MEMORANDUM OF COSTS

I have incurred the following fees and costs in this matter:

$ Amount of Small Claims Filing Fee Amount of Small Claims Filing Fee
$ Amount of Cost for Service of Application & Declaration of Complaint Amount of Cost for Service of Application & Declaration of Complaint
$ Amount of eFileNV processing fees Amount of eFileNV processing fees 
$ Amount Credit Card processing fees Amount Credit Card processing fees  

Additional Costs
$ Amount of Additional Cost for Reason for additional cost     
$ Amount of Additional Cost for Reason for additional cost     

Total Fees and Costs Requested:
$ Amount of Total Fees and Costs requested   

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

Dated   
Signature   
Print Name   
Address      City, State, Zip            
Telephone Number         
Email   

Plaintiff 
Defendant   
In Proper Person