Notice:
There is a change to this packet. You must comply
with NRCP 16.2 (divorce, annulment, separate
maintenance, and dissolution of domestic partnership
cases) or NRCP 16.205 (paternity and custody
cases). A copy of the rule is available at the Filing
Office, Self Help Center, Law Library, or online at
https://www.washoecourts.com/forms/pdf/family/Mi
scellaneous%20Forms/ADKT%200521.pdf.
If you cannot comply with NRCP 16.2 or NRCP
16.205, you may file a general motion explaining
why you cannot comply with the rule and asking the
Court to exempt you from all or part of the rule.
If you have any questions, please contact the Self
Help Center at 775-325-6731 or the Law Library at
775-328-3250.
COMPLAINT FOR DIVORCE
(WITHOUT MINOR CHILDREN)
D-6
The District Court Filing Office
is located on the first floor at:
75 Court Street
Reno, NV 89501
COMPLAINT FOR DIVORCE
(WITHOUT MINOR CHILDREN)
PACKET D-6
USE THIS COMPLAINT FOR DIVORCE PACKET ONLY IF ALL
OF THE FOLLOWING REQUIREMENTS HAVE BEEN MET:
□
You are currently married.
□
You and your spouse have no minor children together, either natural born or
adopted.
□
You want a divorce.
□
You or your spouse has lived in Nevada for more than six weeks and intends to
remain a resident of Nevada for the foreseeable future.
Do Not Copy Or File This Page
The penalty for willfully making a false statement under penalty of perjury is a
minimum of 1 year, and a maximum of 4 years in prison, in addition to a fine of not
more than $5,000.00. N.R.S. §199.145.
REV 08/2014 ER
D6 VISUAL INSTRUCTIONS
INSTRUCTIONS FOR COMPLETING FORMS
CAREFULLY READ ALL INSTRUCTIONS BEFORE STARTING TO FILL OUT
ANY OF THE FORMS.
Use black or blue ink only. Neatly print the information requested.
Do not use correction fluid/tape on the forms.
This packet contains the following forms:
1.
Civil Cover Sheet
2.
Family Court Information Sheet
3.
Complaint for Divorce
4.
General Financial Disclosure
5.
Declaration of Resident Witness
6.
Summons
7.
Declaration of Personal Service
8.
Definitions of Terms Used in this Packet
Do Not Copy Or File This Page
REV 08/2014 ER
D6 VISUAL INSTRUCTIONS
Do Not Copy Or File This Page
INSTRUCTIONS: STEP 1
Complete the Civil (Family/Juvenile-Related) Cover Sheet as Shown:
1) Print your name, address,
telephone number, and date of
birth.
Print the name, address,
telephone number, and date of
birth of your spouse.
2) If an Interpreter is needed,
check the box labeled “Yes”,
and write the language
needed. If no Interpreter is
needed, check the box “No”.
3) Check the box labeled
"Marriage Dissolution Case."
Also check the box labeled
“Divorce – Without children.”
4) Date and sign the form.
REV 08/2014 ER
D6 VISUAL INSTRUCTIONS
CIVIL (FAMILY/JUVENILE-RELATED) COVER SHEET
WASHOE
County, Nevada
Case No.
(Assigned by Clerk's Office)
I. Party Information
(provide both home and mailing addresses if different)
Plaintiff/Petitioner (name/address/phone):
Defendant/Respondent/Co-petitioner (name/address/phone):
D.O.B.
D.O.B.
