JUSTICE COURT, LAS VEGAS TOWNSHIP
Clark County, Nevada
Case No: _____________
Department No: _______
Name of Plaintiff(s):
SMALL CLAIMS
CHANGE OF ADDRESS,
EMAIL, OR TELEPHONE
NUMBER
Filed by:
[ ] Plaintiff
[ ] Defendant
VERSUS
Name of Defendant(s):
Type of Change:
Plaintiff Address Change
Defendant Address Change
Plaintiff Phone Number Change
Defendant Phone Number Change
Plaintiff E-Mail Change
Defendant E-Mail Address Change
Name of Individual Making Change: _________________________________________________
Address: ____________________________________________________________________
_____________________________________________________________________
City: ______________________________ State: ______________ Zip Code: _________
Phone: ____________________________________________________________________
E-Mail Address: ____________________________________________________________________
Signature: ______________________________________ Date: ________________________
LVJCL Form-53 Revised 1/17
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