Affidavit of Violation of a Restraining Order

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THIRD JUDICIAL DISTRICT COURT
COUNTY OF DOŅA ANA
STATE OF NEW MEXICO
Petitioner, vs. Respondent, No: AFFIDAVIT OF VIOLATION OF RESTRAINING ORDER Date The undersigned, upon oath, states: The Respondent's physical address is: The Respondent's work address is: The Respondent's work hours and phone # I SWEAR OR AFFIRM UNDER PENALTY OF PERJURY THAT THE FACTS SET FORTH ABOVE ARE TRUE TO THE BEST OF MY INFORMATION AND BELIEF. I UNDERSTAND THAT IT IS A CRIMINAL OFFENSE SUBJECT TO THE PENALTY OF IMPRISONMENT TO MAKE A FALSE STATEMENT IN A SWORN DOCUMENT. Affiant's Signature (address & phone) ===================================================================== Reviewed by _____________________________ Date_______________________ No Action Taken: _________________________ Referred to Special Commissioner ________ Referred to District Judge: __________________ Set for Hearing ______________________




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Created on: March 10, 1999
Last Modified:


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