Attorney (name/address/phone):
Attorney (name/address/phone):
Will an Interpreter be required for court hearings? Yes
No
Will an Interpreter be required for court hearings? Yes
No
If yes, what language will need to be interpreted?_______________
If yes, what language will need to be interpreted?____________
Contact court clerk for further information about interpreters
II. Nature of Controversy
(Please check applicable bold category and applicable subcategory, if appropriate)
Family-Juvenile Related Cases
Domestic Relations Case Filing Types
Other Family Related Case Filing Types
Marriage Dissolution Case
Request for Temporary Protective Order (TP)
Annulment (AN)
Divorce - With Children (DC)
Request for Extended Temporary Protective Order
Other Domestic Relation Case Filings
Divorce - Without Children (DO)
Name Change-Minor (NM)
Foreign Decree (FD)
Permission to Marry (MM)
Joint Petition - With Children (JC)
Other Domestic Relation Filings (OF)
Joint Petition - Without Children (JN)
Mental Health (IC)
Separate Maintenance (LS)
Guardianship Case Filing Types
Paternity - (PY)
Custody (Non-Divorce) (CU)
Guardianship of an Adult (GA)
Support (Non-Divorce)
Guardianship of a Minor (GB)
Intrastate (Title IV-D) (UF)
Guardianship Trust (OG)
Other Support (Non-Title IV-D) (UO)
Visitation (Non-Divorce) (VS)
Estimated Estate Value: ___________
Termination of Parental Rights (TPR)
Juvenile-Related Case Filing Types
State-Initiated TPR Petition (District Attorney filing only) (TS)
Other TPR Petition (Private Request) (TV)
Miscellaneous Juvenile Petition
Adoptions
Emancipation Petition (EM)
Adult (AA)
Minor (AM)
Children involved in this case:
Name:
DOB:
Name:
DOB:
Name:
DOB:
Date
Signature of initiating party or representative
For Clark and Washoe Counties, please use their Family Court Cover Sheet for family-related case filings.
Please see the Family Court Clerk in those counties for copies of their forms.
Nevada AOC - Research Statistics Unit
Pursuant to NRS 3.275 \ Rev 3.1 \ July 1, 2014
Form PA 201
Rev 3.1
INSTRUCTIONS: STEP 2
Complete the Family Court Information Sheet as Shown:
Do Not Copy Or File This Page
You will be assigned a
Case No. and
Department No. when
you file the Complaint
with the court.
1) Print your name.
2) Print your spouse’s
name.
3) Print your name and
your spouse’s name,
Social Security
number(s), and date(s)
of birth. Print “do not
have” if one or both of
you do not have a Social
Security number.
STOP HERE
There is no need to
complete the rest of this
form because your
spouse and you have no
minor children.
REV 08/2014 ER
D6 VISUAL INSTRUCTIONS
IN THE FAMILY DIVISION
OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA
IN AND FOR THE COUNTY OF WASHOE
1
2
3
4
5
6
7
8
9
CONFIDENTIAL
FAMILY COURT INFORMATION SHEET
_______________________________________,
Plaintiff/Petitioner,
Case No. ____________________
vs.
Dept. No. ________
_______________________________________,
Defendant/Respondent.
Name: _____________________________________ Name: ____________________________________
Social Security #: ____________________________
Social Security #: ___________________________
Date of Birth: _______________________________
Date of Birth: ______________________________
IF THIS CASE INVOLVES CHILDREN, PLEASE COMPLETE THE FOLLOWING:
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
Residential Address:
___________________________________________
Residential Address:
________________________________________
Mailing Address:
___________________________________________
City, State, Zip: _____________________________ _
Mailing Address:
_________________________________________
City, State, Zip: ____________________________
Telephone #: _________________________________
Are you employed?
YES [ ] NO [ ]
Name of Employer:
____________________________________________
Business Address:
____________________________________________
City, State, Zip: _______________________________
Telephone #: __________________________________
Driver’s License #: _____________________________
Date of Birth: _________________________________
Ethnicity: [ ] White (Not Hispanic)
[ ] African-American [ ] Hispanic
[ ] Asian or Pacific Islander
[ ] Native American/Alaskan Native [ ] Other
Telephone #: ______________________________
Are you employed?
YES [ ] NO [ ]
Name of Employer:
______________________________________
Business Address:
______________________________________
City, State, Zip: _________________________
Telephone #: ___________________________
Driver’s License #: ______________________
Date of Birth: ___________________________
Ethnicity: [ ] White (Not Hispanic)
[ ] African-American [ ] Hispanic
[ ] Asian or Pacific Islander
[ ] Native American/Alaskan Native [ ] Other
CHILDREN INVOLVED IN THIS CASE
Name: ___________________________________ SSN: _______________________ DOB: ____________
Name: ___________________________________ SSN: _______________________ DOB: ____________
Name: ___________________________________ SSN: _______________________ DOB: ____________
Name: ___________________________________ SSN: _______________________ DOB: ____________
Name: ___________________________________ SSN: _______________________ DOB: ____________
If there are more than five children, list their names on a separate sheet of paper and attach.
