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PET
_____________________________
(Name)
_____________________________
(Address)
_____________________________
(City, State, Zip Code)
_____________________________
(Telephone number/E-mail Address)
Petitioner, In Proper Person
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Estate of:
_______________________________________,
Deceased.
Case No.: P
Dept. No.: PC-1
EX PARTE PETITION FOR ORDER OF CREMATION
Petitioner,
(your name) ___________________________________________, (hereinafter
“Petitioner”) appearing in Proper Person, respectfully alleges and shows as follows:
1. Petitioner files this request pursuant to Nevada Revised Statutes Chapter 451, and
requests that this Court enter an order authorizing
(name of funeral home) ________________________
to cremate the human remains of (name of person who passed away)_______________________________
(hereinafter “Decedent”).
2. Petitioner is the (your relation to the decedent) ___________________ of Decedent and
resides at (your address) _____________________________________________________________.
A copy of Petitioner’s identification is attached hereto as Exhibit A.
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3. Decedent died on the (day, month, and year of death) ____________________________, in
(county where the decedent died) _________________________ and, on the date of death, Decedent was a
resident of Clark County, Nevada.
4. Decedent (check one) did not did execute a Last Will and Testament and/or an
Order for Cremation and Disposition pursuant to NRS 451.655. If Decedent did execute either a
Last Will and Testament or an Order for Cremation and Disposition, it is attached hereto as
Exhibit B.
5. The names, relationships, ages, and residence addresses of all the devisees,
legatees, heirs, and next-of-kin of Decedent, so far as known to Petitioner, are:
(You must include the name, relationship, age (if under 18), and address of (1) decedent’s legally married spouse, (2) all decedent’s children; (3)
all other devisees, legatees, heirs, and next-of kin. List all persons, regardless of age, even if estranged or out of state. Include all addresses; if
unknown, include last known address or state “unknown.”)
Name
Relationship to
Decedent
Age
(If under 18
, list age;
if over 18, write “adult.”)
Address
Check here if you have more people to include, and attach a continuation sheet.
6. The devisees, legatees, heirs, and next-of-kin of Decedent who are listed above
either consent to the cremation, and I have attached the appropriate Consents to Order of
Cremation herein; or they have not consented, and an Affidavit in Support of Petition for Order
of Cremation explaining their lack of consent is herein attached as Exhibit C.
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7. Petitioner is Decedent’s closest living relative and/or personal representative and
has a right to control the disposition of the Decedent’s human remains.
8. There are no objections to cremation of the Decedent’s human remains.
WHEREFORE, Petitioner prays:
1. That the Court make and enter its order directing the cremation of the
human remains of (name of person who passed away)________________________;
2. For such other and further relief as the Court deems just and proper.
DATED THIS _____ day of _______________, 20___.
Respectfully submitted,
_____________________________
(Signature)
_____________________________
(Your name)
_____________________________
(Your address)
_____________________________
(Your city, state, and zip)
_____________________________
(Your phone number)
_____________________________
(Your email)
PETITIONER, IN PROPER PERSON
click to sign
signature
click to edit
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VERIFICATION IN SUPPORT OF
EX PARTE PETITION FOR ORDER OF CREMATION
STATE OF NEVADA )
)ss
COUNTY OF CLARK )
(Your name)________________________, being first duly sworn, declares under penalty of
perjury under the law of the State of Nevada that the foregoing and following is true and correct:
I am the Petitioner in the above-entitled action. I have read the foregoing Ex Parte
Petition for Order of Cremation, and know the contents thereof. The Petition is true of my own
knowledge except as to those matters that are stated on information and belief, and as to those
matters, I believe them to be true.
DATED THIS _____ day of _______________, 20___.
_____________________________
(Signature)
_____________________________
(Your name)
click to sign
signature
click to edit
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_____________________________
(Name)
_____________________________
(Address)
_____________________________
(City, State, Zip Code)
_____________________________
(Telephone number/E-mail Address)
In Proper Person
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Estate of:
_______________________________________,
Deceased.
