[2-702, 3-702]

STATE OF NEW MEXICO
IN THE __________________ COURT No. _________.
_________________________ COUNTY

_________________________________, Plaintiff

against

_________________________________, Defendant

    Plaintiff requests the court to enter a default judgment and in support of this request, plaintiff states as follows:

[ ]    The complaint in the above described case was filed on the _____ day of __________________, _______ (date).

[ ]    Service of a copy of summons, complaint and answer form in this case made on defendant(s)
    on the ____ day of _________________, ______;
    on the ____ day of _________________, ______; and
    on the ____ day of _________________, ______.

[ ]    The defendant(s) ___________________, _________________ and ___________________ (have) (has) not entered an appearance or filed an answer or other responsive pleading to the complaint.

[ ]    The return of service was filed with this court on the ____ day of __________________, ______.

    The plaintiff requests the court to enter judgment for the following damages, costs and fees:

            Damages                 $________________
            Attorney fee
            (if allowable)            $________________
            Interest
            (if allowable)            $________________
            Filing fee            $________________
            Service fee            $________________
            Return fee            $________________
            Witness fees            $_________________
            Total Judgment            $_________________

                        ________________________________
                        Attorney for plaintiff

If the plaintiff is not represented
by an attorney, this motion must be
sworn to by the plaintiff.

    I, ______________________ , upon my oath or affirmation do solemnly declare or affirm that this motion contains a complete, accurate statement of the facts to the best of my knowledge. I understand that if I make a material misstatement of fact, I may be prosecuted and punished for perjury.

                ________________________________________
                Signature of plaintiff
                _________________________________________
                Signature of Judge, Notary or Other
                Officer Authorized to Administer Oaths
                ________________________________________
                Official title

My commission expires:
____________________________

(SEAL)