1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Case No: ___________________ Dept. No: IN THE JUSTICE COURT OF PAHRUMP TOWNSHIP COUNTY OF NYE, STATE OF NEVADA ______________________________________________ ______________________________________________ Your name/address Plaintiff/Landlord, vs. ______________________________________________ ______________________________________________ Their name/address TENANT'S AFFIDAVIT (Non-Payment Eviction) Public or Publicly Subsidized Housing N.R.S. 402.531 Defendant/Tenant. STATE OF NEVADA ) ) ss. COUNTY OF NYE ) _______________________________________________________, being first duly sworn, deposes and says: 1. I am the tenant in the above entitled proceeding and I reside at ______________________________________________. 2. I am a: a. tenant in a public housing facility tenant whose rent is subsidized by a Public Housing Authority or other b. governmental agency (see attached lease/rental agreement). I have received a notice from my landlord alleging that I am in default of rent in the amount of $_____________________. I have a legal defense in that I am not in default in the payment of rent because: The notice does not provide me with the statutorily required five-day notice period and/or it does not advise me to either pay or quit the premises as required. I have not received a 14-day notice to pay rent (public housing). I have received a 14-day notice to pay rent but the notice fails to advise me of my right to a grievance procedure to contest the notice (public housing only) (copy of notice attached). I have paid and the landlord has accepted the alleged rent arrears. Explain: ______________________________________________________________________ _____________________________________________________________________. -1062405 American LegalNet, Inc. www.FormsWorkFlow.com 3. 4. 20 a. 21 22 23 24 d. 25 b. c. 1 e. 2 3 4 5 6 7 8 9 j. 10 11 12 13 14 15 16 17 n. 18 19 20 21 22 p. 23 24 25 q. the landlord has failed to maintain the premises in a habitable condition (N.R.S. 118A.350 and/or N.R.S. 118A.360 ­ not applicable to public housing tenants). Explain: ______________________________________________________________________ _____________________________________________________________________. the landlord has failed to reduce my portion of the rental obligation as he is required to when my income has decreased. Explain: ______________________________________________________________________ -2American LegalNet, Inc. www.FormsWorkFlow.com I have offered (tendered) the rent but the landlord has refused to accept it. Explain: ______________________________________________________________________ ______________________________________________________________________. I do not owe the alleged amount because the landlord has failed to: maintain the premises and project in a decent, safe and sanitary condition. Explain: ______________________________________________________________________ _____________________________________________________________________. comply with applicable building or housing codes. Explain: _______________________ ______________________________________________________________________ _____________________________________________________________________. make necessary repairs. Explain: ___________________________________________ ______________________________________________________________________ _____________________________________________________________________. to keep project buildings, facilities, and common areas in a clean and safe condition. Explain: _______________________________________________________________ ______________________________________________________________________ _____________________________________________________________________. to maintain in good and safe working order and condition electrical, plumbing, sanitary, heating, ventilating, and other facilities and appliances supplied by the landlord. ______________________________________________________________________ _____________________________________________________________________. provide receptacles for garbage. Explain: ____________________________________ ______________________________________________________________________ _____________________________________________________________________. supply running water. Explain: _____________________________________________ ______________________________________________________________________ _____________________________________________________________________. provide a reasonable amount of heat. Explain: ________________________________ ______________________________________________________________________ _____________________________________________________________________. the landlord has not provided or has willfully caused or permitted the interruption of essential services such as water, not water, heat and electricity (N.R.S. 118A.380 and N.R.S. 118A.390 ­ not applicable to public housing tenants). Explain: ______________________________________________________________________ ______________________________________________________________________ _____________________________________________________________________. f. g. h. i. k. l. m. o. 1 2 3 4 5 6 r. The landlord's inclusion of 062405 s. late charges t. utility bills u. other ____________________________________________________________ ______________________________________________________________________ in the amount of alleged arrears is not proper in that those amounts are not rent. Other (specify) ______________________________________________________________________ ______________________________________________________________________ _____________________________________________________________________. v. WHEREFORE, your affiant prays for a hearing in this Court pursuant to N.R.S. Chapter 40 as 7 8 9 10 11 12 13 14 15 NOTARY PUBLIC 16 17 18 19 20 21 22 23 24 25 062405 American LegalNet, Inc. www.FormsWorkFlow.com amended, and that this matter be dismissed at said hearing because I have raised a legal defense pursuant to N.R.S. 40.253. Affiant SUBSCRIBED and SWORN TO before me this _____ day of __________________, 20_____. -3-