SPARKS JUSTICE COURT LOCKOUT DOCUMENTS
CIVIL COVER SHEET * AFFIDAVIT OF LANDLORD * SHERIFF'S INSTRUCTIONS
Interpreter Needed:
No
Yes
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Language
Landlord Name
Agent Name
I am the (check on box)
the owner
the owner's agent
Landlord Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Landlord Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Landlord Email
example@example.com
Tenant Name
Tenant Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tenant Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Tenant Email
example@example.com
Real Property Eviction
*
Landlord/Tenant (Summary Eviction)
today's Date
-
Month
-
Day
Year
Date
Signature
1. That your affiant is the landlord of certain dwellings or apartments within the jurisdictional confines of Sparks Township, Washoe County, Nevada
The tenancy started on:
-
Month
-
Day
Year
Date
The amount of tenant's rent is:
Insert amount of rent $
The amount of tenat's rent is due per (check one)
month
week
other (specify)
OTHER If you checked other specify here:
Tenant paid the following deposits (insert amounts): rent deposit of $:
Security deposit of $:
and cleaning deposit of $:
Tenant's rent became delinquent on (insert date) and tenant has remained in possession of the premises without paying rent since that date.
-
Month
-
Day
Year
Date rent became delinquent
Tenant owes the following amounts:
Current rent due (inclusive of contractual utilities):
Past due rent (rent due for previous unpaid rental periods):
Late fees (cannot be more than 5% of the periodic rent):
Total owed (current rent due + past due rent + late fees, if any):
Tenant (check one box) sign sign a written rental agreement, and if so, a copy of that agreement is attached to this Complaint.
did
did not
Tenant was served with a written Notice to Pay Rent or Quit on (insert date notice served)________________________ in compliance with NRS 40.280, and a copy of that notice and proof ofservice is submitted with this Complaint
-
Month
-
Day
Year
Date rent became delinquent
On (insert date you last checked the rental premises): _______________________, I examined therental premises and verified the tenant is in continued possession of the rental premises following theexpiration of the Notice to Pay Rent or Quit
-
Month
-
Day
Year
Date rent became delinquent
Tenant’s rent (check one box) is is not subsidized by a public housing authority orgovernmental agency, and a copy of the Housing Assistance Payment Contract (or “HAP”) is attachedor submitted with this Complaint and I have provided the Reno Housing Authority with a copy of theeviction notice pursuant to 24 C.F.R. § 982.310(e)(2)(ii)
IS
IS NOT
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WASHOE COUNTY SHERIFF'S OFFICE CIVIL
INSTRUCTION'S FOR EVICTION
Is this a secure building or gated community?
YES
NO
If YES, please provide the code.
*Will the landlord/ agent provide a locksmith?
YES
NO
UNKNOWN
Has there been recent law enforcement response?
YES
NO
UNKNOWN
Are there any weapons inside the property
YES
NO
UNKNOWN
*Is the occupant(s) known to carry any weapons?
YES
NO
UNKNOWN
*Do any occupants have a history of violence?
YES
NO
UNKNOWN
Are there any dogs/animals on the property?
YES
NO
UNKNOWN
If YES, are they aggressive?
YES
NO
UNKNOWN
*Is the property hard to find?
YES
NO
If YES, then please provide additional information below
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