9-211

[For use with District Court Rule 5-209,

Magistrate Court Rule 6-207,

Metropolitan Court Rule 7-207 and

Municipal Court Rule 8-206]

STATE OF NEW MEXICO

[COUNTY OF___________________]

[CITY OF_____________________]

__________________________ COURT                              No. ___________

[STATE OF NEW MEXICO]

[COUNTY OF __________________]

[CITY OF ____________________]

v.

________________________________, Defendant

                                                AFFIDAVIT FOR BENCH WARRANT

            The undersigned, being duly sworn, on his oath, states that he has reason to believe that on or about the ______ day of _________________, ______, in the [County] [City] of ___________________, State of New Mexico, the above-named person:

(check appropriate box or boxes)

[ ]        failed to appear at the time and place ordered by this court

[ ]        failed to appear as required by a subpoena issued by this court

[ ]        failed to appear in accordance with the conditions of release imposed by this court

[ ]        should appear for review of conditions of release previously imposed

[ ]        failed to pay fines or costs previously imposed

[ ]        failed to comply with conditions of probation

[ ]        ________________________________ (describe contempt)

            The undersigned further states the following facts on oath to establish probable cause to believe that the above-named person: ________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

(set forth facts in support of affidavit including any hearsay relied upon)

                                                            ___________________________

                                                            Affiant's name (print/type)

                                                            _____________________________

                                                            Signature of affiant

                                                            _____________________________

                                                            Official title (if any)

Subscribed and sworn to

before me in the above-named

[county] [city] of the

State of New Mexico this ___

day of _______________, ______

______________________________

Judge, Notary or Other Officer

Authorized to Administer Oaths

NOTE: This form is needed only if the judge does not have personal knowledge of the failure to appear or do the thing ordered.

[As amended, effective January 1, 1996.]