State Bar of Nevada



JUSTICE COURT,Case No: _______________________TOWNSHIP OF: ______________________Dept. No: ______________________MEDIATION AGREEMENTThis Mediation Agreement is entered into:BETWEEN the “parties”: ________________________________________________, landlord________________________________________________, tenant(s)The parties mediated eviction controversies related to the above-referenced case number on the following date: (insert date of mediation): _______________________.The parties present at the mediation were:For landlord: _____________________________________________________________ FORMCHECKBOX Owner FORMCHECKBOX Agent on behalf of landlord________________________________________________________________________ FORMCHECKBOX Other person(s) attending with landlordFor tenant(s): ____________________________________________________________ FORMCHECKBOX Acting on behalf of all tenants FORMCHECKBOX Acting alone________________________________________________________________________ FORMCHECKBOX Other person(s) attending with tenantAs a result of that mediation, the parties agree as follows: FORMCHECKBOX The parties enter into a Lease Addendum and Promissory Note for Rental Arrearages due to COVID-19, which is attached hereto. FORMCHECKBOX Tenant shall pay the following sums to Landlord:Rent: $__________________Late fees: $__________________Court costs: $__________________Other: $__________________ for (describe) _______________________________Total: $__________________ FORMCHECKBOX Tenant shall pay the total sum due to Landlord in the following installments:$_______________________ on or before _________________________;$_______________________ on or before _________________________;$_______________________ on or before _________________________;$_______________________ on or before _________________________;$_______________________ on or before _________________________;$_______________________ on or before _________________________;$_______________________ on or before _________________________;(Continued from previous page)$_______________________ on or before _________________________;$_______________________ on or before _________________________;$_______________________ on or before _________________________;$_______________________ on or before _________________________; $_______________________ on or before _________________________;( FORMCHECKBOX Continued below in “Other Conditions” or FORMCHECKBOX Continued on additional page(s) attached hereto) FORMCHECKBOX Tenant shall make payments by the following method: FORMCHECKBOX cash FORMCHECKBOX check FORMCHECKBOX money order FORMCHECKBOX other ______________________ FORMCHECKBOX using the following website/app: _____________________________________________ FORMCHECKBOX hand-delivery at the following address: ________________________________________ FORMCHECKBOX mailed to the following address: _____________________________________________ FORMCHECKBOX other: ___________________________________________________________________ FORMCHECKBOX Going forward, Tenant shall pay ongoing periodic rental payments in the amount of (insert periodic rent) $_______________________ on or before (insert date rent is due) ______________________, beginning on (insert beginning date) _________________________ and ending on (insert ending date) _________________________. FORMCHECKBOX Tenant shall vacate the unit and surrender the keys, garage openers, and all unit entry tools to Landlord before (insert date) ______________________ at (insert time) ____: ____ FORMCHECKBOX a.m. FORMCHECKBOX p.m. FORMCHECKBOX Landlord releases Tenant of all liability due from rent, including but not limited to, deducting unpaid rent from the security deposit or pursuing collection actions for unpaid rent. FORMCHECKBOX The existing lease and all agreements between the parties are terminated. FORMCHECKBOX A third-party agency, (insert name of agency) ________________________________________ will pay the Landlord the sum of (insert amount of payment) $__________________ on or before (insert date of payment)_________________________. Such payment will deem the tenant current on rent at the time of payment. FORMCHECKBOX Other conditions: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________( FORMCHECKBOX Continued on additional page(s) attached hereto)The parties agree that allegations of non-compliance of this Mediation Agreement must be addressed by the court by way of a Motion to Enforce the Mediation Agreement. Such a motion must be served on the other party and accompanied by an affidavit or declaration under penalty of perjury that details the non-compliance.________________________________________________________________Tenant’s SignatureDate________________________________________________________________Landlord’s/Agent’s SignatureDate ................
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