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IU!   _@XKPXXXA _dXKPXX@XKPe=@KP@XXdd=_FIRSTJUDICIALDISTRICTCOURT 2 STATEOFNEWMEXICOCOUNTYOF_______________________ #@XKPXXdXKP#dXKPXX@XKP   Y_____Y______________________________  Petitioner    #@XKPXXdXKP#dXKPXX@XKP ÙUvs 4 0 0 ! !0< ! !0<!<!0!!0D!![0D!D!0!![No.]\d\]^D_______^____________ @  tD!D! Ѐ_____Z_____Z_________________________V,VW ~ L  WXXRespondentXX j8   #@XKPXXdXKP#dXKPXX@XKP 󀀀 V$  Ѐ@ " APPLICATIONTOMODIFY,TERMINATEORRENEW .  @7 7 !THEORDEROFPROTECTIONFROMDOMESTICABUSE    []Petitioner[]Respondentasksthecourt: 4 (checkandcompleteapplicablealternatives)  [] 4 tomodifytheprotectionorderasfollows:________________________________ p  4 ___________________________________________________________.   \  4 [] 4 toterminatetheprotectionorderbecause:__________________________ f4  4 _________________________________________________________.0 4  [] 4 torenewandextendtheprotectionorderforanadditional____________(days) >  (months)because:__________________________________________________ @!  4!4!  4 ______________________________________________________________.Theotherparty:[] 4 objectstotherenewal,modificationorterminationoftheprotectionorder. ! Ѐ[] 4 agreestotherenewal,modificationorterminationoftheprotectionorder. #l! Ѐ[] 4 hasnottoldmewhether(he)(she)objectsoragreestotherenewal,modificationor v%D # Ѐterminationoftheprotectionorder.  b&0!$ _ _8FXXdXXd8 _  _@/ VERIFICATION    STATEOFNEWMEXICO0 < 0<!<!0!!) D !! COUNTYOF_______________________0  ) D  !! TRIBEORPUEBLO______________  ) D    Ѐ 4 The(petitioner)(respondent)wasswornandstates:I,thePetitioner/Respondent,beingdulyswornuponmyoath,deposeandstatethatIamthePetitionerintheaboveentitledcauseandIhavereadthis #@X nXXdX#dXXX@X n applicationtomodify,terminateorrenewtheorderof j8  protectionfromdomesticabuse.#@X nXXdX #dXXX@X nIstatethatthecontentsthereofaretrueandcorrecttothe V$  bestofmyinformationandbelief.________________________________0  ___________________________________ @! . !! Date 4   0 < 0<!<!0!!Signatureofpartyfiling !!  4    <     thisapplication     #@X nXXdXQ#̀Signedandswornbeforemeonthis________dayof______________,__________. 4 ______________________________ 4 Notarypublic 4 Mycommissionexpires:______________________________.@, CERTIFICATEOFSERVICE  f4  4 Iherebycertifythatonthis____dayof______________,______thisapplication >  ЀwasmailedbyUnitedStatesmail,postageprepaid,andaddressedto:0 4 Name:0 4!4! __________________________________ ! ! 0 4 Address:0 4!4!__________________________________ ! ! 0 4 City,Stateandzipcode:__________________________________] 4!4! [or]0 4 faxedby________________________(nameofpersonwhofaxeddocument)to ! ______________________(nameofrecipient)at_________________(telephone "  number).Thetransmissionwasreportedascompleteandwithouterror.Thetime #l! anddateofthetransmissionwas________(a.m.)(p.m.)on_____________________(date).v%D #4!4! [or]emailedby__________________________(nameofpersonwhotransmitted)to N'"% Ѐ______________________(nameofrecipient)at_________________(electronic :(#& Ѐmailaddressofrecipient)whoagreedtoserviceinthismanner.Thetransmission &)#' Ѐwassuccessful.Thetimeanddateofthetransmissionwas_________(a.m.)(P.m.)πon_____________________(date).] *%) _ +&* Ѐ 4 0 0 ! !0< ! !0<!<!0!!_____________________________________2!!  4    <     Signatureofattorney L    4    <     _____________________________________ 4    <     Dateofsignature      Ifthisnoticewasservedbyapersonotherthananattorney,thefollowingmustalsobe   completedandfiledwiththecourt:󀀀     AFFIDAVITOFSERVICE   ` Ideclareunderpenaltyofperjurythatacopyofthisapplicationwasservedby[mail][fax][electronictransmission]asdescribedaboveonthis________dayof______________,__________. V$   4    <     ___________________________________ B   4   4    <     Signatureofpersonwhomadeservice 4 Subscribedandsworntobeforemethis________dayof______________,__________.  ________________________________________Judge,notaryorotherofficerauthorizedtoadministeroaths________________________________________Officialtitle zH [Approved,effectiveNovember1,1999untilJuly1,2001;approved,effectiveMay1,2001; R  asamendedbySupremeCourtOrderNo.08830040,effectiveDecember15,2008.]