Justice Court, Las Vegas Township CLARK COUNTY, NEVADA -vs- ) ) PLAINTIFF ) ) ) ) ) ) DEFENDANT ) CASE NO: ____________________________ NOTICE OF APPEAL The In the above entitled matter appeals to the District Court, Clark County, Nevada, from the judgment entered on the Day of , 20 In the above Entitled Court. DATE: Appellant ______________________________________ (Type Address) ______________________________________ CERTIFICATION OF MAILING The Undersigned certifies that on the Day of , 20 Of Appeal was mailed to , a copy of the foregoing Notice at By depositing a copy in the United States Mail in an addressed sealed envelope, Postage prepaid. DATE: Name JC-12(Civil) Rev. 07/01 American LegalNet, Inc. www.USCourtForms.com