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Case No. ________ Dept. No.________ IN THE JUSTICE COURT OF _________________________TOWNSHIP COUNTY OF ___________________________, STATE OF NEVADA
____________________________________________, Applicant, MOTION AND AFFIDAVIT
vs.
____________________________________________, Adverse Party,
Pursuant to NRS chapter 33 and/or NRS chapter 22, the above-named Applicant/Adverse Party, hereby moves the Court to grant the following relief: _________ _________ _________ _________ Extension of Order for Protection Modification of Order For Protection Dissolve the Order for Protection Order to show Cause Other: ___________________________________________
This motion is made for the following reasons:
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State of Nevada County of
) )
I, ___________________________________, being first duly sworn, hereby state under penalties of perjury that I have read this document and that the contents are true of my own personal knowledge.
Dated: ______________
_______________________________________ (Signature) _______________________________________ (Street Address) _______________________________________ (City, State, Zip) _______________________________________ (Daytime Telephone Number) _______________________________________ (Evening / Message Telephone Number)
SUBSCRIBED and SWORN before me this ______ day of _____________, ______.
_____________________________________ NOTARY PUBLIC / DEPUTY CLERK
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