Affidavit Court Form Nevada

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JUSTICE COURT, LAS VEGAS TOWNSHIP
CLARK COUNTY, NEVADA
TENANT:
_____________________________ )
)
_____________________________ )
)
ADDRESS:
_____________________________ )
)
_____________________________ )
)
_____________________________ )
)
PHONE #:
__________________
)
IN THE MATTER OF
)
TENANT’ S REQUEST
)
TO CONTINUE IN
vs.
)
POSSESSION (ELDERLY OR
)
DISABLED TENANTS ONLY)
)
__________________________________.
)
Case No._____________________
LANDLORD
)
Dept. No. ________
)
__________________________________________)
AFFIDAVIT
The above named Tenant, being first duly sworn, deposes and says:
(A) Please check the appropriate box below:
The length of my lease agreement with Landlord is based on the following:
[ ]
The lease is indefinite with no specific expiration date.
[ ]
The lease is based on monthly rental payments.
[ ]
The lease is based on weekly rental payments.
NOTE: If you have a weekly tenancy, you are not eligible to
request any extension of time pursuant to this application.
[ ]
The lease is based on the following: _____________________________
____________________________________________________________
1

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