Justice Court, Las Vegas Township CLARK COUNTY, NEVADA PLAINTIFF vs. DEFENDANT ) ) ) ) ) ) ) ) ) CASE NUMBER: SUMMONS NOTICE: YOU HAVE BEEN SUED. THE COURT MAY DECIDE AGAINST YOU WITHOUT YOUR BEING HEARD UNLESS YOU RESPOND WITHIN 20 DAYS.1 READ THE INFORMATION BELOW. TO THE ABOVE-NAMED DEFENDANT: You are hereby summoned and required to serve upon Plaintiff’s attorney, whose address is set forth below, an Answer to the Complaint which is herewith served upon you, within 20 days after service of this Summons upon you, exclusive of the day of service. If you fail to do so, judgment by default will be taken against you for the relief demanded in the Complaint.2 ___________________________________________________________________________________________ * If you intend to defend this lawsuit, within 20 days after this Summons is served on you, exclusive of the day of service, you must do the following. a. File with the Clerk of the Court, whose address is shown below, a formal written response (Answer) to the Complaint in accordance with the rules of the Court. A $33.00 filing fee is required, or you must file an Application to Proceed In Forma Pauperis and request a waiver of the fee. b. Serve a copy of your response upon the attorney whose name and address is shown below. * Unless you respond, your default will be entered upon application of the Plaintiff, and this Court may enter judgment against you for the relief demanded, which could result in the taking of money or property or other relief. * If you intend to seek the advice of an attorney, you should do so promptly so that your response will be timely. Issued at the direction of: ___________________________________________________ Attorney’s Signature Attorney’s Typed Name Attorney For: ___________________________________________________ Name ___________________________________________________ Address ___________________________________________________ Telephone Number By: ___________________________________________________ DEPUTY CLERK DATE Justice Court, Las Vegas Township Regional Justice Center 200 Lewis Avenue PO Box 552511 Las Vegas, NV 89155-2511 APPROPRIATE COURTROOM ATTIRE AND SHOES ARE REQUIRED. NO SHORTS, HALTER TOPS, TANK TOPS, FOOD, OR DRINK ARE PERMITTED. 1 2 Notwithstanding the above, the State of Nevada, its political subdivisions, agencies, officers, employees, board members, commission members, and legislators, each have 45 days after service of this Summons within which to file an Answer to the Complaint. When service of the Summons is made by publication, the Summons shall, in addition to any special statutory requirements, also contain a brief statement of the object of the action substantially as follows: “This action is brought to recover a judgment for the sum of (indicate dollar amount), due and owing,” or as the case may be. (JCRCP 4(b)). JC-5 (Civil) Rev. 10/30/08 American LegalNet, Inc. www.FormsWorkflow.com Justice Court, Las Vegas Township CLARK COUNTY, NEVADA AFFIDAVIT OF SERVICE STATE OF NEVADA ) COUNTY OF CLARK ) ___________________________________________________________, being duly sworn, states: that at all times herein Affiant is over 18 years of age and is not a party to or interested in the proceedings in which this Affidavit is made. That Affiant received ___________ copy(ies) of the Summons and Complaint, _______________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ on the ________ day of ______________, 20___ , and served the same on the ________ day of ________________ 20___ 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 _________________________________________________ , a person of suitable age and discretion residing at the Defendant’s usual place of abode located at: (state address) __________________________________________ _____________________________________________________________________________________________. (Use Paragraph 3 for service upon agent, completing A or B) 3. Serving the Defendant _______________ by personally delivering and leaving a copy at: (state address) __________ ____________________________________________________________________________________________ . a. with ______________________________ as _______________________________________ , an agent lawfully designated by statute to accept service of process; b. with _____________________________________, pursuant to NRS 14.020, as a person of suitable age and discretion at the above address, which address is the address of the resident agent as shown on the current certificate of designation with the Secretary of State. 4. Personally depositing a copy in a mailbox of the United States Post Office, enclosed in a sealed envelope, postage Prepaid, (check appropriate method): _______ ordinary mail _______ certified mail, return receipt requested _______ registered mail, return receipt requested addressed to the Defendant ___________________________________ at the Defendant’s last known address which is: (state address) ___________________________________________________________________________________ ************************************************************************************************************************************************** SUBSCRIBED AND SWORN to before me this ________________________________ Signature of Person Making Service ________ day of _________________, 20____ . _______________________________________ NOTARY PUBLIC in and for County of ____________________, State of ___________. My Commission Expires: _________________________ (SEAL) OR (Pursuant to NRS 53.045): “I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct.” Executed on_______________________________ (Date) JC-5 (Civil) Rev. 08/25/08 ____________________________________________________ (Signature) American LegalNet, Inc. www.FormsWorkflow.com