v.

_________________________________, Defendant

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

2.    Defendant let plaintiff have possession of the premises under a rental agreement and the defendant is now in default under the terms of such agreement, as follows:
    ______________________________________________________
    _____________________________________________________.

3.    Defendant owes plaintiff damages as may be determined by the court.

4.    Plaintiff delivered written notice of breach of the rental agreement to defendant on _______________, ______, (date) and defendant has failed to remedy the breach. (A copy of the notice is attached as Exhibit A.)

5.    Defendant holds $ _____________ of plaintiff's money 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.    The return of $ __________ of the plaintiff's money being held by the defendant;

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

[Rule 10-406 SCRA 1986; as amended, effective September 2, 1997.]