JUSTICE COURT, LAS VEGAS TOWNSHIP
Clark County, Nevada
Case No. ____________________
Department No. ______________
AMENDED
SMALL CLAIMS
COUNTERCLAIM
Ind
icate version of Amended
Counterclaim:
First
Second
Third
_____________
me and Address of Defendant / Counterplaintiff:
Counterplaintiff’s Email
Counterplaintiff’s
Plaintiff(s) / Counterdefendant (s):
STATE OF NEVADA )
COUNTY OF CLARK )
I,
(insert your name)________________________________, being first duly sworn, deposes and says: That the
Counterdefendant is indebted to the Counterplaintiff in the sum of $__________; that the reason for this indebtedness is:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________;
that affiant resides at the above address.
* * * * * * * * * * *
Signature of Affiant ________________________________________________________ Dated __________________________________________________
Print Name _________________________________________________________________ Attorney for _______________________________________________
You MUST have this affidavit notarized (block on the left) or sign the unsworn declaration per NRS 53.045 (block on the right):
SUBSCRIBED AND SWORN to before me this
________day______________________, 20______.
___________________________________________
(Notary Signature)
NOTARY PUBLIC in and for the
County of_______________, State of ______________.
OR: UNSWORN DECLARATION: Per NRS 53.045
“I declare under penalty of perjury under the law of the State of
Nevada that the foregoing is true and correct."
Date __________________________________________________________________
Signature _____________________________________________________________
Typed or printed name _______________________________________________
AMENDED SUMMONS & ORDER TO APPEAR
NOTICE: YOU HAVE BEEN SUED. THE COURT MAY DECIDE AGAINST YOU WITHOUT YOUR PRESENCE UNLESS YOU APPEAR ON THE
FOLLOWING DATE.
You are hereby ordered to appear for trial on the Counterplaintiff’s claim at the Justice Court, Las Vegas Township located at:
CLARK COUNTY REGIONAL JUSTICE CENTER, 200 LEWIS AVE, LAS VEGAS, NV 89101
ON______________AT THE HOUR OF ___________COURTROOM _________ and present any defense you may have.
minutes before your trial time to check in with the clerk. A mediator will be available in the courtroom prior to your trial should you wish to mediate this
matter. You are further notified that in the event you do not appear, Default Judgment can be entered against you in the amount claimed due by the
Counterplaintiff, which can result in the garnishment of wages and seizure of property. PLEASE BRING WITH YOU ALL WITNESSES, AN ORIGINAL
AND 2 COPIES OF ANY EVIDENCE, RECEIPTS OR BOOKS, NECESSARY TO PROVE YOUR CASE.
APPROPRIATE COURTOOM ATTIRE REQUIRED, NO SHORTS, HALTER OR TANK TOPS. SHOES ARE REQUIRED (NO FOOD OR DRINK
PERMITTED) NO SMOKING IN THE COURTHOUSE. CHILDREN MUST REMAIN QUIET.
@ Civil Law Self-Help Center Revised 11/6/17
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