1
JUSTICE COURT, HENDERSON TOWNSHIP
CLARK COUNTY, NEVADA
)
)
Tenant ) IN THE MATTER OF TENANT’S
) REQUEST TO CONTINUE IN
vs. ) POSSESSION (ELDERLY OR
) DISABLED TENANTS ONLY)
)
) Case No.
) Dept. No.
Landlord. )
____________________________________)
AFFIDAVIT
The above named Tenant, being first duly sworn, deposes and says:
(A) Please check the appropriate box below:
The length of my lease agreement with Landlord is based on the following:
The lease is indefinite with no specific expiration date.
The lease is based on monthly rental payments.
The lease is based on weekly rental payments.
NOTE: If you have a weekly tenancy, you are not eligible to
request any extension of time pursuant to this application.
The lease is based on the following:
(B) Please check the appropriate box(es) below:
I am:
60 years of age or older, as shown by sufficient proof attached to this Application.
Physically disabled, as shown by sufficient proof attached to this Application.
Mentally disabled, as shown by sufficient proof attached to this Application.
