Fillable COURT CODE: CERT Self-Represented DISTRICT COURT CLARK COUNTY, (Family Law Self Help Center)

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COURT CODE: CERT Self-Represented DISTRICT COURT CLARK COUNTY, (Family Law Self Help Center)

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© 2018 Nevada Supreme Court
Page 1 of 2 –
Certificate of Service (Generic Guardianship)
COURT CODE: CERT
Your Name:
Address:
City, State, Zip:
Telephone:
Email Address:
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Guardianship of the:
Person
Estate
Person and Estate
of:
_
___________________________________
(name of person who has a guardian)
A Protected Person.
CASE NO.: ____________________
DEPT: ____________________
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that I am over the age of 18 and I served the ( check all that apply)
Petition for (title of petition) _________________________________________
Notice of Hearing
Citation to Appear and Show Cause
Other: ________________________________
in the following manner:
BY MAIL
I certify that I deposited copies the foregoing documents in the U.S. mail in (city)
________________, Nevada, addressed to the persons listed below on (date) _______________
by ( check one) Regular, Certified or Registered, return receipt requested:
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Page 2 of 2 – Certificate of Service (Generic Guardianship)
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
ELECTRONIC
I served the following persons pursuant to the court’s electronic service rules on (date) ___________:
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
I declare under penalty of perjury under the law of the State of Nevada that the
foregoing is true and correct.
DATED (month) ________________________ (day) _______, 20___.
(Your Signature)
(Printed Name)
/s/
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COURT CODE: CERT Self-Represented DISTRICT COURT CLARK COUNTY, (Family Law Self Help Center)

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Completed 9 February 2021

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