Nevada Eviction Notice Template

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_______ COUNTY, NEVADA
Name:
Address:
CASE NO
. _____________________________
DEPT. NO. ________________________
PLAINTIFF/LANDLORD,
vs
AFFIDAVIT FOR HEARING
Name:
SUMMARY EVICTION /
Address:
RETURN OF PROPERTY
DEFENDANT/TENANT(S).
I have been served with a Five Day Notice and request a hearing for the following reason:
PLEASE CHECK THE APPROPRIATE REASON.
[ ] I am not in default of the rent. Rent paid on:
.
[ ] I attempted to pay the rent on
in the sum of
and it was refused.
[ ] I have been locked out of the premises and the landlord is holding my property in lieu of rent.
[ ] Other:
Address
Defendant/Tenant’s Signature
City/State/Zip Code
Phone Number
NOTARIZED SIGNATURE OR DECLARED UNDER PENALTY OF PERJURY
I DECLARE UNDER PENALTY OF PERJURY
SUBSCRIBED AND SWORN to before me this
under the law
of the State of Nevada that the foregoing is true and correct.
day of
______
,
_____________________________________________________________________
NOTARY PUBLIC / DEPUTY CLERK
(SIGNATURE UNDER PENALTY OF PERJURY)
EXECUTED ON:
____________________________________________________
** Should the Landlord choose to proceed by way of formal Complaint, you will be served with the
Complaint, Summons and Notice of Hearing by the Landlord or their Attorney**
FOR COURT USE ONLY
NOTICE OF HEARING
THIS MATTER IS SET FOR THE __________ DAY OF ______________________________, 20_____ AT ___________ .M. IN
DEPARTMENT NO: ______ LOCATED AT 243 WATER STREET, HENDERSON, NEVADA 89015 (702) 455-7978
DATE:
CLERK’S INITIALS:
Copy of Affidavit/Notice of Hearing given to Plaintiff/Landlord (at the counter).
Copy of Affidavit/Notice of Hearing mailed to Plaintiff/Landlord.
Copy of Affidavit/Notice of Hearing mailed to Defendant/Tenant(s).
Landlord notified by telephone of hearing date/time.
Tenant(s) notified by telephone of hearing date/time.
NRS 40.253 requires a copy of the Tenant’s Affidavit be provided to the Landlord or Agent to avoid non-admittance to the premises.
PROPER ATTIRE IS REQUIRED. NO TANK TOPS, HALTER TOPS, OR SHORTS ARE ALLOWED IN THE COURTROOM.
JC Henderson
Rev. 07/04

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