1 2 3 4 5 6 7 8 9 IN THE JUSTICE COURT OF __________________________ TOWNSHIP IN AND FOR THE COUNTY OF _________________, STATE OF NEVADA 10 Name: Address: 11 Phone: 12 13 14 ______________________ ______________________ ______________________ ______________________ Landlord/Plaintiff vs. 15 Name: Address: 16 Phone: 17 CASE NO: ________________ _____________________ _____________________ _____________________ _____________________ Tenant/Defendant DEPT. NO:________________ 18 19 ORDER REGARDING WAIVER OF FEES AND COSTS (Filing Fees/Service Only) 20 21 22 23 24 Upon consideration of ____________________________________________ 's (Name of Landlord/Plaintiff or Tenant/Defendant) 25 Application to Waive Fees and Costs, and it appearing that there is not sufficient 26 income, property or resources with which to proceed and good cause appearing 27 therefore: 28 Apartment Court Order Regarding Waiver of Fees and Costs Form #39 1 of 2 ©2006 Nevada Supreme Court Revised: April 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 THE APPLICATION IS HEREBY: 2 _____ GRANTED. _________________________ shall be permitted to proceed 3 with fees and costs waived in this action as permitted by NRS 12.015. 4 He/she shall proceed without the prepayment of costs or fees or the 5 necessity of giving security, and the Clerk of Court shall file or issue any 6 7 8 necessary writ, process, pleading, or paper without charge. The sheriff or other appropriate officer within this state shall make personal service of any necessary writ, pleading, or paper without charge. If this party prevails in this action, the Court shall enter an order, pursuant to NRS 9 12.015, requiring the opposing party to pay into the Court, within five (5) 10 judicial days, the costs which would have been incurred by the prevailing 11 party, and those costs must then be paid as provided by law. 12 _____ DENIED for the following reason: 13 _____A. The party is not indigent 14 _____B. Other: ___________________________________________ 15 16 ________________________________________________ ________________________________________________ 17 18 19 20 __________________________ DATED _______________________________ JUSTICE OF THE PEACE 21 22 23 24 25 26 27 28 Apartment Court Order Regarding Waiver of Fees and Costs Form #39 2 of 2 ©2006 Nevada Supreme Court Revised: April 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com