Fillable Form 1: 2 3 4 5 G Plaintiff/ (Civil Law Self-Help Center)

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Form 1: 2 3 4 5 G Plaintiff/ (Civil Law Self-Help Center)

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©
Civil Law Self-Help Center
Clark County, Nevada
(Name)
(Address)
(City, State, Zip)
(Telephone)
G Plaintiff/ G Defendant, Pro Se
JUSTICE COURT,
CLARK COUNTY, NEVADA
)
, ) Case No.:
) Dept. No.:
Plaintiff(s), )
)
vs. )
)
)
, )
) Date of Hearing: N/A
Defendant(s). ) Time of Hearing: N/A
)
Pursuant to JCRCP 74(b), Appellant hereby certifies
that no transcript exists in the above-referenced matter. Appellant has prepared a Statement of
Evidence or Proceedings, pursuant to JCRCP 74(c).
CERTIFICATE OF NO TRANSCRIPT ON APPEAL
DATED this day of , 20 .
Pursuant to NRS 53.045, I declare under penalty of
perjury that the foregoing is true and correct.
(signature)
(print name)
G Plaintiff/ G Defendant, Pro Se
__________________________ TOWNSHIP
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©
Civil Law Self-Help Center
Clark County, Nevada
CERTIFICATE OF MAILING
I HEREBY CERTIFY that service of the foregoing CERTIFICATE OF NO
TRANSCRIPT ON APPEAL was made on (insert date) ____________________________,
20_____, pursuant to JCRCP 5(b), by depositing a copy of the same in the United States Mail in
Las Vegas, Nevada, postage prepaid, addressed as follows (insert name and address of the
opposing party’s attorney, or opposing party if unrepresented):
Per NRS 53.045, “I declare under penalty of perjury that the foregoing is true and
correct.”
(Date) (Type or print name) (Signature)
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Form 1: 2 3 4 5 G Plaintiff (Civil Law Self-Help Center)

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Completed 8 January 2021

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