© 2018 Family Law Self-Help Center Summary Disposition Affidavit (Annulment-Kids)
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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
(Annulment –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) _____________.
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.
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© 2018 Family Law Self-Help Center Summary Disposition Affidavit (Annulment-Kids)
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4. I request a final annulment for the reasons stated in the Complaint/Counterclaim.
( check one)
Nevada Marriage. The parties were married in the State of Nevada on (date of
marriage) ____________________.
Nevada Residence. (Name of spouse who is a Nevada resident)
________________________________ has been a resident of the State of Nevada
since (date the person first started living in Nevada) _________________________
and intends to make Nevada his/her home for an indefinite period of time. The
parties were married on (date of marriage) ___________________________ in
(city) ___________________, (state) __________________.
5. My spouse and I 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)
__________________________________________________________________
__________________________________________________________________
© 2018 Family Law Self-Help Center Summary Disposition Affidavit (Annulment-Kids)
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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)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
9. 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/