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Affidavit Of Complaint Small Claims Form. This is a Nevada form and can be use in Clark County.
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Tags: Affidavit Of Complaint Small Claims, JC-15, Nevada County, Clark
Justice Court, Las Vegas Township
CLARK COUNTY, NEVADA
Name:
CASE NO.
Address:
AFFIDAVIT OF COMPLAINT
Plaintiff,
SMALL CLAIMS
---vs--Name:
Address:
Defendant,
STATE OF NEVADA
COUNTY OF CLARK
)
)
, being duly sworn, states: that the Defendant owes the Plaintiff the
sum of $
for
that demand for payment has been made; the Defendant refuses to pay; that the Defendant either resides, works or does business in the Las Vegas
Township, County of Clark, State of Nevada.
SUBSCRIBED AND SWORN to before me this
day of
,
PLAINTIFF
Phone Number:
NOTARY PUBLIC
Date:
OR: ONE OF THE FOLLOWING: Per NRS 53.045
(a) If executed in this state (Nevada):
“ declare under penalty of perjury that the foregoing is true and correct.”
I
Executed on
(Date)
(Signature)
(b) If executed outside of this state (Nevada): “ declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct.”
I
Executed on
(Date)
(Signature)
SUMMONS & ORDER TO APPEAR
NOTICE: YOU HAVE BEEN SUED. THE COURT MAY DECIDE AGAINST YOU WITHOUT YOUR BEING HEARD UNLESS YOU APPEAR ON THE
FOLLOWING DATE.
You are hereby, ordered to appear for trial on the Plaintiff’ claim at the Justice Court, Las Vegas Township located at:
s
CLARK COUNTY REGIONAL JUSTICE CENTER, 200 LEWIS AVE, LAS VEGAS, NV 89155.
ON
,
AT THE HOUR OF
COURTROOM NO. SEE COURT MONITOR
and present any defense you may have. You are
further notified that in the event you do not appear, Default Judgment will be given against you in the amount claimed due by the Plaintiff, which may
result in the garnishment of wages and the seizure of property. PLEASE BRING WITH YOU ALL WITNESSES, AN ORIGINAL AND 2 COPIES OF
ANY EVIDENCE, RECEIPTS OR BOOK, NECESSARY TO PROVE YOUR CASE.
APPROPRIATE COURTROOM ATTIRE REQUIRED. NO SHORTS, HALTER OR TANK TOPS
SHOES ARE REQUIRED. (NO FOOD OR DRINK PERMITTED) NO SMOKING IN THE COURTHOUSE
CHILDREN MUST REMAIN QUIET
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Justice Court, Las Vegas Township
CLARK COUNTY, NEVADA
AFFIDAVIT OF SERVICE
STATE OF NEVADA
COUNTY OF CLARK
)
) ss
)
, being duly sworn, states: that at all times herein Affiant was and is a citizen of the United
States, over 18 years of age, not a party to or interested in the proceedings in which this Affidavit is made. That Affiant received a copy of the
Affidavit of Complaint and Summons and Order to Appear on the
day of
the same on this
,
day of
,
, and served the
by:
(Affiant must complete the appropriate paragraph.)
1. Delivering and leaving a copy with the Defendant
at: (state address)
2. Serving the Defendant
by personally delivering and leaving a copy with
, person of suitable age and discretion residing at the Defendant’ usual place of abode
s
located at: (state address)
3. Personally depositing a copy in a mailbox of the United States Post Office, enclosed in a sealed envelope, postage prepaid, certified or registered
mail, return receipt requested, addressed to the Defendant at:
(For valid service a copy of the signed return receipt must be attached hereto).
SUBSCRIBED AND SWORN to before me this
day of
,
Signature of Person Making Service
Phone Number:
NOTARY PUBLIC in and for said County and State
Date:
OR: ONE OF THE FOLLOWING: Per NRS 53.045
(a) If executed in this state (Nevada):
“ declare under penalty of perjury that the foregoing is true and correct.”
I
Executed on
(Date)
(Signature)
(b) If executed outside of this state (Nevada): “ declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct.”
I
Executed on
(Date)
(Signature)
NOTATIONS:
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