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(Name)
(Mailing address)
(City, state, zip code)
(Telephone number)
(E-mail address)
Plaintiff/ Defendant/ Other (specify) ,
In Proper Person
JUSTICE COURT, TOWNSHIP OF
CLARK COUNTY, NEVADA
Case No.:
Plaintiff(s),
Dept. No.:
vs.
Defendant(s).
Date of Hearing:
N/A
Time of Hearing:
N/A
NOTICE OF APPEAL TO DISTRICT COURT
TO: (Opposing party’s name)
(Opposing attorney’s name)
Pursuant to JCRCP 72, (check one box) Plaintiff/ Defendant/ Other (specify)
, in proper person, does hereby appeal from each and every part of the judgment
entered in the Justice Court on (insert date judgment filed) , to the District Court
in and for the above-named county and state.
The basis for the appeal is (briefly state basis):
I acknowledge that I may be required to post an appeal bond and to pay all filing fees and costs of
appeal, including the expense of a transcript of the trial before this appeal will be filed and considered by
Page 1 of 3 JC NOTICE OF APPEAL
(REV. 1, 02-06-2015)
For forms and information, visit www. CivilLawSelfHelpCenter.org
© 2015 Civil Law Self-Help Center
Clark County, Nevada
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the District Court. I further acknowledge that if the appeal is dismissed or the judgment is affirmed, I
may be subject to reimbursing the other party for court costs and other expenses or damages as
determined by the District Court and as allowed by law.
DATED (insert date): .
I declare under penalty of perjury under the law of the State of
Nevada that the foregoing is true and correct.
(Signature)
(Print Name)
Plaintiff/ Defendant/ Other, In Proper Person
Page 2 of 3 JC NOTICE OF APPEAL
(REV. 1, 02-06-2015)
For forms and information, visit www. CivilLawSelfHelpCenter.org
© 2015 Civil Law Self-Help Center
Clark County, Nevada
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CERTIFICATE OF SERVICE
I HEREBY CERTIFY that on (insert date document mailed) , I served the
foregoing, pursuant to JCRCP 5(b), by depositing a copy of the same in the United States Mail, postage
prepaid, to the address listed below
(insert names and mailing addresses of opposing parties’ attorneys, or opposing
parties directly if no attorneys)
:
(Insert date, signature, and name of person mailing document:)
DATED (insert date):
I declare under penalty of perjury under the law of the State of
Nevada that the foregoing is true and correct.
(Signature)
(Print name)
Page 3 of 3 JC NOTICE OF APPEAL
(REV. 1, 02-06-2015)
For forms and information, visit www. CivilLawSelfHelpCenter.org
© 2015 Civil Law Self-Help Center
Clark County, Nevada