Rule 4-904 NMRA; as amended, effective March 21, 2005 CV-014 Petition by Owner for Restitution (Rev. 02/08; 05/18) STATE OF NEW MEXICO COUNTY OF BERNALILLO IN THE METROPOLITAN COURT , Plaintiff, v. Case No. , Defendant. PETITION BY OWNER FOR RESTITUTION (Uniform Owner-Resident Relations Act) The plaintiff alleges: 1. Plaintiff is lawfully entitled to possession of the premises located at1: , New Mexico . 2. Defendant entered into possession of the premises under a rental agreement and has breached the terms of the agreement, as follows: . A copy of the rental agreement is attached as Exhibit A. 3. Plaintiff gave written notice of: Termination Breach of the rental agreement to defendant on , (date), and defendant has failed to remedy the breach. A copy of the written notice is attached as Exhibit B. (check and complete if applicable) 4. Defendant is indebted to plaintiff in the sum of $ for unpaid rent, plus $ rent per day to date of restitution, plus damages as determined by the court. 5. Plaintiff holds $ of defendant as a damage deposit under the rental agreement. 6. Plaintiff requests separate trials on the issues of restitution and damages. 7. Plaintiff requests a language interpreter. Plaintiff requests judgment against defendant, as follows: 1. Immediate possession of the premises; 2. Unpaid rent of $, plus $ per day to date of restitution; 3. Damages as may be determined by the court; 4. Costs of this action; 5. 6. A civil penalty as provided by law; 7. Such other relief as the court may deem reasonable. Dated: Signed Name (print) Address (print) City, state and zip code (print) Telephone number USE NOTES 1. If the leased premises is an apartment, include the name of the apartments and the apartment number. 2. The owner must bring a copy of any written rental agreement to court for the hearing on the petition for restitution. American LegalNet, Inc. www.FormsWorkFlow.com Rule 4-904 NMRA; as amended, effective March 21, 2005 CV-014 Petition by Owner for Restitution (Rev. 02/08; 05/18) STATE OF NEW MEXICO COUNTY OF BERNALILLO IN THE METROPOLITAN COURT , Plaintiff, v. Case No. , Defendant. PETITION BY OWNER FOR RESTITUTION (Uniform Owner-Resident Relations Act) The plaintiff alleges: 1. Plaintiff is lawfully entitled to possession of the premises located at1: , New Mexico . 2. Defendant entered into possession of the premises under a rental agreement and has breached the terms of the agreement, as follows: . A copy of the rental agreement is attached as Exhibit A. 3. Plaintiff gave written notice of: Termination Breach of the rental agreement to defendant on , (date), and defendant has failed to remedy the breach. A copy of the written notice is attached as Exhibit B. (check and complete if applicable) 4. Defendant is indebted to plaintiff in the sum of $ for unpaid rent, plus $ rent per day to date of restitution, plus damages as determined by the court. 5. Plaintiff holds $ of defendant as a damage deposit under the rental agreement. 6. Plaintiff requests separate trials on the issues of restitution and damages. 7. Plaintiff requests a language interpreter. Plaintiff requests judgment against defendant, as follows: 1. Immediate possession of the premises; 2. Unpaid rent of $, plus $ per day to date of restitution; 3. Damages as may be determined by the court; 4. Costs of this action; 5. 6. A civil penalty as provided by law; 7. Such other relief as the court may deem reasonable. Dated: Signed Name (print) Address (print) City, state and zip code (print) Telephone number USE NOTES 1. If the leased premises is an apartment, include the name of the apartments and the apartment number. 2. The owner must bring a copy of any written rental agreement to court for the hearing on the petition for restitution. American LegalNet, Inc. www.FormsWorkFlow.com