Justice Court, Las Vegas Township
CLARK COUNTY, NEVADA
AFFIDAVIT OF SERVICE
STATE OF NEVADA ) ) ss COUNTY OF CLARK )
CASE NO._______________________________
, being duly sworn, or under penalty of perjury, states, that at all times herein Affiant Was and is a citizen of the United States, over 18 years of age, not a party to or interested in the proceedings in which This Affidavit is made. That Affiant received a copy of this Order to Show Cause on the Day of , 20 , and served the same on this 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 Defendant's usual place of abode Located at: (state address) 3. Personally depositing a copy in a mailbox of the United States Post Office, enclosed in a sealed envelope, postage Prepaid, certified or registered mail, return receipt requested, addressed to the Defendant at: (For valid service a copy of the signed return receipt must be attached hereto.)
__________________________________________
DATED:__________________________ SUBSCRIBED AND SWORN to before me this ________ day of _________________, 20____ . _______________________________________ NOTARY PUBLIC in and for County of ____________________, State of ___________. OR: ONE OF THE FOLLOWING: Per NRS 53.045 (a) If executed in this State (Nevada): Executed on (Date) (Signature) (b) If executed outside of this State (Nevada): "I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct." Executed on (Date)
NOTATIONS:
Signature of Person Making Service Phone Number: ________________________________ Date: ________________________________________
"I declare under penalty of perjury that the foregoing is true and correct."
(Signature)