JUSTICE COURT, TOWNSHIP OF LAS VEGAS

1 CLARK COUNTY, NEVADA

2 Landlord's
Name:: [TYPE LANDLORD'S FULL NAME HERE] Case No.:
3 Landlord, Dept. No.:
vs.
4 Tenant's
Name: [TYPE TENANT'S FULL NAME HERE]
5 Address: [TYPE STREET ADDRESS AND UNIT # HERE]
City,State,Zip: [TYPE TENANT'S CITY, STATE, AND ZIP HERE]
6
Phone: [TYPE TENANT'S PHONE NUMBER HERE]
UNSWORN DECLARATION RELATING
7 E-Mail [TYPE TENANT'S E-MAIL ADDRESS HERE] TO LOST/DESTROYED TENANT
NOTICE(S)
8 Tenant.

9 Tenant, appearing in proper person, submits this declaration pursuant to JCRLV 34(f)(3)(B), which requires

that a tenant filing an Answer in a summary eviction case include a copy of the original notice, “unless the tenant
10
signs an unsworn declaration to indicate that the notice has been lost or destroyed.”
11
I declare, upon information and belief, that I received the following notice(s) (check each lost/destroyed
12
notice you believe you received relating to this case and indicate approximate date you received each notice) :
13 Five-Day Notice of Unlawful Detainer, received on or about (insert date): [TYPE DATE OR N/A]

14 Five-Day Notice to Pay Rent or Quit, received on or about (insert date): [TYPE DATE OR N/A]

15 Five-Day Notice to Quit for Lease Violation, received on or about (date): TYPE DATE OR N/A]

Five-Day Tenancy-at-Will Notice, received on or about (insert date): [TYPE DATE OR N/A]
16
Seven-Day "No Cause" Notice to Quit, received on or about (insert date): [TYPE DATE OR N/A]
17
Thirty-Day "No Cause" Notice to Quit, received on or about (insert date): [TYPE DATE OR N/A]
18 Three-Day Notice to Quit for Nuisance, received on or about (insert date): [TYPE DATE OR N/A]
19 Other (insert type of notice received): [TYPE NOTICE YOU RECEIVED IF NOT LISTED ABOVE OR N/A]

20 received on or about (insert date): [TYPE DATE OR N/A] .

21 (Check one box below and insert explanation if necessary:)

I have lost the notice(s) relating to this case and am unable to provide them to the Court.
22
I accidentally destroyed or disposed of the notice(s) without realizing that the Court requires the actual
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notice(s) as part of the tenant filing in an eviction case.
24 I do not have the notice(s) relating to this case because (insert explanation): [TYPE REASON OR N/A]

25 [TYPE REASON YOU DO NOT HAVE NOTICE, OR TYPE N/A]

26 I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct.

[TYPE DATE YOU ARE [PRINT AND SIGN HERE, OR ATTACH

27 SIGNING] [TYPE YOUR FULL NAME HERE] ELECTRONIC SIGNATURE IF ALLOWED]
(Date) (Type or print name) (Signature)
28

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© 2014 - Civil Law Self-Help Center
Clark County, Nevada
Page 1 of 1 UNSWORN DECLARATION RE LOST OR DESTROYED TENANT NOTICE(S)
(Rev. 2.2, 06-29-2012)
For forms and information, visit www.CivilLawSelfHelpCenter.org