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AFFT (Your Name) ______________________
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(Address)_________________________
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_________________________________
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(Telephone) _______________________
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(Email Address)____________________
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In Proper Person DISTRICT COURT CLARK COUNTY, NEVADA
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_______________________ Plaintiff,
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CASE NO.: ___________
_______________________ Defendant.
DEPT NO.: ___________
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AFFIDAVIT FOR SERVICE BY PUBLICATION
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(Plaintiff’s Name)
, states: that
Affiant is the Plaintiff in the above-entitled action wherein a verified Complaint was filed and a
17 Summons directed to the Defendant was regularly issued; and that the Defendant is a necessary 18 19
party to this action.
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That to the best of Affiant’s knowledge the Defendant was last known to reside in the State
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of _____________________ at the following address________________________________
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______________________________________________________________________________;
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That Affiant mailed a copy of the Summons and Complaint to the Defendant at said address first
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class mail, prepaid postage on (date) ______________________________________________.
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That the Defendant no longer resides at said address; that the last date Affiant
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knows that the Defendant resided at said address was on (date) ______________________; that
© Clark County Family Law Self-Help Center Rev. 10-13
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ALL RIGHTS RESERVED 111 - Affidavit for Service Publication
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Affiant does not know the present address of the Defendant, where the Defendant resides, or
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where the Defendant may be found; and that after due diligence, the Defendant cannot be found
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within the State of Nevada or if the Defendant was last known to reside outside of the State of
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Nevada, that Affiant does not now know where the Defendant resides, where the Defendant may be found, and that Affiant has no knowledge, has never been informed, and has no reason to
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believe that the Defendant currently resides in the State of Nevada. Affiant therefore requests the Court to sign an Order directing that the Defendant be
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served by publication.
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I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct.
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DATED this (day) ______ day of (month) ______________, 20____.
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Submitted By: (your signature) ______________________________
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(print your name) _____________________________
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© Clark County Family Law Self-Help Center Rev. 10-13
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ALL RIGHTS RESERVED 111 - Affidavit for Service Publication