1 2 3 4 5 WAIV __________________________________ Name (Attorneys Include Bar No. & Firm) __________________________________ Address City/State/Zip __________________________________ __________________________________ Telephone __________________________________ In Proper Person OR Attorney for DISTRICT COURT 6 CLARK COUNTY, NEVADA 7 8 9 10 11 12 13 _________________________________ Plaintiff(s) _________________________________ _________________________________ Plaintiff(s), Case No. CASE NO.__________ -vsDefendant(s) _________________________________ _________________________________ _________________________________ Defendant(s). DEPT. NO.__________ Dept. No. 14 WAIVER OF SERVICE OF SUMMONS AND COMPLAINT 15 16 17 I, Name , Counsel for Defendant(s) or 18 Defendant(s) hereby acknowledge the existence of the above action and waive formal 19 service of Summons and Complaint on Defendant(s)____________________________ Name 20 21 22 23 24 _____________________________________________________________________. I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. EXECUTED this Day day of Month , 20 Yr. . 25 26 27 28 Name Address City/State/ZIP Telephone _ _ _ _ _ Waiver_of_Serv_Civil.doc/5/13/2005 American LegalNet, Inc. www.USCourtForms.com Nevada Rules of Civil Procedure (NRCP) 4 dictates how a Summons and Complaint must be served; however, service may be waived by the Defendant or by the Defendant=s attorney. The Acceptance of Service of Summons and Complaint must be completely filled out and filed with the Court. This form may be used if the Defendant has agreed and acknowledges that an action (lawsuit) has been initiated against him or her and the Defendant does not wish to be formally served with the Summons and Complaint. Waiver_of_Serv_Civil.doc/5/13/2005 American LegalNet, Inc. www.USCourtForms.com