FIVE-DAY NOTICE TO PAY RENT OR QUIT (NRS 40.253) TO: FROM: Tenant(s) Name(s) Landlord's Name Address Address City, State, Zip Code City, State, Zip Code Telephone Number Date of Service: PLEASE TAKE NOTICE that you are in default in payment of rent for the above - described premises in the sum of (insert total rent due) $ for the period (insert beginning date covered by rent due ) to (insert ending date covered by rent due) . Rental payment(s) became delinquent on (insert first date rent was due but not paid) Your failure to pay rent or vacate the premises before noon on the fifth judicial day1 following the Date of Service of this notice may result in your landlord applying to the Justice Court for an eviction order. If the court determines that you are guilty of an unlawful detainer, the court may issue a summary order for your removal or an order providing for your nonadmittance, directing the sheriff or constable to remove you within twenty-four (24) hours after receipt of the order. Pursuant to NRS 118A.390, you may seek relief if a landlord unlawfully removes you from the premises, or excludes you by blocking or attempting to block your entry upon the premises, or willfully interrupts or causes or permits the interruption of an essential service required by the rental agreement or chapter 118A of the Nevada Revised Statutes. YOU ARE HEREBY ADVISED OF YOUR RIGHT TO CONTEST THIS NOTI CE by filing an Affidavit (or Answer), no later than noon on the fifth judicial day 1 following the Date of Service of this notice, with the Justice Court for the T ownship of (insert name of township where property is located) , statin g that you have tendered payment or are not in default in payment of rent . The Justice Court is located at (insert Justice Court's address) : YOU CAN OBTAIN AN AFFIDAVIT/ANSWER FORM AND INFORMATION at the Civil Law Self-Help Center, located at the Regional Justice Center, downtown Las Vegas, or on its website, www.CivilLawSelfHelpCenter.org. DECLARATION OF SERVICE On (insert date of service) , I served this notice in the following manner (check only one): By delivering a copy to the tenant(s) personally, in the presence of a witness (server, witness, and tenant must all sign landlord's copy of notice); (Date) (Type or print name of witness) (Signature of witness) (Tenant222s signature) 227 OR 227 Because the tenant(s) was absent from tenant's place of residence or from tenant's usual place of business, by leaving a copy with (insert name) , a person of suitable age and discretion, at either place AND mailing2 a copy to the tenant(s) at tenant's place of residence or place of business; 227 OR 227 Because tenant's place of residence or business could not be ascertained, or a person of suitable age or discretion could not be found there, by posting a copy in a conspicuous place on the property, delivering a copy to a person there residing, if the person could be found, AND mailing2 a copy to the tenant(s) at the place where the property is situated. I declare under penalty of perjury under the laws of the State of Nevada that the foregoing is true and correct. (Date) (Type or print server222s name) (Server222s signature) 1 Judicial days do not include the date of service, weekends, or certain legal holidays. 2 If this manner of service is used, Landlord must file with the court a "certificate of mailing" issued by the United States Post Office per NRS 40.280(3). (Rev. 1.1, 10-14-2014) 251 2014 226 Civil Law Self-Help Center, Clark County, Nevada American LegalNet, Inc. www.FormsWorkFlow.com