STATE OF NEW MEXICO
COUNTY OF __________________________
____________________ JUDICIAL DISTRICT

_____________________________________
Petitioner,

v.                                No. _____________

_____________________________________
Respondent.

    I, ____________________________, (person listed as petitioner above) am the petitioner in this case and I have [a child] [children] with _________________________ (person listed as respondent), "the parties". The parties ask the court for a Final Decree Establishing Parentage that establishes that __________________________ (name of father) is the father of the [child] [children] listed below and approves the parties' parenting plan for their [child] [children].

1.    The parties have [or are expecting] ______ (number) minor [child] [children] together.

2.    The parties are filing a completed Parenting Plan and Child Support Obligation, Form 4A-313 NMRA, at the same time as this petition.

3.    Father lives in _______________________ County. Mother lives in _______________________ County. Venue is proper because one of us lives in the county listed in the case caption above.

4.    Both parties have gotten the help needed in order to sign this document.

5.    The parties are the parents of:

    Child's name            Date of birth        Age
    _______________________    _____________        ________
    _______________________    _____________        ________
    _______________________    _____________        ________
    _______________________    _____________        ________

6.    Our [child] [children] have lived in New Mexico since birth or for at least the past six (6) months. For the

past five (5) years, our children have lived:

    Child's addresses Dates of             People in
                    residence         residence

    Present address:
    __________________    _________________    _________________
    __________________    _________________    _________________

    Past addresses:
    __________________    _________________    _________________
    __________________    _________________    _________________
    __________________    _________________    _________________
    __________________    _________________    _________________

(If applicable, check below and list each proceeding.)
7.    [ ]    The above [child has] [children have] been the subject of the following prior custody or support proceedings:

    Case Name         Case    Court name    Location
                 number
    ______________    _________    _____________    ________________
    ______________    _________    _____________    ________________

    [ ]    No other custody or support proceeding has been filed in any state involving the above named [child] [children].

8.    (check applicable)
    [ ]    No person other than the parties to this proceeding has claimed custody or visitation rights for the above named [child] [children].
    [ ]    The following named persons have custody or visitation rights to the above named [child] [children]:

        ______________________    __________________________
        (Name of person)            (Address)

        ______________________    _________________________
        (Name of person)            (Address)

9.    Parentage has been established because the father has acknowledged that he is the father of the [child]

[children].

10.    We understand that once the judge signs the Final Decree of Parentage, we will be ordered to do the things we agreed to do in the parenting plan.

When I sign here, I am telling the judge that I have read this document and agree with everything in it. I state upon my oath or affirmation that this document and the statements in it are true and correct to the best of my information and belief.

______________________________________________3
Petitioner's signature

Address:        ________________________________
            ________________________________
            ________________________________
Telephone:    ______________________

_____________________________________________3
Respondent's signature

Address:         ________________________________
            ________________________________
            ________________________________
Telephone:    ________________________________

STATE OF NEW MEXICO            )
                        ) ss
COUNTY OF _________________    )

Acknowledged, subscribed and sworn to before me this _____ day of _____________, _____ by _________________, the petitioner.

My commission expires:    ________________________________
_____________________    Notary Public

STATE OF NEW MEXICO            )
                        ) ss
COUNTY OF _________________    )

Acknowledged, subscribed and sworn to before me this _____ day of _____________, _____ by _________________, the respondent.

My commission expires:    ________________________________
_____________________    Notary Public

    2.    Section 40-10A-209 NMSA 1978 requires the following information be disclosed:
        name of the child;
        the places the child has lived in the last five (5) years; and
        the names and addresses of the persons with whom the child has lived in the last five (5) years.

    3.    After completing this form the petitioner and respondent must sign their names before a notary.

[Approved, effective November 1, 2002.]