© 2019 Family Law Self-Help Center Motion for Publication
Page 3 of 3
DECLARATION
I declare, under penalty of perjury:
1. I have read this motion, and the statements it contains are true and correct to the best of my
knowledge, except as to those matters based on information and belief, and as to those
matters, I believe them to be true. The statements contained in this motion are incorporated
here as if set forth in full.
2. Defendant’s Last Known Address: ( check one)
I never knew where Defendant lived and I do not know the last known address.
Defendant’s last address was:
_________________________________________
Defendant’s Last Known Street Address
_________________________________________
City, State, Zip Code
Defendant lived there from (date Defendant started living there) ________________
to (date Defendant left) ___________________.
You will be expected to send a copy of the complaint and summons to the address
listed above.
3. I do not know of any other address where Defendant has lived since then, and I have no idea
where to find Defendant.
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)
