1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 CASE NO._____________ IN THE JUSTICE’S COURT OF NEW RIVER TOWNSHIP COUNTY OF CHURCHILL, STATE OF NEVADA ________________________________, Plaintiff, ________________________________ ________________________________, Address vs. AFFIDAVIT OF COMPLAINT AND ORDER ________________________________, Defendant. ________________________________ ________________________________. Address _______________________________________/ _________________________________, being first duly sworn, deposes and says: That the defendant is indebted to the plaintiff in the sum of $__________________, plus costs; that the reason for this indebtedness is____________________________________________________ ________________________________________________________________________; that this affiant has demanded payment of the sum; that the defendant refuses to pay the same; that one or more of the defendants is a resident of, does business in, or is employed in New River Township, in the County of Churchill, State of Nevada; that affiant resides at the above address. 16 __________________________________ Plaintiff – Affiant 17 Subscribed and Sworn to before me this ________ day of ____________________, ________. 18 __________________________________ Judge/Clerk of Justice Court or Notary 19 20 21 22 23 24 25 ORDER The State of Nevada to the within-named Defendant, Greetings: You are hereby ordered to appear for trial and to be prepared to answer the within and foregoing claim at the Justice Court, 71 N. Maine Street, Fallon, Nevada, on the _______ day of _____________________, ______, at the hour of ________________ and to establish your defense against said claim. You are further notified that in the event you do not appear, judgment will be given against you for the amount of claim as stated in the above affidavit of complaint. Dated: This __________ day of ______________________, ________. __________________________________ Judge/Clerk of Justice Court American LegalNet, Inc. www.FormsWorkFlow.com