Fillable Form 1: 2 3 (Civil Law Self-Help Center)

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Form 1: 2 3 (Civil Law Self-Help Center)

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  • 18 check-boxes
  • 45 other fields

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SUMM
(Your Name)
(Your Mailing Address)
(Your City, State, Zip Code)
(Your Telephone Number)
(Your Fax Number)
(Your E-mail Address)
Plaintiff, Self-Represented
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
Plaintiff’s
Name:
Case No.:
Dept. No.:
Plaintiff,
vs.
Defendant’s
Name:
Defendant.
SUMMONS
NOTICE! YOU HAVE BEEN SUED. THE COURT MAY DECIDE AGAINST YOU WITHOUT
YOUR BEING HEARD UNLESS YOU FILE A RESPONSE WITH THE COURT
WITHIN 21 DAYS. READ THE INFORMATION BELOW CAREFULLY.
To the Defendant named above: __________________________________
A civil complaint has been filed by the Plaintiff against you. Plaintiff is seeking to recover the
relief requested in the complaint, which could include a money judgment against you or some other form
of relief.
If you intend to defend this lawsuit, within 21 calendar days
1
after this Summons is served on you
(not counting the day of service), you must:
1. File with the Clerk of the Court, whose address is shown below, a formal written
response (typically a legal document called an “answer,” but potentially some other
1
The State of Nevada, its political subdivisions, agencies, officers, employees, board members, commission members, and
legislators each have 45 days after service of this Summons within which to file a response to Plaintiff’s complaint.
Rev. 2/20/2019
© Civil Law Self-Help Center
For more forms and information, visit www.civillawselfhelpcenter.org.
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response) to Plaintiff’s complaint.
2. Pay the required filing fee to the court, or file an Application to Proceed In Forma
Pauperis and request a waiver of the filing fee.
3. Serve (by mail or hand delivery) a copy of your response upon the Plaintiff whose name
and address is shown below.
If you fail to respond, the Plaintiff can request your default. The court can then enter judgment
against you for the relief demanded by the Plaintiff in the complaint, which could result in money or
property being taken from you or some other relief requested in Plaintiff’s complaint.
If you intend to seek an attorney’s advice, do it quickly so that your response can be filed on time.
STEVEN D. GRIERSON, CLERK OF COURT
_____________________________ _________________
By: Date:
Deputy Clerk
Regional Justice Center
200 Lewis Avenue
Las Vegas, Nevada 89155
Issued at the request of:
(Signature)
(Your Name)
(Your Street Address)
(Your City, State, and Zip Code)
Plaintiff, Self-Represented
Note: When service is by publication, add a brief summary of the claims asserted, the relief sought, and include any special statutory
requirements. This summary should have been proposed through a Motion Seeking Publication and approved through an Order
for Service by Publication. See Nevada Rule of Civil Procedure 4.4(c).
Information and forms to assist you are available, free of charge, at the Civil Law Self-
Help Center at the Regional Justice Center, 200 Lewis Avenue, Las Vegas, Nevada, and on
the center’s website at www.civillawselfhelpcenter.org.
Rev. 2/20/2019
© Civil Law Self-Help Center
For more forms and information, visit www.civillawselfhelpcenter.org.
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AOS
(Your Name)
(Your Mailing Address)
(Your City, State, Zip Code)
(Your Telephone Number)
(Your Fax Number)
(Your E-mail Address)
Plaintiff, Self-Represented
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
Plaintiff’s
Name:
Case No.:
Dept. No.:
Plaintiff,
vs.
Defendant’s
Name:
Defendant.
AFFIDAVIT/DECLARATION OF SERVICE UNDER PENALTY OF PERJURY
(Insert name of person performing service) _________________________________________, being duly
sworn or under penalty of perjury, states that at all times relevant, I was over 18 years of age and not a
party to or interested in the above-captioned case; that I served a copy of the Summons, Complaint,
Other
(specify) _________________________________________________________ on (insert date and
time you served)
___________________, 20____, at the hour of ______ __.M., on Defendant (insert Defendant’s
name)
_________________________________________________________________________ by the
following method
(complete appropriate paragraph below):
Personal service per NRCP 4.2(a)(1): Delivering and leaving a copy with (insert
Defendant’s name) __________________________________________________________ at (insert address at
which you served)
_________________________________________________________________________.
/ / /
Rev. 2/20/2019
© Civil Law Self-Help Center
For more forms and information, visit www.civillawselfhelpcenter.org.
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Substitute service per NRCP 4.2(a)(2): Delivering and leaving a copy with (insert name or
physical description of person served) _________________________________________, a person of suitable age
and discretion residing at Defendant’s dwelling house or usual place of abode, at
(insert Defendant’s address)
____________________________________________________________________________________.
Service on a business entity per NRCP 4.2(c)(1)(A): Delivering and leaving a copy
with (insert name or physical description of person served) ________________________________________________,
who is Defendant’s (check one) registered agent, officer or director, partner, member, manager,
trustee, or other (specify) ___________________________________, at (insert address at which you served)
____________________________________________________________________________________.
Other method of service authorized by Nevada statute or court rule:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAW OF THE STATE OF
NEVADA THAT THE FOREGOING IS TRUE AND CORRECT.
SERVER’S SIGNATURE: _________________________________________ Date: ______________
Server’s Phone: __________________________
Server’s Residential/ Business Address: _______________________________________________
I am a licensed process server or an employee of a licensed process server; my license or registration
number is
(insert license or registration number): ______________________________.
I am not required to be licensed under chapter 648 of the Nevada Revised Statutes or another
provision of law because am not engaged in the business of serving legal process within the State of
Nevada.
For more forms and information, visit www.civillawselfhelpcenter.org.
Rev. 2/20/2019
© Civil Law Self-Help Center
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Completed 5 May 2022

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