JUSTICE COURT, TOWNSHIP OF LAS VEGAS
Case No. ____________________
Department No. ______________
SMALL CLAIMS COMPLAINT
Select Case Type:
State or County Agency Plaintiff
NRS604(A) Complaint (Payday Loans –
requires Defaulted Loan Worksheet as page #2,
Proof of Debt and Repayment Offer Letter)
NRS97 (A) Complaint – (Bought/Sold Credit
Card Debt – requires last 4 digits of card issuers
in the Affidavit)
Inmate suing State of Nevada ex rel
Department of Corrections
Inmate suing any party except State of
Nevada ex rel Department of Corrections
me and Address of Plaintiff(s):
Name and Address of Defendant(s)
STATE OF NEVADA )
COUNTY OF CLARK )
(insert your name)________________________, being first duly sworn, deposes and says:
That the defendant is indebted to the plaintiff in the sum of $__________; that the reason for this indebtedness is:
that this affiant has demanded payment of the sum; that the defendant refuses to pay the same. This action shall be tried in Las
Vegas, Township, in the County of Clark, State of Nevada because the defendant resides, does business in, or is employed in
Las Vegas at the time of the filing of this complaint, or was so when the cause of action arose; or in cases involving injury to the
person or property, Las Vegas is the location where the injury occurred; or in cases involving a contract to perform an obligation,
where the obligation is or was to be performed. I reside or receive mail at the above address.
I declare under penalty of perjury under the laws of the State of Nevada that the foregoing is true and correct.
Signature of Affiant _________________________________________________________ Dated ____________________________________________________
Print Name _________________________________________________________________ Attorney for _______________________________________________
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 Plaintiff’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 ___________ IN COURTROOM _________ and present any defense you may have. You
must arrive 30 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 Plaintiff, 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, INCLUDING RECEIPTS OR BOOKS,
THAT ARE 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, Rev. 7/2/19
Clark County, Nevada