9-305

[For use with District Court Rule 5-401,

Magistrate Court Rule 6-401,

Metropolitan Court Rule 7-401 and

Municipal Court Rule 8-401]

STATE OF NEW MEXICO

[COUNTY OF___________________]

[CITY OF_____________________]

__________________________ COURT                              No. ___________

[STATE OF NEW MEXICO]

[COUNTY OF __________________]

[CITY OF ____________________]

v.

________________________________, Defendant

                                    LIST OF OUTSTANDING BONDS,

                                    ENCUMBRANCES AND CLAIMS

Note: This list must be kept current and submitted when any bond is filed in District, Magistrate, Metropolitan and Municipal Courts.

1.         Property bondsman's name: ________________________

2.         License number: ________________________

3.         Bondsman's business address.

            ____________________________________________________

             (Street, City, State, zip code)

4.         Date of this list: ________________________

5.         Legal description of property securing bond (may be attached).

_____________________________________________________

            ______________________________________________________

6.         Outstanding encumbrances and claims, other than bonds, against property.

______________________________________________________

            ______________________________________________________

7.         Current outstanding bonds written against property.

Table

            I HEREBY CERTIFY UNDER PENALTY OF PERJURY that the above information is true and correct as of the above date.

                                                                        ___________________________

                                                                        Property Bondsman

[Adopted, effective January 1, 1987.]