WPC6 ?iʰ]fJf: 5z1`ʕ^ðݾJ, 8՛`hf &ыƾSUϾo'f%dg@Fq]xQךxk{*0'g?XG蟖d4 gbƀ^BѽOVFx1šlӶc!?.:3%B(Z%1$+;'-ag)^Նo>z'p>xMk6pO[[])fjT"lHoޢ2XgCpE@pCmnsO1F7ަ!3>PO+xlWtM7?-=X)j'ho6>-FRy\.^<;r8.dD@C:E(Zɡï&]g~zq{B:D"|6yaU.N %| 0s 0s 0sh 0 0 0 0 0I 0 0 0s 0T 0T 0T/ 0T 0T 0T+ 0T 0T 0T' 0T{ 0T 0T# 0Tw 0T 0T 0Ts 0T 0T 0To 0T 0T 01k 0= 0 0> 0UB U 0L 0| 0y 0v 0a 0^ 09[ 0 02p 0U: 0: 0 0\ 0! 0a" 0%s#U.$ 0$ 06% 0% 0:& 0:'U >X'y' 0O) 1y^) 1y) 1yP* 1y*B+nR+ 042#!62NW3^ Y3w@e3433 m3U N3 1 4 1u4 0c5-5 1555555555g36 0P6<6X9`(CourierX<6 :AutoList1[1]  23  0..<6 :AutoList3[1]  23  0..<6 :AutoList4[1]  23  0..< @:AutoList2[8]0..0..0..0..0..0..0..  23  0..< 'Q:AutoList2[7]0..0..0..0..0..0..  23  0..< :AutoList2[6]0..0..0..0..0..  23  0..< o:AutoList2[5]0..0..0..0..  23  0..<o (2:AutoList2[4]0..0..0..  23  0..<\ E6:AutoList2[3]0..0..  23  0..<I :AutoList2[2]0..  23  0` ..` <6 :AutoList2[1]  23  0..<:AutoList4[2]23  <:AutoList4[3]23  <:AutoList4[4]23  <:AutoList4[5]23  <:AutoList4[6]23  <:AutoList4[7]23  <:AutoList4[8]23  <:AutoList3[2]23  <:AutoList3[3]23  <:AutoList3[4]23  <:AutoList3[5]23  <:AutoList3[6]23  <:AutoList3[7]23  <:AutoList3[8]23  <:AutoList1[2]23  <:AutoList1[3]23  <:AutoList1[4]23  <:AutoList1[5]23  <:AutoList1[6]23  <:AutoList1[7]23  <:AutoList1[8]23  0.Normal<:Definition T<SP:Definition L    ;1` hp x (#;    8.` hp x (#886Definition(~l&H1   W(\  `*Times New RomanTTW   XXXE)* `CG TimesE\  `*Times New RomanTT* `CG Times(sa&H2 W(\  `*Times New RomanTTW XXXE)* `CG TimesE(sa&H3 W(\  `*Times New RomanTTW XXXE)* `CG TimesE(aa&H4 XXXE)* `CG TimesE XXXE)* `CG TimesE(sa&H5 W(\  `*Times New RomanTTW XXXE)* `CG TimesE(sa&H6 W(\  `*Times New RomanTTW XXXE)* `CG TimesE20Address8SP6Blockquote    ;1` hp x (#;    8.` hp x (#8,*CITE,h^*CODEO3<6X9`("Courier NewTTOXXXE)* `CG TimesE<6X9`("Courier NewTT42Emphasis6<<4Hyperlink                <:FollowedHype    4ka2Keyboard O3<6X9`("Courier NewTTO XXXE)* `CG TimesE<:Preformatted/%  ,Kk (#/O3<6X9`("Courier NewTTOXXXE)* `CG TimesE/%  ,Kk (#/:tv8zBottom of     C:%2A`ArialTTC  XXXE)* `CG TimesE  %2A`ArialTT0\^.SampleXXXC<6X9`(CourierCXXXE)* `CG TimesE0.Strong 8h^6TypewriterO3<6X9`("Courier NewTTOXXXE)* `CG TimesE42Variable:8HTML Markup%\  `&Times New Roman o BS'   _@XKPXXX CIVILFORM0    h   0 (# (#0p(#(#SupremeCourtApprovedp(#p(# 49720   `     h      p October29,2008 ('2S$ IU!     CEKQW]emsAutoList2I.A.1.a.(1)(a)i)a) CEKQW]emsAutoList4I.A.1.a.(1)(a)i)a) CEKQW]emsAutoList3I.A.1.a.(1)(a)i)a) CEKQW]emsAutoList1I.A.1.a.(1)(a)i)a)#|\/ <6X9`(CourierXx6X@`7X@\  `*Times New RomanTT\  PP* `CG TimesmanTTXXw PE37XP\  `*Times New RomanTTu\  PP\  `*Times New RomanTT[\  PP\  `*Times New RomanTTA\  P P\  `*Times New RomanTT4\  P P<6X9`("Courier NewTTTTd6X@ @%2A`ArialTTTTTT<2PP%\  `&Times New RomanTXXj\  P6G;XP( U$  Dell Laser Printer 1720dn0 &: &'(E)*+E,U-U.U/UAUg7 'CorelU(9 Z6Times New Roman Regular(ʽCEKQW]cioAutoList5A.A.A.A.A.A.A.A.3#37=CIQYag1.a.i.(1)(a)(i)1)a)(;3$2#  0  .3  0   ##`d#(ڽCEKQW]cioAutoList6A.A.A.A.A.A.A.A. ] `^)   _QXKPXXXԀ((3^$ IU!   IU!   _@XKPXXXA'=@K4@XXdd=''=@KP@XXdd=' Uk__ STATEOFNEWMEXICO  F  FIRSTJUDICIALDISTRICTCOURT  6  COUNTYOF__________________l  "  STATEOFNEWMEXICOONBEHALFOF:  ________________________________________,Petitioner    v. 4 0 0 ! !0< ! !0<!<!0!!0D!!0D!D!No.____________   d!! Ѐ ________________________________________,Respondent . Z     @4 @@ " PETITIONFOREMERGENCYORDEROFPROTECTION :  @@,FROMDOMESTICABUSE(1(  *   1. 4 INFORMATIONABOUTTHERESPONDENT    4 Therespondentis: 4  [] thehusbandof[]wifeofpetitioner l  4  [] theex-husbandof[]ex-wifeofpetitioner X  4  [] afamilymemberofpetitioner(describerelationship)   D  4  []0 apersonwithwhompetitionerhashadacontinuingpersonal v0 relationship.(describerelationship)b ! !  4  [] apersonwhohassexuallyassaultedme N  4  [] apersonwhohasstalkedme D  :  4 ________ Petitioner'sinitials  &  2. 4 CHILD(REN)  !  4 Listminorchild(ren)whomaybeinimmediatedangerorinneedofanorderoftemporarycustody.̀̀ Name 4 0 0 ! !Dateof  0 ! !RelationshipofChild L &D!$!! Ѐ 4 0 0 ! !Birth < 0 ! !0!!ToPetitioner  ToRespondent @h v'0"%!!  _________________ ________________0  ________________  ________________ @f! QXKPXX@XKPԀ#@XKPXXQXKP # @!  b(#&  D  !! _________________ ________________  ________________  _______________ :*$( _________________ ________________  ________________  _______________ ,&* Uk U8XdXXd8 U  _________________ ________________  ________________  _______________ 2 _________________ ________________  ________________  _______________    4 QX mXX@X mԀ#@X mXXQX m#QX mXX@X m   4 ________ Petitioner'sinitials    Ѐ 3. 4 DOMESTICABUSE   x L Vڽ(3SL T3    4 T32ڽ  A  .3  0   ݀Therespondentcommittedthefollowingact(s)ofdomesticabuseagainst  P  petitionerorthepetitioner'schild(_ren_).T3 ݌  ! ! Ќ   4  (describeindetailwhathappenedandwhenandwhere) n(  #@X mXXQX m# 0 4 0 4!4!Physicalabuse :_______________________________________________ Z  ___________________________________________________  ! !  4 0 0 ! ! ___________________________________________________.  ! !  0 4 0 4!4!Threatswhichcausedfearthat_________oranyhouseholdmember "  wouldbeinjured:_____________________________________________   ______________________________________________________ ! ! 0 4 0 4!4!_____________________________________________________________.  ! !  0 4 0 4!4!Otherabuse:_________________________________________________  d Ѐ_____________________________________________________  ! !  4  _____________________________________________________________. 4 B. Otherspresentduringtheabuse:___________________________________ ^  4 C. Diddrugsoralcoholplayaroleinthedomesticabuse?[]yes[]no 6  4 D. Wereweaponsusedduringtheabuse?[]yes[]no.    4  Ifyes,whatweapons?___________________________________________ 4 E. Hastherebeenpriordomesticabuse?[]yes[]no. #x!  QX mXX@X m0 4 ________ Petitioner'sinitials 󀀀%P #4!4!  4. 4 REQUESTSTOTHECOURT  r',"%  4 THECOURTISREQUESTEDTOENTERANEMERGENCYORDEROF)π)PROTECTIONprohibitingrespondentfromabusingpetitioneroranymemberof*π_*+**+*__*petitioner's_Ԁhouseholdasfollows: 4 (checkapplicable) ,&*  4 []0 providingforlawenforcementofficerstoassist[]petitioner[]respondent F inretrieving[]petitioner's[]respondent'sclothingandpersonalbelongingsfromtheresidenceat__________________.  ! ! 0 4 0 4!4! 4 [] grantingpetitionertemporarycustodyofthechild(_ren_)listedinthispetition. ! !  4 0 4 0 4!4! 4 [] prohibitingrespondentfromcontactwiththechild(_ren_)listedinthispetition.  ! !  4 []0 otherreliefthatisnecessarytoresolvethisdomesticabuseproblem(listor  ` describewhatreliefisnecessary): L  ! !  4 ________ Petitioner'sinitials 󀀀 ~8   5. 4 INFORMATIONABOUTTHEPETITIONER(ME)  Z  0 4 (Ifyoudonotwanttherespondenttoknowyouraddressandphonenumber,donot F  includeitonthisform.Tellthecourtclerkthatyouneedaseparateform(Form4-961B)foryournameandaddressandrequestthattheclerkplaceyouraddressunderseal.), 4!4! ,̀ 4 [] A.0 IDONOTWANTRESPONDENTTOKNOWMYADDRESS  NOWORAFTERTHEHEARINGFORTHEFINALORDEROFPROTECTION.IHAVECOMPLETEDFORM4-961BANDGIVENITTOTHECOURTCLERK. L d ! !   4  OR- P - 4    < Ѐ 4 [] B.0 Myphysicaladdressis:________________________inthe[] n( County[]IndianCountryof__________________,StateofNewMexico.  ! !  4   Mymailingaddressis: 4   ________________________________________(streetaddress)    4   ________________________________________(cityandzip) !  4   Mytelephonenumbersare:̀ 4   Home0 < 0<!<!0!!Work D 0!!0!!Message  %L #!!  4   ________________  ________________  __________________ ~&8!$ Ѐ 4  j'$"%  4 ________ Petitioner'sinitials 󀀀 V(#&  6. 4 LOCATIONOFRESPONDENT  2*$( L Rʽ((VL 4 A.0 Respondentmaybefoundat: ,&* ! !  4 ______________________________(address) F  4 ______________________________(city)   4 ______________________________(stateandzipcode)  0 4 ______________________________(ifinIndianCountry,pleasenametribeor   pueblo).. t4!4! . 4 Respondent's:#@X mXXQX m#QX mXX@X m  L   4 ______________________________(dateofbirth) ~8   4 ______________________________(hometelephonenumber) V   4 ______________________________(workaddress) .   4 ______________________________(worktelephonenumber).   4 B. Isrespondentinjail?[]yes[]no   4 ________ Petitioner'sinitials 󀀀 p ̀ @cc-OATHOFPETITIONER  ~8  4 ISWEARORAFFIRMUNDERPENALTYOFPERJURYTHATTHE j$ FACTSSETFORTHABOVEARETRUETOTHEBESTOFMYINFORMATIONANDBELIEF.  B Ѐ_____________________________0  0!!__________________________________#@X mXXQX m'#QX mXX@X m !! Date 4   0 < 0<!<!0!!Signatureofpetitioner󀀀 L #@X mXXQX m+#QX mXX@X m !!  @ 'OATHOFLAWENFORCEMENTOFFICER/ #p! / Iswearoraffirmunderpenaltyofperjurythatthefactssetforthabovearetruetothebestofmyinformationandbelief.IunderstandthatitisacriminaloffensesubjecttothepenaltyofimprisonmentifImakeafalsestatementinthispetition.̀_____________________________0  0!!__________________________________#@X mXXQX m,#QX mXX@X m>)#'!! Date 4   0 < 0<!<!0!!Signatureoflawenforcementofficer @( #@X mXXQX m.#**$(!! ̀  ,&* _@2 USENOTES  2 1. 4 Completeallinformationknownbytheofficer.  0 4  Section40-13-3.1(A)(4)_NMSA_Ԁ1978providesthatthepetitionerina   domesticabusecaseshallnotberequiredtopayforthe%$FI$%&filing,issuanceorserviceofapetitionforanorderofprotection.& 4!4! [Approved,effectiveNovember1,1999untilJuly1,2001;asamended,effectiveAugust29,2000;approved,effectiveMay1,2001;asamendedbySupremeCourtOrderNo.088300  ` 40,effectiveDecember15,2008.]