Does this case involve family violence:
[ ] Yes
Are you requesting Child Support Enforcement Services
from the District Attorney’s Office (IV-D) Services? [ ] Yes
Court Personnel Only: [
] Custodial Parent
[
[
[
] No
] No
] Non-Custodial Parent
This document contains the social security number of a person as required by NRS 123.130, NRS
125, 230, and NRS 125B.055
INSTRUCTIONS: STEP 3
Complete the Complaint For Divorce as Shown:
Do Not Copy Or File This Page
1) Print your name, address
and telephone number.
You will be assigned a Case
No. and Department No. when
you file the Complaint with
the court.
2) Print your name.
3) Print your spouse’s name.
4) Complete pages 1 - 5,
following the instructions on
each page.
REV 08/2014 ER
D6 VISUAL INSTRUCTIONS
1
2
3
4
Code: $1435
Name:
__________________________
Address: __________________________
____________________________________
Telephone: __________________________
Self-Represented Litigant
5
6
IN THE FAMILY DIVISION
7
OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA
8
IN AND FOR THE COUNTY OF WASHOE
9
10
11
_______________________________________,
Plaintiff,
Case No. ___________________
12
13
14
15
Dept. No. ________
vs.
_______________________________________,
Defendant.
/
16
COMPLAINT FOR DIVORCE
17
18
19
20
I, a self-represented litigant, allege as follows:
A. For the six weeks immediately before filing this Complaint with the Court, I resided in and
have been physically present in the State of Nevada. I intend to continue to make the State of
21
Nevada my home for an indefinite period of time.
22
23
24
25
My spouse is a resident of the State of _______________________. We were married on
(State in which my spouse lives)
_________________________________, in the City of ______________________________,
(City in which married)
(Date of marriage, to include month, day and year)
26
State of ______________________________, and ever since have been married.
27
(State in which married)
28
1
REV 07/2014 FINAL ER
COMPLAINT FOR DIVORCE – WITHOUT CHILDREN
1
Minor Children
2
Complete the statement below. Place an “X” in a box in front of the selected answer.
3
4
B. My Spouse and I have no minor children born to, or adopted by us. Wife
IS –OR–
5
IS NOT –OR–
UNKNOWN pregnant at this time.
6
7
Wife’s Name
8
Place an “X” in a box to select ONLY ONE of the two statements below.
9
10
11
C. 1.
Wife does not wish to change her name.
12
13
–OR–
2.
Wife wishes to return to her former name of:
14
_____________________________________________________________
15
(Print full name: first, middle, and last)
16
17
Alimony
18
Place an “X” in a box to select ONLY ONE of the two statements below.
19
20
21
D. 1.
Alimony should not be awarded.
22
–OR–
23
2.
MY SPOUSE –OR–
I should receive alimony in the amount of $________________
(Amount of alimony)
24
25
26
per month, due on the ______________________________ for ______________________
(Day / Date of payment each month)
MONTHS
(Number of months or years)
YEARS.
27
Alimony should begin on: _______________________________.
(Date first alimony payment will be made)
28
2
REV 07/2014 FINAL ER
COMPLAINT FOR DIVORCE – WITHOUT CHILDREN
1
Division of Community Debts
2
Place an “X” in a box to select ONLY ONE of the three statements below.
3
4
5
E. 1.
My Spouse and I have previously divided all community debts.
–OR–
6
7
2.
There are no community debts.
–OR–
8
9
3.
The community debts should be divided as follows:
10
I should be responsible for the debts listed below:
11
12
13
_______________________________________________________________________________
_______________________________________________________________________________
14
_______________________________________________________________________________
15
16
_______________________________________________________________________________
17
_______________________________________________________________________________
18
19
20
My spouse should be responsible for the debts listed below:
_______________________________________________________________________________
21
22
23
_______________________________________________________________________________
_______________________________________________________________________________
24
25
26
_______________________________________________________________________________
_______________________________________________________________________________
27
If more room is needed, attach additional sheets.
