Affidavit Of Service {AFFT}

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 AFFT (Your Name) ______________________ (Address)_________________________ _________________________________ (Telephone) _______________________ (Email Address)____________________ Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA _______________________ Plaintiff, vs. _______________________ Defendant. AFFIDAVIT OF SERVICE ) ) ss: ) CASE NO.: ____________________ DEPT NO.: ____________________ STATE OF NEVADA COUNTY OF CLARK (Name of person who gave the documents to the Defendant, the "Affiant")____________ __________________________, being duly sworn, states that at all times herein Affiant was and is over 18 years of age, not a party to nor interested in the proceeding in which this affidavit is made. That Affiant has a business or home address of (street,city,state,zip) _________________ ______________________________________________________________________________. 24 25 26 27 28 That Affiant's telephone number is ( ) ________________. That Affiant is not required to be a licensed process server because Affiant is not engaged in business as a process server as defined in NRS 648.014 or Affiant is a licensed process server whose license number is stated below. ©Clark County Family Law Self-Help Center Rev. 7_11 1 Affidavit of Service Generic 7_11.doc ALL RIGHTS RESERVED American LegalNet, Inc. www.FormsWorkFlow.com 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 That Affiant received a copy of the (list the documents) __________________________ ____________________________________ on the That Affiant personally served the ( check one) day of Plaintiff , 20____. Defendant with a copy of the above stated documents on the ___________ day __________________, 20___ at about (time) ______ a.m./p.m. by: (check and complete option A or B) A. Delivering and leaving the documents with said party at (street address) ________ _____________________ (city) ________, (state)_____________, (zip code)________. OR B. Delivering and leaving a copy with (first and last name of person that the documents were given to) ____________________________________, who is a person of suitable age and discretion that lives with the above state party at (street address) _______ ______________________ (city) ________, (state)_____________, (zip code)________. __________________________________________ Signature of Affiant __________________________________________ Process Server License Number (If you are not a licensed process server write N/A) SUSCRIBED and SWORN to before me this ______ day of (month) _________, 20___ . _______________________________ NOTARY PUBLIC ©Clark County Family Law Self-Help Center Rev. 7_11 2 Affidavit of Service Generic 7_11.doc ALL RIGHTS RESERVED American LegalNet, Inc. www.FormsWorkFlow.com