4-968. Application to modify, terminate, or extend the order of protection from domestic abuse. [Standard simplified domestic abuse form, Family Violence Protection Act, Sections 40-13-1 to 40-13-8 NMSA 1978.] STATE OF NEW MEXICO COUNTY OF __________________ __________________ JUDICIAL DISTRICT COURT ______________________________, Petitioner v. No. ____________ ______________________________, Respondent APPLICATION TO MODIFY, TERMINATE, OR EXTEND THE ORDER OF PROTECTION FROM DOMESTIC ABUSE [ ] Petitioner [ ] Respondent asks the court: (check and complete applicable alternatives) [] [] [] to modify the protection order as follows: ________________________________ _________________________________________________________________. to terminate the protection order because: ________________________________ _________________________________________________________________. to extend the protection order for an additional ____________ (days) (months) because: _________________________________________________________________ _________________________________________________________________. The other party: [] [] [] objects to the extension, modification, or termination of the protection order. agrees to the extension, modification, or termination of the protection order. has not told me whether (he) (she) objects or agrees to the extension, modification, or termination of the protection order. VERIFICATION I, the [ ] Petitioner [ ] Respondent, affirm under oath and penalty of perjury under the laws of the State of New Mexico that I am the [ ] Petitioner [ ] Respondent in the above-entitled cause; that I have read this application to modify, terminate, or extend the order of protection American LegalNet, Inc. www.FormsWorkFlow.com from domestic abuse; and that the contents of the application are true and correct to the best of my information and belief. ________________________________ Date ___________________________________ Signature of party filing this application STATE OF NEW MEXICO ) COUNTY OF _______________________ ) TRIBE OR PUEBLO _________________ ) Signed and sworn before me on this ________ day of ______________, __________. ______________________________ Notary public My commission expires: ______________________________. CERTIFICATE OF SERVICE I hereby certify that on this ____ day of ______________, ______ this application was [mailed by United States mail, postage prepaid, and addressed to: Name: __________________________________ Address: __________________________________ City, State and zip code: __________________________________] [faxed by ________________________ (name of person who faxed document) to ______________________ (name of recipient) at _________________ (telephone number). The transmission was reported as complete and without error. The time and date of the transmission was ________ (a.m.) (p.m.) on _____________________ (date).] [e-mailed by __________________________ (name of person who transmitted) to ______________________ (name of recipient) at _________________ (electronic mail address of recipient) who agreed to service in this manner. The transmission was successful. The time and date of the transmission was _________ (a.m.) (p.m.) on _____________________ (date).] _____________________________________ Signature of attorney _____________________________________ Date of signature If this notice was served by a person other than an attorney, the following must also be completed and filed with the court: American LegalNet, Inc. www.FormsWorkFlow.com AFFIDAVIT OF SERVICE I affirm under penalty of perjury under the laws of the State of New Mexico that a copy of this application was served by [mail] [fax] [electronic transmission] as described above on this ________ day of ______________, __________. ___________________________________ Signature of person who made service [Approved, effective November 1, 1999 until July 1, 2001; approved, effective May 1, 2001; as amended by Supreme Court Order No. 08-8300-40, effective December 15, 2008; as amended by Supreme Court Order No. 12-8300-026, effective for all cases filed or pending on or after January 7, 2013; as amended by Supreme Court Order No. 14-8300-023, effective for all pleadings and papers filed on or after December 31, 2014; as amended by Supreme Court Order No. 15-8300-024, effective for all pleadings and papers filed after November 18, 2015.] American LegalNet, Inc. www.FormsWorkFlow.com