Fillable Lvjcvl Form -15 - Small Claims Complaint printable pdf download

JUSTICE COURT, LAS VEGAS TOWNSHIP

Case No.

Clark County, Nevada

Name and Address of Plaintiff(s):

Department No. ____________

(Plaintiff’s(s) Email Address)

SMALL CLAIMS

COMPLAINT

Plaintiff’s(s’) Telephone Number)

VERSUS

Name and Address of Defendant(s)

(Defendant’s(s’) Telephone Number)

STATE OF NEVADA

)

COUNTY OF CLARK

)

, 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.

* * * * * * * * * * *

(Signature)

(Dated):

__________________________________________________________________

__________________________________________________

Print Name:

Attorney for

__________________________________________________________________

_______________________________________________

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______________________, 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

(Date):

_______________________________________________________________

County of_______________, State of ______________.

(Signature):

___________________________________________________________

(Typed or printed name):

_____________________________________________

The Plaintiff(s) must serve three (3) documents: (Small Claims Complaint, 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 -15 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

Lvjcvl Form -15 - Small Claims Complaint

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