Lvjcvl Form-125 - Motion & Declaration For Judgment - Justice Court, Las Vegas Township
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1
2JUSTICE COURT, LAS VEGAS TOWNSHIP
Case No.
Clark County, Nevada
Name of Plaintiff(s)
Department No.
MOTION AND
VERSUS
Name of Defendant(s)
DECLARATION FOR
JUDGMENT BY DEFAULT
Plaintiff moves for Judgment against the above named Defendant(s) who have failed to plead or otherwise defend in this
action, with no further time having been granted by the Court, and with more than 20 days, exclusive of the day of service of
process, having expired since service upon the Defendant(s). I further state:
1. I am the Plaintiff in this action.
2. The Defendant(s) were duly served with a copy of the
[ ] Small Claims Complaint or [ ] Civil Summons and
(check appropriate box)
Complaint on the
day of
, 20
. A copy of the Proof of Service is attached.
3. No Defendant(s) named herein is currently engaged in active military service.
4. The following amount is due and owing on Plaintiff’s claim as of this date.
a. Complaint Amount
$
b. (Less payments and credits)
(-$
)
5. Total Costs:
$
6. Total Attorney Fees
$
[ ] This action arises under
NRS Chapter 604A
and the Plaintiff has complied with the requirements of that
(Check the box, if applicable)
chapter and with the requirements of Las Vegas Justice Court Local Rule 51.
This original Motion and Declaration for Judgment by Default must be E-Filed with the Justice Court Clerk’s Office
and a copy mailed by First Class postage to the opposing Party(s).
CERTIFICATION OF MAILING
The Undersigned certifies on the
day of
, 20
, a copy of the foregoing Motion and Declaration for
Judgment by Default was mailed to
at
by depositing a copy in the United States Mail in an addressed sealed envelope, postage prepaid.
SIGNATURE:
DATE:
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):
Original-File
Copy-Plaintiff
Copy-Defendant
LVJCVL Form-125 Revised 4/12
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