Custody Plan Template - State Of New Mexico Page 6
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7When I sign here, I am telling the judge under oath and penalty of perjury that I have read
this document, that I agree with everything in it, and that the statements in it are true and correct to
the best of my knowledge and belief.
________________________________
________________________________
Father’s signature
Mother’s signature
Mailing address: __________________
Mailing address: __________________
________________________________
________________________________
Physical address: __________________
Physical address: __________________
________________________________
________________________________
Telephone:_______________________
Telephone:_______________________
STATE OF NEW MEXICO
)
COUNTY OF _____________
) ss
Acknowledged, signed and sworn to before me this _____ day of _____________, _____ by
______________________, the father.
________________________________
Notary public
My commission expires: _______________________.
STATE OF NEW MEXICO
)
COUNTY OF _____________
) ss
Acknowledged, signed and sworn to before me this _____ day of _____________, _____ by
______________________, the mother.
________________________________
Notary public
My commission expires: _______________________.
Approved by the District Court
___________________
_____________________________________
Date
District Court Judge
USE NOTE
1.
A custody plan must be filed in every dissolution of marriage case if the parties have
minor children or a child under nineteen years of age who is attending high school. For more
information about filling out this form, see Form 4A-300 NMRA.
2.
The parties should understand the difference between the rights and obligations of
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