Form 4-956 NMRA. — Certificate of service; expungement of records upon conviction.

[For use with District Court Rule 1-077.1 NMRA]

STATE OF NEW MEXICO COUNTY OF _________________________ _______________ JUDICIAL DISTRICT COURT

In re _________________________________, No. _____________ Petitioner.

CERTIFICATE OF SERVICE (Required for Petitions filed under Section 29-3A-5 NMSA 1978 (Expungement of Records upon Conviction))

I hereby certify that on the ______ (day) of _______ (month) _______(year), an endorsed copy of the Petition to Expunge New Mexico Arrest Records and Public Records under Section 29-3A-5 NMSA 1978, filed on ________________(date), and this Certificate of Service were mailed via first-class United States mail to:

 The New Mexico Department of Public Safety P.O. Box 1628, Santa Fe, New Mexico 87504-1628

 The district attorney in the _______________Judicial District __________________________________________________ (Address)

 The law enforcement agency that arrested Petitioner __________________________________________________ (Address)

 Petitioner is pro se OR  Petitioner is represented by counsel I, Petitioner, declare under penalty of perjury under the laws of the State of New Mexico that the statements herein are true and correct. _____________________________________ ___________________________________ Petitioner Printed Name Attorney Printed Name _____________________________________ ___________________________________ Petitioner Address Attorney Address _____________________________________ ___________________________________ Attorney Telephone Number _____________________________________ ___________________________________ Petitioner Telephone Number _____________________________________ ___________________________________ Date of Signature Petitioner Signature _____________________________________ ___________________________________ Attorney Signature Date of Signature USE NOTES

This certificate of service must be filed with the district court.

[Provisionally adopted by Supreme Court Order No. 21-8300-033, effective for all cases pending or filed on or after January 28, 2022; provisionally adopted form approved by Supreme Court Order No. S-1-RCR-2024-00099, effective for all cases pending or filed on or after December 31, 2025.]