Page 3 of 3 – Ex Parte Motion
CONCLUSION (explain what you want the judge to order)
I respectfully ask the Court to grant me the following, and any other relief the Court finds
appropriate.
1. ______________________________________
2. ______________________________________
3. ______________________________________
DATED _____________________________, 20____.
Submitted By: (your signature)
(print your name)
DECLARATION IN SUPPORT OF MOTION
I declare, under penalty of perjury:
a. I have read the foregoing motion, and the factual averments 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. Those factual averments contained in the
referenced filing are incorporated here as if set forth in full.
b. Additional facts to support my requests include: (write anything else that the judge should
know to make a decision about your case, or write “N/A” if there is nothing else to add)
c. Any Exhibit(s) in support of this Motion will be filed separately in an Exhibit Appendix.
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)
