1 2 3 4 CC12 Name: Address: City/State/ZIP: Telephone: Plaintiff/Defendant DISTRICT COURT CLARK COUNTY NEVADA 5 6 7 8 9 10 CASE NO. Plaintff(s), 11 DEPT. NO. -vs- 12 13 Defendant(s). 14 15 JOINT PRELIMINARY INJUNCTION (DOMESTIC) 16 17 18 19 20 NOTICE! THIS INJUNCTION IS EFFECTIVE UPON THE PARTY REQUESTING SAME WHEN ISSUED AND AGAINST THE OTHER PARTY WHEN SERVED. THIS INJUNCTION SHALL REMAIN IN EFFECT FROM THE TIME OF ITS ISSUANCE UNTIL TRIAL OR UNTIL DISSOLVED OR MODIFIED BY THE COURT. DISOBEDIENCE OF THIS INJUNCTION IS PUNISHABLE BY CONTEMPT. 21 TO: Plaintiff and Defendant: 22 23 24 YOU, AND ANY OFFICERS, AGENTS, SERVANTS, EMPLOYEES OR A PERSON IN ACTIVE CONCERT OR PARTICIPATION WITH YOU, ARE HEREBY PROHIBITED AND RESTRAINED FROM: 25 1. Transferring, encumbering, concealing, selling or otherwise disposing of any 26 of your joint, common or community property of the parties or any property which is 27 the subject of a claim of community interest, except in the usual course of business 28 or for the necessities of life, without the written consent of the parties or the permission of the court. 1 Joint_Prelim_Injunct_Ed.doc/7/31/2008 American LegalNet, Inc. www.FormsWorkflow.com 1 2. 2 assault or battery on the person of the other party or any child, step-child or any 3 other relative of the parties. 4 3. 5 an intent or effect to deprive the court of jurisdiction as to the child without the 6 prior written consent of all the parties or the permission of the court. Molesting, harassing, stalking, disturbing the peace of or committing an Removing any child of the parties then residing in the State of Nevada with 7 8 EDWARD A. FRIEDLAND, CLERK OF THE COURT 9 By:__________________________________________ Deputy Clerk (Date) 10 11 Family Court and Services Center 601 N. Pecos Road Las Vegas, NV 89101 12 13 14 Submitted By: 15 16 17 18 19 20 ______________________________________________ (Signature) Name:_____________________________ Address:___________________________ City/State/Zip:_______________________ Telephone:__________________________ Attorney for:_________________________ 21 22 23 24 25 26 27 28 2 Joint_Prelim_Injunct_Ed.doc/7/31/2008 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 AFFIDAVIT OF SERVICE STATE OF ________________) )ss: COUNTY OF_______________) 4 5 6 ________________________, being duly sworn, says: That all time herein affiant was and is over 18 years of age, not a party to nor interested in the proceeding in which 7 this affidavit is made. That affiant received a copy of the Joint Preliminary Injunction on 8 9 10 11 12 the _____ day of _________________, 20________ and served the same on the _____ day of ____________________, 20_____ by: (Affiant must complete the appropriate paragraph) 1. Delivering and leaving a copy with the Plaintiff/Defendant ____________________ 13 14 15 16 17 at (state address) ___________________________________________________ __________________________________________________________________ 2. Serving the Plaintiff/Defendant ___________________________________ by personally delivering and leaving a copy with ______________________________ 18 a person of suitable age and discretion residing at the Plaintiff/Defendant=s usual 19 20 21 place of abode located at (state address) ________________________________ __________________________________________________________________ 22 23 Signature of person making service 24 25 26 27 SUBSCRIBED AND SWORN to before me this day of , 20 . ________________________________________ NOTARY PUBLIC in and for said County and State 28 3 Joint_Prelim_Injunct_Ed.doc/7/31/2008 American LegalNet, Inc. www.FormsWorkflow.com