© 2017 Family Law Self-Help Center Affidavit of Resident Witness
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AFFT
Name:
Address:
Telephone:
Email Address:
In Proper Person
DISTRICT COURT
CLARK COUNTY, NEVADA
________________________________
Plaintiff,
vs.
________________________________
Defendant.
CASE NO.: ____________________
DEPT: ____________________
AFFIDAVIT OF RESIDENT WITNESS
I, (resident witness’ name) _____________________________________, swear under
penalty of perjury that the following statements are true and correct.
1. I am over the age of eighteen (18) and competent to testify of my own knowledge to
the following.
2. I have lived in the State of Nevada for (number) __________ years and currently live
at (street, city, state) ___________________________________________________.
I intend to live in the State of Nevada for the foreseeable future.
3. To my personal knowledge, (name of spouse whose residency is being established)
____________________________________________ lives at (street, city, state)
_____________________________________________________________________
and has been physically living within the State of Nevada on a daily basis for at least
six (6) weeks prior to the filing of this action.
This form must be filled out by someone other than the husband or wife. Have
someone who knows the spouse that lives in Nevada (the same spouse who is named
as the Nevada resident in the Decree) fill out this form.
© 2017 Family Law Self-Help Center Affidavit of Resident Witness
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4. To my personal knowledge, (name of spouse whose residency is being established)
__________________________________ has physically lived in the State of Nevada
since (date) ____________________.
5. I see the named party an average of (number) ______________ times per week.
6. I know the named party because (explain how you know the spouse)
_____________________________________________________________________
____________________________________________________________________.
7. I know of my own personal knowledge that (name of person whose residency is being
established) ___________________________________ is a bona fide resident of the
State of Nevada.
Pursuant to NRS 53.045, I declare under penalty of perjury that the foregoing is
true and correct.
Executed on (date) _________________________________.
(Signature) ___________________________________
(Printed Name) __________________________________
/s/