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New Mexico Domestic Relations Information Sheet

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New Mexico Domestic Relations Information Sheet
4A-101A. Domestic relations information sheet.
DOMESTIC RELATIONS INFORMATION SHEET
(for self-represented people)
________________________________________________________________________
THIS SECTION FOR OFFICIAL USE ONLY
1
Case number: __________ Assigned judge: ____________
________________________________________________________________________
The following information is required by New Mexico law and federal law for
child support enforcement. The information also is needed to identify and keep
up with your case. If child support is not paid, this information will help the court
get the money for your child(ren).
1. Information regarding petitioner and respondent. (Look at the paperwork you are
giving to the court to see who is listed at the top as petitioner and respondent. Use a separate
sheet if necessary.)
Petitioner Respondent
Name: ___________________________ Name: ____________________________
(Last name, first, middle)(Last name, first, middle)
Other names (e.g. maiden name): Other names (e.g. maiden name):
_________________________________ ___________________________________
Address: __________________________ Address: __________________________
City: _____________________________ City: _____________________________
State: ____________________________ State: ____________________________
Zip code: _________________________ Zip code: _________________________
Date of birth: _____________________ Date of birth: ____________________
Social Security number
2
: ____________ Social Security number
2
: _____________
2. Parties’ minor children. (Provide the date of birth and social security number for each
minor child, if any. Use a separate sheet if necessary.)
Name: ________________________ Name: _____________________________
(Last name, first, middle)(Last name, first, middle)
Date of birth: ______________________ Date of birth: _______________________
Social Security number: ______________ Social Security number: _______________
Name: ___________________________ Name: _____________________________
(Last name, first, middle)(Last name, first, middle)
Date of birth: _____________________ Date of birth: _______________________
Social Security number: _____________ Social Security number: _______________
Has any court made an order for child support ___Yes ___No
Has any court changed the amount of child support you requested ___Yes ___No
If your answer is “Yes” to either question, what state and what court are they located in
New Mexico Domestic Relations Information Sheet
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