensation? [ ] Yes [ ] No.
-against-
2
8.
:
If the answer to 7 is yes, list each source
:
3
and amount per month from each source:
4
__________________
:
$______________________
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . . . . .__________________ . . .$______________________
.......................
...
5
6
9.
Total monthly net income: _______________
THE PEOPLE OF THE STATE OF NEW YORK
7
______________________________________.
TO
8
C.
9
Assets
1.
10
GREETINGS:
Do you own any real estate?
Yes [ ]
No [ ]
11
a.
WE COMMAND YOU, thatDescription __________________________ attend before
all business and excuses being laid aside, you and each of you
,
the Honorable
at the
Court
12
b. located at
Location _____________________________
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
13 adjourned date, to testify and give evidence as a witness in this action on the part of the
c.
Estimated present value ______________
or
14
d.
15
Estimate outstanding mortgages or
contracts on property _______________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
16
_____________________________________
result of your failure to comply.
17
e.
Payments per month: ________________
Witness, Honorable
, one of the Justices of the
18
2.
Do you of
own any automobiles? Yes [ ] No [ ]
Court in
County,
day
, 20
19
a.
Make ________ Model _____ Year _____
20
b.
(Attorney must
Present Value: ________ sign above and type name below)
21
Total amount owed $________________
22
23
c.
3.
Monthly paymentsAttorney(s) for
_________________
Do you have any stocks or bonds?
24
Yes [ ]
25
a.
No [ ]
Office and P.O. Address
Describe ________________________
3
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Sixth Judicial District
LR6-Form 1.02
Supreme Court Approved
:
Calendar No.
June 29, 2000
:
Plaintiff(s)
1
b.
-against-
2
4.
Index No.
JUDICIAL SUBPOENA
Present value: ________________
:
Do you have any cash in the bank?
:
3
Yes
[ ]
No [ ]
4
a.
If so, indicate amount: _______________
6
association?
:
Defendant(s)
:
. . . . . . . . . . . . . . . . . . 5.. . . . .Do . . . . . . .have . any . cash. .in a savings and loan
..
. . you . . . . . . . . . . . . . . . .
5
Yes [ ]
No [ ]
THE PEOPLE OF THE STATE OF NEW YORK
7
6.
Do you have any other assets not listed above
TO
8
excluding household furnishings and clothing?
9
Yes [ ] No [ ]
10
GREETINGS:
a.
If so, describe and give value:
11
WE COMMAND YOU, that___________________________________of you attend before
all business and excuses being laid aside, you and each
,
the Honorable
at the
Court
12
D.
Debts and other obligations
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
13 adjourned date, to testify and give evidence as a witness in this action on the part of the
1.
Rent: $_____________ per month.
or
14
2.
Utilities: $____________ per month.
15
3.
Creditors:
17
________________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
16
List:
Total Due:
Monthly Payment
result of your failure to comply.
____________
_______________
Witness, Honorable
18
________________
Court in
County,
day of
____________
, 20
_______________
19
________________
____________
_______________
20
________________
(Attorney must _______________
____________ sign above and type name below)
21
4.
22
23
24
25
E.
, one of the Justices of the
Total monthly payments:
$______________
I have no information regardingAttorney(s) for
my spouse's income and
or my spouse lives out of state.
OR
Office and P.O. Address
I have the following information regarding my
4
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Sixth Judicial District
LR6-Form 1.02
Supreme Court Approved
:
Calendar No.
June 29, 2000
Plaintiff(s)
1
spouse:
2
-against-
1.
3
Index No.
:
JUDICIAL SUBPOENA
:
Address: ________________________________
:
__________________________________________
:
4
2.
Employer's address: _______________________
6
3.
Income: $_________ (monthly weekly biweekly)
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . . . . .___________________________________________
.............................
5
THE PEOPLE OF THE STATE OF NEW YORK
7
4.
Resource:
TO
8
Cash (savings, etc): ______________________
9
___________________________________________
10
GREETINGS:
Social Security: $_________________________
11
Unemployment and excuses being laid aside, you and each of you
WE COMMAND YOU, that all business compensation: $_______________ attend before
,
the Honorable
at the
Court
12
Other income: $_________________
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
13
Describe: _____________________________
or adjourned date, to testify and give evidence as a witness in this action on the part of the
14
________________________________________
15
5.
Debts:
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
16
Mortgage or rent: $_________________________
result of your failure to comply.
17
Utilities: $________________________________
Witness, Honorable
, one of the Justices of the
18
Other creditors:, 20
$________________________
Court in
County,
day of
19
____________________________________________
20
(Attorney must sign above and type name below)
____________________________________________
21
I [do] [do not] have access to my spouse's resources or
22
23
24
25
26
27
28
Attorney(s) for
income.
_____________________________
Petitioner
Office and P.O. Address
SUBSCRIBED AND SWORN TO before me this ____ day of
_______________, _____, by ______________________________.
5
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Sixth Judicial District
LR6-Form 1.02
Index No.
Supreme Court Approved
:
Calendar No.
June 29, 2000
Plaintiff(s)
:
JUDICIAL SUBPOENA
1
_____________________________
-against:
2
Notary Public
3
:
4
My Commission Expires:
5
______________________
:
6
7
Defendant(s)
8
[Approved, effective October 2, 2000.]
:
......................................................
9
THE PEOPLE OF THE STATE OF NEW YORK
TO
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
6
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
