Fillable AFFT Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA

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AFFT Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA

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© 2018 Family Law Self-Help Center Summary Disposition Affidavit (Div/Sep-Kids)
1
AFFT
Your Name:
Address:
Telephone:
Email Address:
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
________________________________
Plaintiff,
vs.
________________________________
Defendant.
CASE NO.: ____________________
DEPT: ____________________
AFFIDAVIT IN SUPPORT OF REQUEST FOR SUMMARY DISPOSITION OF DECREE
(Divorce/Separation – With Children)
1. I, (your name) ____________________________________________________, am the
( check one) Plaintiff / Defendant in this case.
2. I live at (your street address) ________________________________________________
(city) ____________________________, (state) ____________, (zip) _____________.
( check one)
I am a Nevada resident and have lived in Nevada since (date you first started
living in Nevada) _____________________. I intend to live in Nevada for the
foreseeable future.
The other party has been a Nevada resident and has lived in Nevada since (date
the other party first started living in Nevada) ___________________, and intends
to live in Nevada for the foreseeable future.
3. I have read the ( check one) Complaint / Counterclaim filed in this case and can
testify that the allegations in that document are true and correct to the best of my
knowledge.
© 2018 Family Law Self-Help Center Summary Disposition Affidavit (Div/Sep-Kids)
2
4. I request a final: ( check one)
Divorce for the reasons stated in the Complaint/Counterclaim.
Separation for the reasons stated in the Complaint/Counterclaim.
5. Marriage. My spouse and I were married on (date of marriage) _________________.
We have been separated since (date of separation) ______________________.
6. Children. My spouse and I have (number) ________ minor children together. The
provisions regarding custody, visitation, child support, and medical insurance outlined in
the proposed Decree are fair, are in the child(ren)’s best interest, and meets the
child(ren)’s financial needs.
7. Children’s Residence / Contact With Parents. For the last six months, the child(ren)
lived with ( check one) Me / My Spouse / Both of Us / Someone Else:
(name) ___________________________
The child(ren) had the following contact with each parent in the last six months:
Me: (list how often you saw the children in the last six months)
__________________________________________________________________
__________________________________________________________________
Other Parent: (list how often the other parent saw the children in the last six months)
__________________________________________________________________
__________________________________________________________________
8. Other Parent’s Proposed Custody/Visitation. The final decree proposes the following
custody and visitation schedule for the other parent: (explain what contact the other
parent will have with the children if the decree is approved. If there will be no contact at
all or restricted/supervised contact, explain why)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
© 2018 Family Law Self-Help Center Summary Disposition Affidavit (Div/Sep-Kids)
3
9. Community Property: ( check one)
There is no community property for the Court to divide.
The community property division in the Decree is fair and is an equal distribution
to the extent practicable.
10. Community Debt: ( check one)
There is no community debt for the Court to divide.
The community debt division in the Decree is fair and is an equal distribution to
the extent practicable.
11. Spousal Support: ( check one)
Neither party should receive spousal support.
Spousal support should be awarded as outlined in the Decree. That award is fair
and equitable.
12. I declare under penalty of perjury under the law of the State of Nevada that the foregoing
is true and correct.
DATED _____________________________, 20____.
Submitted By: (your signature)
(print your name)
/s/
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AFFT Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA

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Completed 24 November 2020

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