1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Code: 3715 Name________________________________ Address______________________________ ______________________________ Telephone No.________________________ Acting in Proper Person IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE _______________________________, Plaintiff/Petitioner VS _______________________________, Defendant/Respondent. Case No. _____________________ Dept. No. _____________________ PROOF OF PUBLICATION Attached is the proof of publication of the Notice. This document does not contain the Social Security number of any person. I declare, under penalty of perjury under the law of the State of Nevada, that the foregoing is true. DATED this _______ day of ________________________, 20______. ________________________________________ (Your Signature) 1 American LegalNet, Inc. www.FormsWorkFlow.com