JUSTICE COURT, HENDERSON TOWNSHIP
CLARK COUNTY, NEVADA
Plaintiff,
Defendant.
STATE OF
)
:ss
COUNTY OF
)
_____________________ _______________________, being duly sworn says: That at all times herein affiant was and is a citizen of the United States,
over 18 years of age, not a party to or interested in the proceeding in which this affidavit is made. That affiant received _________ copy(ies) of the
on the
day of , and served the same on the day of , 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 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.
(You must obtain an Order from the Judge prior to service by mail of a Summons and Complaint)
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
addressed to the Defendant at Defendant=s last known address which is (state address):
SUBSCRIBED AND SWORN to before me this
day of , 20_____.
NOTARY PUBLIC
in and for said County and State
My Commission expires:
Signature of Person Making Affidavit
