Free IN THE JUSTICE COURT OF _TOWNSHIP - Nevada

IN THE JUSTICE COURT OF LAS VEGAS TOWNSHIP IN AND FOR THE COUNTY OF CLARK, STATE OF NEVADA Name: Address: Phone: ______________________ ______________________ ______________________ ______________________ Landlord/Plaintiff CASE NO: ________________ _____________________ _____________________ _____________________ _____________________ Tenant/Defendant DEPT. NO:________________

vs. Name: Address: Phone:

TENANT'S AFFIDAVIT/DECLARATION (Non-Payment Eviction - Private Housing)

The undersigned tenant states that: 1. I am a tenant of a certain rental unit within Las Vegas Township, Clark County, Nevada. 2. I rented the above unit from the above named landlord on or about _________________, 20____, with rent due monthly or for a shorter period of time. 3. I have a legal defense in that I am not in default in the payment of rent because of the below checked items. _____ 4. I did not get the required 5-day notice period and/or the Notice does not advise me to pay or move. Explain: ________________________________
Apartment Tenant Affidavit/Declaration (Non-payment Eviction Private Housing) Form #13 Revised: April 14, 2006

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___________________________________________________________. _____ 5. I paid rent in the amount of $_______________ to the landlord on the ____ day of _____________, 20____ by: _____ A. _____ B. _____ C. _____ D. Check Money Order Cash Other (explain) ___________________________________ ________________________________________________. _____ 6. I attempted to pay the rent, but the landlord refused to accept it. Explain: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ ____________________________________________________________. _____ 7. I attempted to pay the rent, but the landlord refused to accept it because I did not agree to pay unauthorized charges in addition to rent.1 _____ 8. I have made other arrangements with the landlord for the payment of rent. These arrangements are (explain in detail): __________________________ _____________________________________________________________ ____________________________________________________________.

_____ 9.

I do not owe the amount, which the landlord says I owe because: _____________________________________________________________

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A landlord shall not refuse to accept rent offered after a notice simply because the tenant has not paid collection fees, attorney fees or other costs other than rent, a reasonable charge for late payments of rent or dishonored checks, or a security. See NRS 40.253(9). There is a presumption that the tenant does not owe late charges or charges for dishonored checks unless these terms are in a written rental agreement. See NRS 2 of 5
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Apartment Tenant Affidavit/Declaration (Non-payment Eviction Private Housing) Form #13

Revised: April 14, 2006

_____________________________________________________________ ____________________________________________________________. _____ 10. I am withholding the payment of rent due to the landlord's failure to restore essential services (water, hot water, heat, electricity, etc) or make a good faith effort to do so within 48 hours following a written notice which I delivered to the landlord on__________________, 20____ under authority of NRS 118A.380(1) (c). Explain:_________________________________ ___________________________________________________________ __________________________________________________________. _____ 11. I am claiming a set-off against any rent owed because the landlord owes me damages for an intentional failure to supply essential services (water, hot water, heat, electricity, etc) under NRS 118A.380 and/or 118A.390. Explain:____________________________________________________ ___________________________________________________________ ___________________________________________________________. _____ 12. I am claiming a set-off against any rent owed because the landlord owes me damages as the landlord has failed to maintain the rental unit in a habitable condition (NRS 118A.350 and/or 118A.360). Explain: ______________ ____________________________________________________________ ____________________________________________________________ ___________________________________________________________. _____ 13. Other defense or set-off. Explain:__________________________________ __________________________________________________________ __________________________________________________________ WHEREFORE, the Tenant/Defendant prays for a hearing in this court 118A.200(3)(c).
Apartment Tenant Affidavit/Declaration (Non-payment Eviction Private Housing) Form #13 Revised: April 14, 2006

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pursuant to NRS Chapter 40, and that this matter be dismissed at the hearing because I have raised a legal defense to the alleged unlawful detainer. _____ Request for a Stay. In the alternative, if the court concludes that I have not raised a legal defense, I request a stay of execution under the authority of NRS 70.010(2) of ________ days (up to 10) in order to move. I need the additional time because _______________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________.

Apartment Tenant Affidavit/Declaration (Non-payment Eviction Private Housing) Form #13

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Revised: April 14, 2006

I swear the above is true. Signature:__________________________________

SUBSCRIBED AND SWORN to before me this ____ day of _________________, 20____. NOTARY PUBLIC OR DEPUTY CLERK _____________________________

OR
THE FOLLOWING:

Pursuant to NRS 53.045: "I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct." Executed on _____________, 20____

______________________________ Signature

______________________________ Print Name

Apartment Tenant Affidavit/Declaration (Non-payment Eviction Private Housing) Form #13

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Revised: April 14, 2006