Complaint for Summary Eviction

2. Case number:*

6. Owner's name / DBA:*

8. Address1

10. City

11. State

12. Zip

16. Agent's name:*

18. Address1

20. City

21. State

22. Zip

26. VS.

28. Name:*

30. Address1

32. City

33. State

34. Zip

38. COMES NOW, the undersigned and states as follows:

    COMES NOW, the undersigned and states as follows:

40. I am the:*

    1. Landlord
    2. Landlord's duly-appointed agent

42. The premises are located at:*

44. The tenancy commenced on:*
    The tenancy commenced on:

45. The amount of periodic rent is:*

47. Tenant's rent deposit:*

48. Security deposit:*

50. Cleaning deposit:*

52. The rent:*

    1. Is current
    2. Is delinquent

54. When did the tenant first become delinquent in payment, and how much is owed?

56. The Tenant has not complied with the conditions and covenants of the rental agreement or with the obligations of the Tenant as enumerated in Chapter 118A of the NRS as follows:

58. A written notice was served on the following date:*
    A written notice was served on the following date:

60. The tenant signed a written rental agreement:

    1. Yes
    2. No

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

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

64. Your name:*

65. Date:*
    Date:

Leave This Blank:


67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

69. Submit

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