Fillable Form 1: vs. 2 3 Applicant, 4 MOTION (Supreme Court of Nevada)

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Form 1: vs. 2 3 Applicant, 4 MOTION (Supreme Court of Nevada)

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Case No. ____________
Dept. No.____________
IN THE JUSTICE COURT OF _________________________TOWNSHIP
COUNTY OF ___________________________, STATE OF NEVADA
____________________________________________,
Applicant,
MOTION AND AFFIDAVIT
vs.
____________________________________________,
Adverse Party.
Pursuant to NRS chapter 33 and/or NRS chapter 22, the above-named Applicant/Adverse Party, hereby
moves the Court to grant the following relief:
Extension of O _________ Extension of Order for Protection
_________ Modification of Order for Protection
_________ Dissolution of Order for Protection
Other: _____________________________________________________________
This Motion is made for the following reasons:
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State of Nevada )
County of )
I, ___________________________________, being first duly sworn, hereby state under penalties of
perjury that I have read this document and that the contents are true of my own personal knowledge.
Dated: ______________ _______________________________________
(Signature)
_______________________________________
(Street Address)
_______________________________________
(City, State, Zip)
_______________________________________
(Daytime Telephone Number)
_______________________________________
(Evening / Message Telephone Number)
SUBSCRIBED and SWORN before me
this ______ day of _____________, ______.
_____________________________________
NOTARY PUBLIC / DEPUTY CLERK
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Form 1: vs. 2 3 Applicant, 4 MOTION (Supreme Court of Nevada)

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Completed 15 August 2020

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