JUSTICE COURT, LAS VEGAS TOWNSHIP Case No



|JUSTICE COURT, LAS VEGAS TOWNSHIP Clark County, Nevada | | |

| |Case No. ____________________ | |

| |Department No. __________ | |

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| |SMALL CLAIMS | |

| |DEFAULT | |

|Name of Plaintiff(s) | | |

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|Email Address: | | |

|VERSUS | | |

|Name of Defendant(s) | | |

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|It appearing from the files and records in the above entitled action that (insert defaulting defendant(s) names): ________ |

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|Defendant(s) herein, being duly served with a copy of the Small Claims Complaint, Small Claims Answer form, and Instructions to Plaintiff or Defendant form|

|on the (date(s) served)___________________________________________________________ |

|That more than 20 days, exclusive of the day of service, having expired since service upon the Defendant(s): that no Answer or other appearance having been|

|filed and no further time having been granted, the default of the above named Defendant(s) for failing to answer or otherwise plead to the Plaintiff’s |

|Complaint is hereby entered. |

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|BY: _________________________________ DEPUTY CLERK |

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|Date: |

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|* * * * * * * * * * * * * * * * * * * * * * * |

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|The undersigned hereby requests and directs the Entry of Default: |

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|(Signature): ___________________________________________________________ (Dated): _______________________ |

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|Print Name: _____________________________________________________________________________ Attorney for: _____________________________________________ |

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LVJCVL Form-167 Revised 4/14

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