4A-113
STATE OF NEW MEXICO
____________________ COUNTY
____________________ JUDICIAL DISTRICT

_____________________________________,
Petitioner,

v.            

No. ________________

_____________________________________,
Respondent.

MOTION TO MODIFY TEMPORARY ORDER

(domestic relations actions)1


    I, ___________________________ (name of petitioner or respondent) request the court to:

(check and complete applicable alternatives)
[ ]    modify paragraph ____ of the temporary domestic order as follows:
    ______________________________________________________________
    ______________________________________________________________.

[ ]    terminate the temporary domestic order because:
    ______________________________________________________________
    ______________________________________________________________.

[ ]    terminate or modify the temporary child support because: _______________________________________________________________
    _______________________________________________________________.

[ ]    modify the temporary division of income and debts of the parties because2:
    _______________________________________________________________
    _______________________________________________________________.

[ ]    dismiss the temporary restraining order because3:
    ________________________________________________________________
    ________________________________________________________________.

[ ]    terminate or modify the temporary wage withholding order because:

    ________________________________________________________________
    ________________________________________________________________.

                    __________________________________
                    Signature

                    __________________________________
                    Name (printed)

                    __________________________________
                    (Address

                    __________________________________
                    Telephone number

CERTIFICATE OF SERVICE

    I hereby certify that on this ____ day of _____________, _______ this motion 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) to _________________ (defendant or defendant's attorney). 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 ______________________ at _________________ (electronic 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:

AFFIDAVIT OF SERVICE

    I declare under penalty of perjury that a copy of this motion was served by [mail] [fax] [electronic transmission] as described above on this ____ day of __________________, ________.

                __________________________________________
                Signature of person who made service

Subscribed and sworn to before me
this ___ day of _____________, _____.
______________________________
Judge, notary or other officer
authorized to administer oaths

______________________________
Official title

                _______________________________
                Signature

                _______________________________
                Date of signature

USE NOTES


    1.    This form may be used anywhere in this state to request the court to modify a temporary order entered by the court.

    2.    If a court order of temporary division of income and debts is being challenged, you must complete an "interim income and expense" form and file it with the court at

the time you file this response.

    3.    If you believe that your spouse may injure you or cause some other harm to you, your children or other household member, you may file a petition for a temporary restraining order or you may file a "Petition for Order for Protection from Domestic Abuse".

[Approved, effective November 1, 2000 until November 1, 2001; approved, effective November 1, 2001.]