1 2 3 4 5 6 IN THE JUSTICE COURT OF __________________________ TOWNSHIP 7 IN AND FOR THE COUNTY OF _________________, STATE OF NEVADA 8 9 10 Name: Address: Phone: 11 12 13 ______________________ ______________________ ______________________ ______________________ Landlord/Plaintiff vs. 14 Name: Address: 15 Phone: 16 CASE NO: ________________ _____________________ _____________________ _____________________ _____________________ Tenant/Defendant DEPT. NO:________________ 17 18 19 AFFIDAVIT/DECLARATION IN SUPPORT OF PLAINTIFF’S APPLICATION FOR A TEMPORARY WRIT OF RESTITUTION 20 1. I, _________________________________________, state: 21 2. That I am the Landlord/Plaintiff in the above-entitled proceeding and I 22 own or manage the property located at_________________________ 23 _______________________________________________________. 24 3. That the reason I am requesting a Temporary Writ of Restitution from 25 this Court is:______________________________________________ 26 _______________________________________________________ 27 ________________________________________________________ 28 Mobile Home Landlord Affidavit/Declaration in Support of Plaintiff’s Application For a Temporary Writ of Restitution Form #14 1 of 4 ©2006 Nevada Supreme Court Revised: April 17, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 ________________________________________________________ 2 ________________________________________________________ 3 ________________________________________________________ 4 ________________________________________________________ 5 ________________________________________________________ 6 ________________________________________________________ 7 ________________________________________________________ 8 ________________________________________________________ 9 ________________________________________________________ 10 11 4. I am requesting a hearing _____ A. 12 13 That is not prior to 11 calendar days after service of the Complaint on the Tenant; or _____ B. That is prior to 11 calendar days after service of the 14 Complaint 15 circumstances that exist to justify an earlier date for a 16 hearing are: on the Tenant. The extraordinary 17 ________________________________________________________ 18 ________________________________________________________ 19 ________________________________________________________ 20 ________________________________________________________ 21 ________________________________________________________ 22 ________________________________________________________ 23 _______________________________________________________. 24 25 26 27 28 Mobile Home Landlord Affidavit/Declaration in Support of Plaintiff’s Application For a Temporary Writ of Restitution Form #14 2 of 4 ©2006 Nevada Supreme Court Revised: April 17, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 I swear the above is true. Signature:__________________________________ 2 3 SUBSCRIBED AND SWORN to before me this ____ day of _________________, 4 5 20____. 6 7 NOTARY PUBLIC 8 OR 9 DEPUTY CLERK _____________________________ 10 11 OR 12 THE FOLLOWING: 13 14 15 Pursuant to NRS 53.045: 16 "I declare under penalty of perjury under the law of the State of Nevada that the 17 foregoing is true and correct." 18 19 Executed on _____________, 20____ 20 21 ______________________________ 22 Signature 23 24 ______________________________ 25 Print Name 26 27 28 Mobile Home Landlord Affidavit/Declaration in Support of Plaintiff’s Application For a Temporary Writ of Restitution Form #14 3 of 4 ©2006 Nevada Supreme Court Revised: April 17, 2006 American LegalNet, Inc. www.FormsWorkflow.com CERTIFICATE OF SERVICE 1 2 Pursuant to NRCP 5(b) and JCRCP 5(b), I hereby certify that I am a 3 non-party over the age of 18 years, and that on _____________________, 20____, 4 5 I served true and correct copy of the foregoing __________________________________________________________________, 6 7 a (Name of document that was served) addressed to: 8 9 _______________________________________ 10 _______________________________________ 11 _______________________________________ 12 _______________________________________ 13 14 [ ] BY U.S. MAIL: I deposited for mailing in the United States mail, with postage 15 fully prepaid, an envelope containing the above-identified document at 16 _______________________________ (City and State), 17 course of business. in the ordinary 18 [ ] 19 20 BY FACSIMILE TO: ______________________________ (FAX number). [ ] BY PERSONAL SERVICE: I personally hand delivered the above-identified document to the address/offices of the person named above. 21 22 _______________________________ Signature of Server 23 24 25 _______________________________ Print Name of Server 26 27 28 Mobile Home Landlord Affidavit/Declaration in Support of Plaintiff’s Application For a Temporary Writ of Restitution Form #14 4 of 4 ©2006 Nevada Supreme Court Revised: April 17, 2006 American LegalNet, Inc. www.FormsWorkflow.com