JUSTICE COURT, LAS VEGAS TOWNSHIP Case No - Get Now DOC

							JUSTICE COURT, LAS VEGAS TOWNSHIP                                  Case No.
Clark County, Nevada
Name of Plaintiff(s)
                                                                   Department No.




                                   VERSUS                               NOTICE OF APPEAL
Name of Defendant(s)




The     (Plaintiff or Defendant)                             In the above entitled matter APPEALS TO THE Eighth Judicial District Court,
Clark County, Nevada from the judgment entered on the                                 day of                           , 20     in the above
entitled Court.


DATE:
                                                                           Appellant’s Signature




                                                         CERTIFICATION OF MAILING

The Undersigned certifies on the                    Day of                  , 20          , a copy of the foregoing Notice of Formal Objection
was mailed to                                                at

                                            by depositing a copy in the United States Mail in an addressed sealed envelope, postage
prepaid.


Date:
                                                                           Name

Per NRS 53.045, "I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct."

(Signature):   __________________________________________

     (Date):   ___________________________________________

                                                                      Original-File
LVJCVL Form -12 Revised 7/11




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JUSTICE COURT, LAS VEGAS TOWNSHIP                                                  Case No.
Clark County, Nevada
Name of Plaintiff(s)
                                                                                   Department No.




                                 VERSUS
                                                                                    STATEMENT OF FACTS
Name of Defendant(s)                                                               AND LAW IN SUPPORT OF
                                                                                        THE APPEAL


This form must be used be used if you are appealing:
    (1) A Summary Eviction Order;
    (2) An Extended Order for Protection Against Domestic Violence;
    (3) An Extended Order for Protection Against Harassment in the Workplace;
    (4) An Extended Order for Protection Against Harm to Minors;
    (5) An Extended Order for Protection Against Stalking or Harassment

Summary of the Evidence Presented at the Hearing in Justice Court:




(*If more space is needed, you may attach information as long as it is LEGIBLE.)


Summary of the Legal Issues Presented and Why You Are Entitled to Appellate Relief:




(*If more space is needed, you may attach information as long as it is LEGIBLE.)


I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct.

(Signature):   ________________________________________                                                    (Date):   _________________________

                                        TO BE COMPLETED BY THE DISTRICT COURT JUDGE ONLY:
DISTRICT COURT CASE #

 No valid grounds for an appeal have been presented. Therefore, the appeal is dismissed.
 Valid grounds for an appeal have been presented. Therefore, this appeal is will be calendared for hearing on

                                                            , 20           , at                         .M. in District Court Department 24.



       DATE                                                                                      DISTRICT COURT JUDGE JAMES BIXLER
                                                                                     Original-File
LVJCVL Form -12B Revised 7/11

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