[3-201]

STATE OF NEW MEXICO
IN THE _________________ COURT             No. ___________
_________________________ COUNTY

_____________________________________, Plaintiff

against

_____________________________________, Defendant

    1.    Plaintiff or defendant resides, or may be found in, or the cause of action arose in this county.

    2.    Plaintiff claims from defendant the amount of $__________. Plaintiff also claims interest and court costs.

    Plaintiff claims from defendant personal property of the value of $____________ , which is described as follows: _______
_______________________________________________________________
_______________________________________________________________

    3.    Plaintiff's claim arises from the following event or transaction: _________________________________________________
______________________________________________________________
______________________________________________________________

    4.    Trial by jury is (not) demanded. (If a jury is demanded, an additional cost must be paid upon filing.)

    5.    An audio recording of the trial is (not) demanded. (If you do not request an audio recording, your right to appeal may be limited.)
_________________, ________.

                ________________________________________
                Signed
        ________________________________________
                Name (print)
                ________________________________________
                Address (print)
                ________________________________________
                City, state and zip code (print)
                ________________________________________
                Telephone number