4-213.

[1-099]

STATE OF NEW MEXICO
__________________ COUNTY
__________________ JUDICIAL DISTRICT

_____________________________,
                                                                                 No.    _____________
v.
                                Judge: ____________

_____________________________,

ATTORNEY'S CERTIFICATE

    I, __________________, attorney for __________________, certify pursuant to Rule 1-011 NMRA that no fee is required by Rule 1-099 NMRA because the attached paper is:
    1.    [ ]    being filed within ninety (90) days of the disposition;
    2.    [ ]    requesting action which may be performed by the clerk of the court or seeking to correct a mistake in the judgment or record filed;
    3.    [ ]    requesting entry of a stipulated order;
    4.    [ ]    seeking only enforcement of a child support order;
    5.    [ ]    being filed by an entity exempt by law from paying a docket fee.
                    ___________________________________
                    Attorney's signature

                    ___________________________________
                    Attorney's name

                                                                     ___________________________________
                    Address

                    ___________________________________

                    ___________________________________
                    Telephone number

IF THE REQUIRED FEE IS NOT PAID, THE CASE WILL BE CLOSED WITHOUT DISPOSITION OF PENDING MATTERS UNTIL PAYMENT IS MADE.

________________________________
FOR CLERK'S USE ONLY

Fees Paid: [ ] Yes [ ] No [ ] Check [ ] Cash

                    Clerk: ________________________

[Approved, effective August 1, 2001.