IN THE JUSTICE COURT OF __________________________ TOWNSHIP IN AND FOR THE COUNTY OF _________________, STATE OF NEVADA Name: Address: Phone: ______________________ ______________________ ______________________ ______________________ Landlord/Plaintiff vs. Name: Address: Phone: CASE NO: ________________ _____________________ _____________________ _____________________ _____________________ Tenant/Defendant DEPT. NO:________________ TENANT’S AFFIDAVIT/DECLARATION IN SUPPORT OF MOTION TO VACATE SUMMARY EVICTION ORDER I, ______________________________ (Name), state that: 1. I am the tenant/co-tenant in the above-referenced matter. 2. An eviction order was granted by this court on _________________, 20____. _____ 3. I received an eviction notice on _____________________, 20____. _____ 4. I was not served with an eviction notice. Apartment Tenant Affidavit/Declaration in Support of Motion to Vacate Summary Eviction Order Form #24 1 of 5 ©2006 Nevada Supreme Court Revised: April 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com _____ 5. I attempted to _____ A. obtain legal counsel. Explain:_________________________ ________________________________________________ ________________________________________________ ________________________________________________. _____ B. file a tenant’s affidavit. Explain:_______________________ ________________________________________________ ________________________________________________ ________________________________________________. _____ C. determine procedural requirements. Explain:_____________ ______________________________________________________ ______________________________________________________ _____________________________________________________. _____ 6. I did file an affidavit contesting the eviction because:_________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ __________________________________________________________. _____ 7. I did not file an affidavit contesting the eviction because: (state the facts showing mistake, inadvertence, surprise or excusable neglect)_________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ __________________________________________________________. _____ 8. I did appear at the eviction hearing because:_______________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Apartment Tenant Affidavit/Declaration in Support of Motion to Vacate Summary Eviction Order Form #24 2 of 5 ©2006 Nevada Supreme Court Revised: April 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com ___________________________________________________________ __________________________________________________________. _____ 9 I did not appear at the eviction hearing because: (explain facts showing surprise, mistake, inadvertence or excusable neglect)________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ __________________________________________________________. _____ 10. I believe in good faith that I have a meritorious defense to the eviction, namely: (state the facts which support your defense.) ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ __________________________________________________________. 11. I am not attempting to delay the proceedings by filing this motion, nor am I filing it for frivolous reasons. 12. If this motion is granted, I agree to pay all court costs and fees assessed by this court against me, if any, which were incurred due to the entry and stay/vacation of the eviction order. _____ 13. My rent is subsidized by a Public Housing Authority. _____ 14. My rent is not subsidized by a Public Housing Authority. 15. I also request that the Court Stay the pending eviction until a decision is made on the Motion to Vacate. Apartment Tenant Affidavit/Declaration in Support of Motion to Vacate Summary Eviction Order Form #24 3 of 5 ©2006 Nevada Supreme Court Revised: April 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com I swear the above is true. Signature:__________________________________ SUBSCRIBED AND SWORN to before me this ____ day of _________________, 20____. NOTARY PUBLIC OR DEPUTY CLERK _____________________________ OR THE FOLLOWING: Pursuant to NRS 53.045: "I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct." Executed on _____________, 20____ ______________________________ Signature ______________________________ Print Name Apartment Tenant Affidavit/Declaration in Support of Motion to Vacate Summary Eviction Order Form #24 4 of 5 ©2006 Nevada Supreme Court Revised: April 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com CERTIFICATE OF SERVICE Pursuant to NRCP 5(b) and JCRCP 5(b), I hereby certify that I am a nonparty over the age of 18 years, and that on ____________________________, 20____, I served a true and correct copy of the foregoing __________________________________________________________________, (Name of document that was served) addressed to: _______________________________________ _______________________________________ _______________________________________ _______________________________________ [ ] BY U.S. MAIL: I deposited for mailing in the United States mail, with postage fully prepaid, an envelope containing the above-identified document at _______________________________ (City and State), in the ordinary course of business. [ ] 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. _______________________________ Signature of Server _______________________________ Print Name of Server Apartment Tenant Affidavit/Declaration in Support of Motion to Vacate Summary Eviction Order Form #24 5 of 5 ©2006 Nevada Supreme Court Revised: April 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com