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(d), Appellant hereby submits the
following statement of points upon which Appellant intends to rely on appeal (provide a brief
statement of facts and legal argument on why you’re entitled to appellate relief, including what happened at your
hearing)
:
STATEMENT OF POINTS ON APPEAL
__________________________ TOWNSHIP
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©
Civil Law Self-Help Center
Clark County, Nevada
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
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©
Civil Law Self-Help Center
Clark County, Nevada
I HEREBY CERTIFY that service of the foregoing STATEMENT OF POINTS 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):
CERTIFICATE OF MAILING
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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