1 AFFT

5 DISTRICT COURT
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CLARK COUNTY, NEVADA
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8 _________________________________

9 _________________________________
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Plaintiff(s), CASE NO. ______________________
11 _____________________
-vs- DEPT. NO.
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_________________________________
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14 _________________________________
Defendant(s).
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AFFIDAVIT OF SERVICE –– DIVORCE
STATE OF )
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) ss:
19 COUNTY OF )

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, being duly sworn says:

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That at all times herein affiant was and is a citizen of the United States, over 18 years of

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age, not a party to, nor interested in, the proceeding in which this affidavit is made. That

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affiant received copy(ies) of the Summons and Complaint for Divorce,

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________________________ on the day of , 20 and

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served the same on the day of , 20 by:

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(Affiant must complete the appropriate paragraph)

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Afft_of_Svc_Divorce.doc/8/12/2005
1 1. Delivering and leaving a copy with the Defendant at _________________
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__________________________________________________________.
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2. Serving the Defendant by personally delivering and leaving a copy with
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_________________________________, a person of suitable age and

6 discretion residing at the Defendant's usual residence located at:

7 .
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3. Personally depositing a copy in a mail box of the United States Post
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Office, enclosed in a sealed envelope, postage prepaid. (Check one)
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11 ‫ ڙ‬Ordinary mail ‫ ڙ‬Certified mail, return receipt requested ‫ ڙ‬Registered

12 mail, return receipt requested, addressed to the Defendant, at Defendant’’s

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last known address which is: ___________________________________
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__________________________________________________________.
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16 I declare under penalty of perjury under the law of the State of Nevada that the

17 foregoing is true and correct.

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EXECUTED this day of , 20 .
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20 ______________________________
Signature of person making service
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Afft_of_Svc_Divorce.doc/8/12/2005
The Affidavit of Service - Divorce may be used
to show Plaintiff’’s compliance with Nevada
Rules of Civil Procedure (NRCP) 4. This form
is meant for use by anyone who is eligible to
serve the Summons and Complaint on the
Defendant.

Afft_of_Svc_Divorce.doc/8/12/2005