4-904

[Sections 47-8-42 and 47-8-46 NMSA 1978]

STATE OF NEW MEXICO
___________________ COURT

No. __________

___________________ COUNTY

__________________________________, Plaintiff

v.
__________________________________, Defendant

PETITION BY OWNER FOR RESTITUTION

(Uniform Owner-Resident Relations Act)


The plaintiff, alleges:

1.    Plaintiff is lawfully entitled to possession of the premises located at1:
    ______________________________________________
    ______________________________________________
    ________________________, New Mexico _________

2.    Defendant entered into possession of the premises under a rental agreement and has breached the terms of the agreement, as follows: ____________________________
    _______________________________________________________
    
3.    Plaintiff gave written notice of
        [ ] termination
        [ ] breach of the rental agreement
    to defendant on _________________, ____ (date), and defendant has failed to remedy the breach.
    A copy of the written notice is attached as Exhibit B.

(check and complete if applicable)
[ ]    4.    Defendant is indebted to plaintiff in the sum of $_____________ for unpaid rent, plus $______________ rent per day to date of restitution, plus damages as determined by the court.

[ ]    5.    Plaintiff holds $___________ of defendant as a damage deposit under the rental agreement.

[ ]    6.    Plaintiff requests separate trials on the issues of restitution and damages.

Plaintiff requests judgment against defendant, as follows:

1.    Immediate possession of the premises;

2.    Unpaid rent of $_____________ plus $__________ per day to date of restitution;

3.    Damages as may be determined by the court;

4.    Costs of this action;

5.    Reasonable attorneys fees;

(check only if applicable)

[ ]    6.    A civil penalty as provided by law;

7.    Such other relief as the court may deem reasonable.

Dated: ____________________

                    ________________________________
                    Signed

                    ________________________________
                    Name (print)

                    ________________________________
                    Address (print)

                    ________________________________
                     City, state and zip code (print)

                    ________________________________
                    Telephone number

USE NOTE

    1.    If the leased premises is an apartment, include the name of the apartments and the apartment number.

    2.    The owner must bring a copy of any written rental agreement to court for the hearing on the petition for restitution.

[Former Rule 4-905 SCRA 1986; recompiled as Rule 4-904 and amended, effective September 2, 1997; April 6, 1998.]