9-403A

[Sections 34-6-46, 34-8A-11 and

35-5-8 NMSA 1978]

STATE OF NEW MEXICO

COUNTY OF___________________

__________________________ COURT                              No. ___________

[STATE OF NEW MEXICO]

COUNTY OF __________________

v.

________________________________, Defendant

ORDER OF APPOINTMENT

            This matter having come before the court, the court finds:

(please check appropriate box or boxes)

THE COURT FINDS THAT:

[ ]        the defendant is incarcerated.

[ ]        the defendant is not incarcerated.

THE COURT FURTHER FINDS THAT:

[ ]        the defendant is indigent and unable to obtain counsel.

[ ]        the defendant is not indigent, but is unable to obtain counsel.

            IT IS THEREFORE ORDERED THAT:

[ ]        the Public Defender Department is appointed to represent the defendant in the above-entitled case.

[ ]        _______________________, an attorney on contract with the Public Defender Department, shall represent the defendant in the above-entitled case.

[ ]        the defendant shall reimburse the State of New Mexico in an amount of no less than $_________ for legal representation and related expenses.

IT IS FURTHER ORDERED THAT:

[ ]        the application fee is waived.

[ ]        the application fee is required.

                                                                                    ________________________

                                                                                    (Magistrate Judge)

                                                                                    (District Judge)

CERTIFICATE OF MAILING

            I certify that I mailed a copy of this order to the above-named defendant at ___________________________(set forth address), and to the public defender on the _____ day of _________________, ________.

                              ____________________________

                                                                        (Clerk) (Judge )

                                                                        ____________________________

                                                                        Date

[Adopted, effective July 1, 1988; as amended, effective January 1, 1996.]