Application To Waive Fees And Costs (Filing Fees Or Service Only) {35}

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Mobile Home Landlord or Tenant Affidavit/Declaration in Support of Application to Waive Fees and Costs Form #35 IN THE JUSTICE COURT OF __________________________ TOWNSHIP IN AND FOR THE COUNTY OF _________________, STATE OF NEVADA Name: Address: Phone: ______________________ ______________________ ______________________ ______________________ Landlord/Plaintiff CASE NO: ________________ _____________________ _____________________ _____________________ _____________________ Tenant/Defendant DEPT. NO:________________ vs. Name: Address: Phone: APPLICATION TO WAIVE FEES AND COSTS (Filing Fees/Service Only) Pursuant to NRS 12.015, and based on the attached Affidavit, I request permission from this Court to proceed without paying court costs or other costs and fees as provided in NRS 12.015 because I lack sufficient financial ability. I request the Court hold a hearing on this Application if the Court is inclined to deny same, so that I may testify as to my indigent status. Submitted by, _________________________ Date _____________________________ Signature of Party _____________________________ Print Name of Party 1 of 1 ©2006 Nevada Supreme Court Revised: April 17, 2006 American LegalNet, Inc. www.FormsWorkflow.com