JUSTICE COURT, LAS VEGAS TOWNSHIP
Clark County, Nevada
Case No.
Department No.
SMALL CLAIMS
MOTION TO PLACE ON
CALENDAR
Name and Address of Plaintiff(s)
VERSUS
Name and Address of Defendant(s)
COMES NOW, the Plaintiff Defendant Other: ____________________ undersigned and hereby requests that the
above entitled matter be placed on the Court’s calendar for hearing based on the following reasons
(describe what action you want the Court
to take and why):
CERTIFICATION OF
MAILING
The Undersigned certifies on the day of , 20 , a copy of the foregoing Motion to Place on Calendar
was mailed to at by
depositing a copy in the United States Mail in an addressed sealed envelope, postage prepaid.
DATE: NAME:
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."
(Signature):
(Type or Print Name):
(Date):
LVJCVL Form -42, Revised 1/17
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