4-940. Notice of federal restriction on right to possess or receive a firearm or ammunition. [For use with Rule 1-131 NMRA]STATE OF NEW MEXICO COUNTY OF JUDICIAL DISTRICT , Petitioner, v.No. , Respondent. NOTICE OF FEDERAL RESTRICTION ON RIGHT TOPOSSESS OR RECEIVE A FIREARM OR AMMUNITIONTO:ADDRESS:YOU ARE HEREBY NOTIFIED that as a result of the order entered against you in thisproceeding, you are prohibited from possessing or receiving a firearm or ammunition as providedby 18 U.S.C. 247 922(g)(4). YOU ARE FURTHER NOTIFIED that the Administrative Office of the Courts isrequired under Section 34-9-19(B) NMSA 1978 to report information about your identity to theFederal Bureau of Investigation for entry into the National Instant Criminal Background CheckSystem (NICS).YOU ARE FURTHER NOTIFIED that you may petition the Court as provided in Section34-9-19 NMSA 1978 to restore your right to possess or receive a firearm or ammunition and toremove your name from the NICS. DISTRICT COURT[Provisionally approved by Supreme Court Order No. 16-8300-003, effective for all orders filedon or after May 18, 2016; approved by Supreme Court Order No. 17-8300-003, effective for allorders filed on or after March 31, 2017.] American LegalNet, Inc. www.FormsWorkFlow.com