9-101
[5-106, 6-106, 7-106, 8-106]
STATE OF NEW MEXICO
[COUNTY OF___________________]
[CITY OF_____________________]
__________________________ COURT                No. ________

[STATE OF NEW MEXICO]
[COUNTY OF __________________]
[CITY OF ____________________]

v.

________________________________, Defendant

NOTICE OF [EXCUSAL] FACTS REQUIRING RECUSAL

(CONSTITUTION OR CODE OF CONDUCT)1

    The undersigned believes that the impartiality of the Honorable ___________________ may reasonably be questioned because: _________________________________________________
__________________________________________ (set forth specific facts which prohibit the judge from presiding. The facts must be grounds for excusal under the New Mexico Constitution or the Code of Judicial Conduct.)

    The undersigned believes that participation of the above-named judge would be in violation of _________________ of the Code of Judicial Conduct.

                        _______________________
                        Signature of party

USE NOTE

    1.    Each party must be served with a copy of this notice. See Rules 6-209, 7-209 and 8-208 NMRA. See Criminal Form 9-221 for the certificate of service and affidavit of service.

[As amended, effective November 1, 1995; May 1, 2002.]