Lvjcvl Form -126 - Small Claimscomplaint For Casesautomatically Exemptfrom Mandatory Njcmediation

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JUSTICE COURT, LAS VEGAS TOWNSHIP

Case No. ____________________

Clark County, Nevada

___________

Department No.

Name and Address of Plaintiff(s)

SMALL CLAIMS

COMPLAINT FOR CASES

AUTOMATICALLY EXEMPT

(Plaintiff’s(s’) Telephone

FROM MANDATORY NJC

Number)

MEDIATION

(Plaintiff’s(s’) Email Address)

[ ] NRS 97 (consumer debt /credit card)

VERSUS

[ ] NRS 604A (payday loans collections)

Name and Address of Defendant(s)

[ ] Nevada Department of Corrections

cases involving inmates

(

Telephone Number of

Defendant(s)

STATE OF NEVADA

)

COUNTY OF CLARK

)

I,_________________________________ , STATE THAT Defendant(s) owes Plaintiff(s) the sum of $ _________________

for ___________________________________________________________________________________________________

______________________________________________________________________________________________________

that a letter demanding payment has been sent; that Defendant(s) refuses to pay; and that Defendant(s) either currently resides,

works or does business in the Las Vegas Township, County of Clark, State of Nevada.

* * * * * * * * * * * *

(Plaintiff’s Signature): __________________________________________________

(Date):

_________________________________

You MUST have this affidavit notarized

or sign the unsworn declaration per NRS 53.045

(block on the left)

(block on the right):

SUBSCRIBED AND SWORN to before me this

: UNSWORN DECLARATION: Per NRS 53.045

_______day of ____________________, 20 ____.

“I declare under penalty of perjury under the law of the State of

Nevada that the foregoing is true and correct."

NOTARY PUBLIC in and for the

__________________________________________

(Signature):

County of _________________State of __________

________________________

(Typed or printed name):__________________

__________________________________________

(Date):

The Plaintiff(s) must serve three (3) documents: (Small Claims Complaint for Cases Exempt From Mandatory NJC

Mediation, Instructions to Plaintiff or Defendant, and Small Claims Answer), on each Defendant.

T o t h e a b o v e - n a m e d D E F E N D A N T ( S ) :

A S M A L L C L A I M S A C T I O N H A S B E E N C O M M E N C E D A G A I N S T Y O U !

YOU ARE DIRECTED TO E-FILE (electronically file), with the Las Vegas Justice Court Clerk’s Office, AN ANSWER WITHIN

the date of service of the Complaint.

TWENTY (20) CALENDAR DAYS from

Use the attached ANSWER form. You must

mail a copy of your Answer to Plaintiff(s) immediately after E-Filing your Answer with the Las Vegas Justice Court. Your

failure to Answer (respond to) the Complaint within 20 calendar days may result in the Plaintiff(s) filing a Motion for Default

Judgment against you. This means the Referee or Judge may grant a Judgment for the Plaintiff(s) based on the claims/allegations

in the Complaint and without considering your possible defense(s) or explanation(s).

LVJCVL Form -126 Revised 10/2015

Pursuant to JCRCP 12(a)(3), the State of Nevada or any political subdivision thereof, and any officer, employee, board or commission member

of the State of Nevada or political subdivision, and any state legislator shall file an answer or other responsive pleading within 45 days after their

respective dates of service.