SUMM Civil/7/23/2009
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
SUMM
Plaintiff(s),
-vs-
Defendant(s).
CASE NO.
DEPT. NO.
SUMMONS - CIVIL
NOTICE! YOU HAVE BEEN SUED. THE COURT MAY DECIDE AGAINST YOU
WITHOUT YOUR BEING HEARD UNLESS YOU RESPOND WITHIN 20 DAYS.
READ THE INFORMATION BELOW.
TO THE DEFENDANT(S): A civil Complaint has been filed by the Plaintiff(s) against
you for the relief set forth in the Complaint.
1. If you intend to defend this lawsuit, within 20 days after this Summons is
served on you, exclusive of the day of service, you must do the following:
(a) File with the Clerk of this Court, whose address is shown below, a
formal written response to the Complaint in accordance with the rules
of the Court, with the appropriate filing fee.
(b) Serve a copy of your response upon the attorney whose name and
address is shown below.
DISTRICT COURT
CLARK COUNTY, NEVADA
Print Form
SUMM Civil/7/23/2009
2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
2. Unless you respond, your default will be entered upon application of the
Plaintiff(s) and failure to so respond will result in a judgment of default
against you for the relief demanded in the Complaint, which could result in
the taking of money or property or other relief requested in the Complaint.
3. If you intend to seek the advice of an attorney in this matter, you should do
so promptly so that your response may be filed on time.
4. 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 an Answer
or other responsive pleading to the Complaint.
STEVEN D. GRIERSON
CLERK OF COURT
Submitted by:
By:_____________________________
Deputy Clerk Date
_________________________________
Regional Justice Center
200 Lewis Avenue
Las Vegas, NV 89155
NOTE: When service is by publication, add a brief statement of the object of the
action. See Nevada Rules of Civil Procedure 4(b).
SUMM Civil/7/23/2009
3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
AFFIDAVIT OF SERVICE
STATE OF )
) ss:
COUNTY OF )
, being duly sworn, says: That at all times herein affiant was and is over 18
years of age, not a party to nor interested in the proceeding in which this affidavit is
made. That affiant received copy(ies) of the Summons and Complaint, on
the day of , 20 and served the same on the day of ,
20
by:
(Affiant must complete the appropriate paragraph)
1. Delivering and leaving a copy with the Defendant
at (state address)
2. Serving the Defendant by personally delivering and leaving a copy with
, a person of suitable age and discretion residing at the Defendant’s usual
place of abode located at (state address)
[Use paragraph 3 for service upon agent, completing (a) or (b)]
3. Serving the Defendant by personally delivering and leaving a copy at
(state address)
(a) With as , an agent lawfully designated by statute to accept
service of process;
(b) With , pursuant to NRS 14.020 as a person of suitable age and
discretion at the above address, which address is the address of the
resident agent as shown on the current certificate of designation filed with
the Secretary of State.
4. Personally depositing a copy in a mail box of the United States Post Office,
enclosed in a sealed envelope, postage prepaid (Check appropriate method):
Ordinary mail
Certified mail, return receipt requested
Registered mail, return receipt requested
SUMM Civil/7/23/2009
4
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
addressed to the Defendant at Defendant’s last known address which is
(state address)
I declare under penalty of perjury under the law of the State of Nevada that the
foregoing is true and correct.
EXECUTED this
day of , 20 .
________________________________________
Signature of person making service