Get Statement Of Indigency - State Of New Mexico

Filling out the Statement of Indigency is an important step for drivers seeking to waive the $25 fee for a hearing regarding the revocation of their driver's license. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently while facilitating your online process.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering your personal information in the specified fields, including your name, date of birth, address, Social Security number, city, marital status, state, number of dependents, and case number from the Notice of Revocation.
3. Decide whether you qualify under Part One or Part Two. If you are currently receiving public assistance, complete only Part One. If you do not receive public aid, fill out Part Two.
4. In Part One, check the applicable boxes to indicate which public assistance you receive, or confirm you have been assigned a public defender.
5. In Part Two, provide details regarding your financial status. Start with your federal adjusted gross income for the most recent tax year, along with the total amount.
6. List your total assets, including cash on hand, bank accounts, real estate, vehicles, and others. Calculate and enter the total amount of your assets.
7. Note any extraordinary expenses that impact your financial condition. This includes medical expenses, court-ordered child support, and childcare payments. Enter these values and calculate the total.
8. Calculate your total available funds by subtracting the total exceptional expenses from your total resources.
9. Refer to the eligibility table provided to determine if your total available funds qualify you for the waiver based on your household size.
10. Finally, declare the accuracy of your information by signing and dating the form, ensuring your understanding that false information can have legal consequences.
11. Once completed, review the document for accuracy, then save your changes, download, print, or share the form as needed for submission.

Complete your statement online today to ensure a smooth process for your hearing request.