JUSTICE COURT , HENDERSON TOWNSHIP CLARK COUNTY, NEVADA Owners Name: Business Name/DBA: Agents Name: CASE NO. Address: DEPT NO. AFFIDAVIT OF COMPLAINT Plaintiff/Landlord, - vs - FOR SUMMARY EVICTION Name: OTHER THAN Address: NON-PAYMENT OF RENT Defendant/Tenant. , being first duly sworn, (or) under penalty of perjury, deposes states: and He/she is either the landlord or agent for the landlord, at the prem an ises located within Henderson Township, County of Clark, State of Nevada, and situated at: 2. THAT THERE EXISTS A RENTAL AGREEMENT BETWEEN THE ABOVE NAMED LANDLORD AND TENANT WHICH COMPLIES WITH THE REQUIREMENTS OF CHAPTER 118-A OF N.R. S. 3. The tenancy commenced on . The amount of periodic rent is $ per . The tenant paid a rent deposit of $ a security deposit of and a cleaning deposit of . 4. That the reason for the SUMMARY EVICTION is 5. That as such landlord or agent for the landlord, has caused written Day Notice and Daytice No to be served on the tenant in accordance with NRS 40.250. A copy having been served on the tenant(s) on and . WHEREFORE, Affiant prays that the Court enter an ORDER, summarily, ordering eviction of said Defendant/Tenant(s) from the premises and the that the Constable of Henderson Township, Clark County be ordered to remove the Defendant/Tenant(s) within twentyour (24) hours after receipt of Court Order. -f Signature Address Phone Number City/ State/ Zip Code DECLARATION UNDER PENALTY OF PERJURY PER NRS 53.045: I declare under penalty of perjury that the foregoing is true and correc t. Date S ignature JC Henderson Rev. 04/05