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Affidavit (Elderly Or Disabled Tenants Affidavit To Remain On Leased Premises 30 Days) Form. This is a Nevada form and can be use in Clark County.
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Tags: Affidavit (Elderly Or Disabled Tenants Affidavit To Remain On Leased Premises 30 Days), Nevada County, Clark
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
JUSTICE COURT, LAS VEGAS :TOWNSHIP
JUDICIAL SUBPOENA
Plaintiff(s)
CLARK COUNTY, NEVADA
-against-
:
TENANT:
_____________________________ )
:
)
_____________________________ )
:
)
Defendant(s)
ADDRESS: _____________________________ )
:
......................................................
)
_____________________________ )
)
_____________________________ )
THE PEOPLE OF THE STATE OF NEW YORK
)
TO
PHONE #:
__________________
)
IN THE MATTER OF
)
TENANT’ REQUEST
S
)
TO CONTINUE IN
vs.
)
POSSESSION (ELDERLY OR
GREETINGS:
)
DISABLED TENANTS ONLY)
)
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
__________________________________. at the )
Case No._____________________
,
the Honorable
Court
LANDLORD located at
)
Dept. No. ________
County of
in room
, on the
day of
, 20 ) , at
o'clock in the
noon, and at any recessed
or__________________________________________)in this action on the part of the
adjourned date, to testify and give evidence as a witness
AFFIDAVIT
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
The above named Tenant, subpoena duly sworn, a maximum penalty
the party on whose behalf thisbeing firstwas issued fordeposes and says: of $50 and all damages sustained as a
result of your failure to comply.
(A) Please check the appropriate box below:
Witness, Honorable
Court in
County,
, one of the Justices of the
The length of my lease agreement with Landlord is based on the following:
day of
, 20
[ ]
The lease is indefinite with no specific expiration date.
[ ]
(Attorney
The lease is based on monthly rental payments. must sign above and type name below)
[ ]
The lease is based on weekly rental payments.
Attorney(s) for
NOTE: If you have a weekly tenancy, you are not eligible to
request any extension of time pursuant to this application.
[ ]
The lease is based on the following: _____________________________
Office and P.O. Address
____________________________________________________________
1
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
:
(B) Please check the appropriate box(es) below:
Plaintiff(s)
-against-
I am:
[ ]
Calendar No.
JUDICIAL SUBPOENA
:
:
60 years of age or older, as shown by sufficient proof attached to this Application.
:
Defendant(s)
[ ]
Physically or mentally disabled, as shown by sufficient proof attached to this
:
. . . . . . . . . . . . . . .Application.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
..........
THE PEOPLE OF THE STATE OF NEW YORK
(C) Please check the appropriate box(es) below:
TO
[ ]
GREETINGS:
I have provided Landlord with a written request to continue in possession for an
additional 30 days, and I have provided Landlord with sufficient proof of my age
and/or disability, but Landlord refused to provide any extension of time.
[ ]
I have not provided Landlord with a written request to continue each of you attend
WE COMMAND YOU, that all business and excuses being laid aside, you andin possession for before
have
,
the Honorable an additional 30 days, and/or I at the not provided Landlord with proof of my age
Court
and/or disability. NOTE: If this box is checked, you are not eligible to
located at
County of
request any extension of time, pursuant to thiso'clock in the
application.
in room
, on the
day of
20
, at
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Based on the above, I therefore request that the Court order Landlord to allow me to
remain in possession for an additional 30 days.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
DECLARATION (Per NRS 53.045):
(Attorney must sign above and type name below)
"I declare under penalty of perjury under the law of the State of Nevada that the
foregoing is true and correct."
Attorney(s) for
Executed on
___________________
___________________________________
(Date)
(Signature)
Office and P.O. Address
2
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
