Form 4-960.3 NMRA. — Affirmation in support of expungement; 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.

AFFIRMATION IN SUPPORT OF EXPUNGEMENT (Upon Conviction)

I, __________________________, (Petitioner name), am requesting the expungement of records under Section 29-3A-5 (2019) NMSA 1978 (Expungement of Records upon Release upon Conviction), and hereby affirm the following:

1.  No charge or criminal proceeding is pending against me in any state or federal court in the United States.

OR

 The following charge(s) or criminal proceeding(s) are pending against me in New Mexico state court: ______________________________________________________________

______________________________________________________________  The following charge(s) or criminal proceeding(s) are pending against me in another state court: ______________________________________________________________

______________________________________________________________

 The following charge(s) or criminal proceeding(s) are pending against me in federal court: ______________________________________________________________

______________________________________________________________

AND

2.  I have had no criminal convictions against me in the last ten (10) years.

OR

 The most recent criminal conviction against me was: (Provide date of conviction, jurisdiction, case number, offense of conviction, and the date you finished serving your sentence for the conviction)

______________________________________________________________

______________________________________________________________

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 Signature) (Print Name) _____________________________________________________________________ Street Address City State Zip Code ___________________________________ (Telephone)

[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 as amended by Supreme Court Order No. S-1-RCR-2024-00099, effective for all cases pending or filed on or after December 31, 2025.]