Notice Of Peremptory Excusal Form – Fill Out and Use This PDF

TWELFTH JUDICAL DISTRICT COURT

STATE OF NEW MEXICO

COUNTY OF _________________

Petitioner,

vs.	Cause No.:____________________________________

Respondent.

NOTICE OF PEREMPTORY EXCUSAL

(choose only one of the Judges below with an (⨯))

The Judge assigned to my case is  Judge Jerry Ritter		 Judge James Waylon Counts
 Judge Karen Parsons	 Judge Angie Schneider	 Other______________________________

I am exercising my right to excuse the above marked Judge from presiding over my case.

and (choose only one  below with an (⨯))

I am exercising this right no later than 10 days after they were assigned to my case.

I am exercising this right no later than 10 days after I filed my paperwork & I am the responding party.

I am exercising this right no later than 10 days after my case was re-assigned to the above marked Judge.

I am exercising this right no later than 10 days after I filed a motion to reopen my case.

Respectfully Submitted By:

_______________________________________________

Signature

_______________________________________________

Address

_______________________________________________

City, State, Zip Code

_______________________________________________

Phone Number