Case No.: P
Dept. No.: PC-1
CONSENT TO ORDER OF CREMATION
COMES NOW (your name) _________________________________________, (state your
relationship to the decedent)
_________________ of Decedent, whose address is: (your address)
___________________________________________________, being first duly sworn, declare
under penalty of perjury that I am aware of the Ex Parte Petition for Order for Cremation filed by
(name of person who is filing the petition) _________________________________________ requesting
cremation of the above decedent.
I FURTHER ACKNOWLEDGE that I am in agreement with the request to cremate and
hereby consent to the cremation.
DATED THIS _____ day of _______________, 20___.
Respectfully submitted,
_____________________________
(Signature)
_____________________________
(Your name)
click to sign
signature
click to edit
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ORDR
_____________________________
(Name)
_____________________________
(Address)
_____________________________
(City, State, Zip Code)
_____________________________
(Telephone number/E-mail Address)
Petitioner, In Proper Person
EIGHTH JUDICIAL DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Estate of:
_______________________________________,
Deceased.
Case No.: P
Dept. No.: PC-1
EX PARTE ORDER FOR CREMATION
Based upon the ex-parte petition of (your name) _______________________ requesting this
Court to enter an order permitting
(name of funeral home)_____________________________________
to prepare the above-referenced Decedent’s remains for cremation,
IT IS ORDERED that
(name of funeral home) ________________________________________
is directed to cremate the Decedent’s remains in accordance with his/her last wishes.
DATED this ____ day of ___________, 20_____.
_______________________________
DISTRICT COURT JUDGE
Respectfully submitted,
_____________________________
(Signature)
_____________________________
(Your name)
PETITIONER, IN PROPER PERSON
click to sign
signature
click to edit
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EXHIBIT A
(Petitioner’s Identification)
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EXHIBIT B
(Last Will & Testament)
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EXHIBIT C
(Consents and/or Affidavits in Support of Petition)
County, Nevada
Case No.
I. Part
Information
(provide both home and mailing addresses if different)
Plaintiff(s) (name/address/phone): Defendant(s) (name/address/phone):
Attorney (name/address/phone): Attorney (name/address/phone):
II. Nature of Controvers
y
(please select the one most applicable filing type below)
Landlord/Tenant Negligence Other Torts
Unlawful Detainer Auto Product Liability
Other Landlord/Tenant Premises Liability
Intentional Misconduct
Title to Property
Other Negligence
Employment Tort
Judicial Foreclosure Malpractice
Insurance Tort
Other Title to Property Medical/Dental Other Tort
Other Real Property Legal
Condemnation/Eminent Domain Accounting
Other Real Property Other Malpractice
Probate
(select case type and estate value)
Construction Defect Judicial Review
Summary Administration Chapter 40 Foreclosure Mediation Case
General Administration Other Construction Defect Petition to Seal Records
Special Administration Contract Case Mental Competency
Set Aside Uniform Commercial Code Nevada State Agency Appeal
Trust/Conservatorship Building and Construction Department of Motor Vehicle
Other Probate Insurance Carrier Worker's Compensation
Estate Value Commercial Instrument Other Nevada State Agency
Over $200,000 Collection of Accounts Appeal Other
Between $100,000 and $200,000 Employment Contract Appeal from Lower Court
Under $100,000 or Unknown Other Contract Other Judicial Review/Appeal
Under $2,500
Civil Writ Other Civil Filing
Writ of Habeas Corpus Writ of Prohibition Compromise of Minor's Claim
Writ of Mandamus Other Civil Writ Foreign Judgment
Writ of Quo Warrant Other Civil Matters
Signature of initiating party or representative
Civil Writ Other Civil Filing
Date
Business Court filings should be filed using the Business Court civil coversheet.
DISTRICT COURT CIVIL COVER SHEET
(Assigned by Clerk's Office)
See other side for family-related case filings.
Probate
TortsReal Property
Construction Defect & Contract Judicial Review/Appeal
Civil Case Filing Types
N
evada AOC - Research Statistics Uni
t
Pursuant to NRS 3.275
Form PA 201
Rev 3.1