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This is a Nevada form that can be used for Miscellaneous within County, Clark, Justice Court, Henderson Township.
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JUSTICE COURT , HENDERSON TOWNSHIP CLARK COUNTY, NEVADA Plaintiff, Defendant. STATE OF ) :ss COUNTY OF ) _____________________ _______________________, being duly sworn says: That at all tim herein affiant was and is a citizen of esthe United States, over 18 years of age, not a party to or interested in the proceeding in which this affidavit is made. That affiant received _________ copy(ies) of the on the day of , and served the same on the day of , by: (Affiant must complete the appropriate paragraph) 1. Delivering and leaving a copy with the defendant at (state address) . 2. Serving the Defendant by personally delivering and leaving a copy with , a person of suitable age and discretion residing at the Defendants usual place of abode located at: (state address) . (Use paragraph 3 for service upon agent, completing A or B) 3. Serving the Defendant by personally delivering and leaving at: (state address) . a. With as , an agent lawfully designated by statute to accept service of process; b. With , pursuant to NRS 14.020 as a person of suitable age and discretion at t he above address, which address is the address of the resident agent as shown on the current certificate of designation filed with the Secretary of State. (You must obtain an Order from the Judge prior to service by mail of a Summons and Complaint) 4. Personally depositing a copy in a mail box of the United States st Office, enclosed in a sealed envelope postage prepaid (Po check appropriate method): Ordinary mail Certified mail, return receipt requested Registered mail, return receipt requested addressed to the Defendant at Defendant=s last known address which is (state address): SUBSCRIBED AND SWORN to before me this day of , 20_____. NOTARY PUBLIC in and for said County and Stat e My Commission expires: