________________JUDICIAL DISTRICT COURT
COUNTY OF ___________________________
STATE OF NEW MEXICO
___________________________________________
Petitioner
v. No. _______________
_______________________________________________
Respondent
Respondent requests that the court:
(check and complete applicable alternatives)
[ ] modify the temporary order of protection as follows:
______________________________________________________________
_____________________________________________________________.
[ ] terminate the temporary order of protection because:
______________________________________________________________
_____________________________________________________________.
[ ] hold an earlier hearing on the petition for protection order because:
______________________________________________________________
_____________________________________________________________.
[ ] hold a later hearing on the petition for protection order because:
______________________________________________________________
_____________________________________________________________.
[ ] dismiss the petition for protection order because:
______________________________________________________________
_____________________________________________________________.
_________________________________
(Signature of respondent)
_________________________________
(Respondent's name printed)
_________________________________
(Respondent's address)
_________________________________
(Respondent's telephone number)
I declare under penalty of perjury that a copy of this response was served on the
petitioner by:
(check and complete applicable alternative)
[ ] first class mail, postage prepaid on this ____ day of ______________, ______
at the following address:
________________________________
(address)
________________________________
OR
[ ] the following means: _______________________________
OR
[ ] (check only if the petitioner's present address is unknown to respondent and not
contained on the petition) service on the clerk of the court by filing two copies
of this response with the clerk on this ____ day of _______________, ______.
____________________________
Signature of respondent
____________________________
Date of signature
Subscribed and sworn to
before me this _____
day of ______________, _____
______________________________
Judge, notary or other officer
authorized to administer oaths
______________________________
Official title
I served this response on the petitioner by first class mail, postage prepaid on this
____ day of __________________, ______.
________________________________
Clerk
This Response to Petition gives respondent an opportunity to state
defenses against the charges in the petition. This Response to Petition
does not contain a counter petition charging the petitioner with an act of
domestic abuse. If the respondent only wants to defend against the
petitioner's charge of abuse, this form should be used as drafted. If the
respondent wants both to defend against the petitioner's charge of
domestic abuse and also to charge the petitioner with domestic abuse,
the respondent should fill out this form and also fill out Form 4-962A
NMRA. Respondent then should attach Form 4-962 and Form 4-962A.
[Approved, effective November 1, 1999 until July 1, 2001; approved, as amended,
effective May 1, 2001.]