REV 3/21/19 JCB 1 Declaration of Resident Witness 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 1 9 20 21 22 23 24 25 26 27 28 Petitioner 1, Petitioner 2, Code: 1521 Name: Address: Telephone: Email: Name: Address: Telephone: Email: Self-Represented Litigants IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE In the Matter of the Marriage of: , Case No. and Dept. No. , Joint Petitioners. / DECLARATION OF RESIDENT WITNESS I, , do hereby declare under penalty of perjury that the following is true. I am over the age of eighteen and competent to testify of my own knowledge to the following: 1. I have lived in the State of Nevada for years and presently live at: (Your Street Address) (City, State, Zip Code) (Name of Resident Witness) (Number) American LegalNet, Inc. www.FormsWorkFlow.com REV 3/21/19 JCB 2 Declaration of Resident Witness 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 1 9 20 21 22 23 24 25 26 27 28 2. To my personal knowledge, , a. lives at: b. has lived at that address since and has been physically present within the State of Nevada on a daily basis for at least six weeks prior to the filing of the Complaint -or- Joint Petition in this case. c. has physically lived in the State of Nevada since: and is a bona fide resident of the State of Nevada. d. I see them an average of times a WEEK 226OR226 MONTH. They are my: (select one option below) Friend Co-Worker Other: Relative Neighbor This document does not contain the personal information of any person as defined by NRS 603A.040. I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct.* (Below is the resident witness222s information) Date: Signature: Printed Name: Address: Telephone Number: Email: * The penalty for willfully making a false statement under penalty of perjury is a minimum of 1 year, and a maximum of 4 years in prison, in addition to a fine of not more than $5,000.00. N.R.S. 247 199.145. (City, State, Zip Code) (Street Address) (Name of Plaintiff, Defendant, or Petitioner) (Month and Year /or Year Only) (Month and Year) (Number) American LegalNet, Inc. www.FormsWorkFlow.com