STATE OF NEW MEXICO
IN THE ___________________ COURT
__________________________ COUNTY

__________________________________, Plaintiff

v.

__________________________________, Defendant

         NOTICE OF DISPUTE AND REQUEST FOR HEARING1

1. Assigned Judge: ____________________________________

2. [Execution proceeding] [Garnishment proceeding]2

The judgment [creditor disputes the following claimed exemptions] [debtor disputes the following]2 and requests a hearing be held on this dispute:

    _______________________________________________

    _______________________________________________

    _______________________________________________

                    __________________________________
                    Judgment creditor or attorney

        (Requesting party shall attach a separate sheet listing the name, firm, capacity, address, and telephone number of each party entitled to notice and a stamped, addressed, plain (without return address) envelope for each party entitled to notice.)

    A hearing is scheduled on the [disputed claims of exemption] [dispute]2 described above before the Honorable ____________________, at the ________________ court located at _______________ on _____ the ____ day of ________________, 19_____, at the hour of ____.m.

____________________, 19____,        ____________________________
                            Judge

    1.    A hearing must be held within 10 business days of the filing of this form. The clerk will file the request for hearing and endorse the copy for the assigned judge. The court shall give notice of the hearing on the disputed claim of exemption by mailing a copy of this form to the judgment debtor, judgment creditor and the garnishee, if any.)

    2.    Use applicable alternative.

[Adopted, effective January 1, 1996.]