28
3
REV 07/2014 FINAL ER
COMPLAINT FOR DIVORCE – WITHOUT CHILDREN
1
Division of Community Property
2
Place an “X” in a box to select ONLY ONE of the three statements below.
3
4
5
F. 1.
My spouse and I have previously divided all community property.
6
7
–OR–
2.
There is no community property.
8
9
–OR–
3.
The community property should be divided as follows:
10
11
I should receive the property listed below:
12
_______________________________________________________________________________
13
14
_______________________________________________________________________________
15
_______________________________________________________________________________
16
17
_______________________________________________________________________________
18
My spouse should receive the property listed below:
19
20
21
_______________________________________________________________________________
_______________________________________________________________________________
22
23
24
_______________________________________________________________________________
_______________________________________________________________________________
25
If more room is needed, attach additional sheets.
26
27
G. My spouse and I are incompatible in marriage and there is no hope for reconciliation.
28
4
REV 07/2014 FINAL ER
COMPLAINT FOR DIVORCE – WITHOUT CHILDREN
1
Additional Relief
2
If you are requesting additional relief from the Court, please list below.
3
4
5
H. I request the additional relief listed below:
6
___________________________________________________________________________
7
___________________________________________________________________________
8
___________________________________________________________________________
9
___________________________________________________________________________
10
___________________________________________________________________________
11
___________________________________________________________________________
12
13
___________________________________________________________________________
If more room is needed, attach additional sheets.
14
15
I. I reserve the right to amend this Complaint, and to request additional and/or modified relief.
16
17
J. I ask for judgment against my spouse as follows:
18
1.
That I be granted a divorce;
19
2.
That the Court grant me the relief requested in this Complaint; and
20
3.
For other and further relief as the Court may deem just and proper in this action.
21
22
This document does not contain the Social Security number of any person.
23
I declare, under penalty of perjury under the law of the State of Nevada, that the foregoing
24
is true and correct.
25
Date: _________________
Your Signature: _________________________________
26
Print Your Name: ________________________________
27
28
5
REV 07/2014 FINAL ER
COMPLAINT FOR DIVORCE – WITHOUT CHILDREN
INSTRUCTIONS: STEP 4
Completing the General Financial Disclosure Form
Do Not Copy or File This Page
1) Print your name, address,
email, and telephone number.
2) Print “Second”.
3) Print “Washoe County”.
4) Print the names of the
parties, the case number and
department number just as
they appear on all other
forms in this case.
5) Answer all of the questions
on each page of the form.
There are a total of eight (8)
pages that need to be
completed.
REV 03/2015 ER
D6 VISUAL INSTRUCTIONS
MISC
Name: __________________________
Address: ________________________
________________________________
Phone: __________________________
Email: __________________________
Attorney for ______________________
Nevada State Bar No. _______________
_________ Judicial District Court
____________________, Nevada
___________________________________
Plaintiff,
Case No._________________
Dept. ____________________
vs.
___________________________________
Defendant.
GENERAL FINANCIAL DISCLOSURE FORM
A. Personal Information:
1. What is your full name? (first, middle, last) _______________________________________________
2. How old are you? __________________________ 3.What is your date of birth? _________________
4. What is your highest level of education? __________________________________________________
B. Employment Information:
1. Are you currently employed/ self-employed? ( check one)
 No
 Yes If yes, complete the table below. Attached an additional page if needed.
Date of Hire
Employer Name
2. Are you disabled? ( check one)
 No
 Yes
Job Title
Work Schedule
(days)
Work Schedule
(shift times)
If yes, what is your level of disability? __________________
What agency certified you disabled? ___________________
What is the nature of your disability? ___________________
C. Prior Employment: If you are unemployed or have been working at your current job for less than 2 years,
complete the following information.
Prior Employer: ___________________ Date of Hire: ___________ Date of Termination: __________
Reason for Leaving: _____________________________________________________________________
Rev. 8-1-2014
Page 1 of 8
Monthly Personal Income Schedule
A. Year-to-date Income.
As of the pay period ending ________________ my gross year to date pay is _____________.
B. Determine your Gross Monthly Income.
Hourly Wage
×
Hourly
Wage
=
Number of hours
worked per week
Weekly
Income
×
52
Weeks
÷
=
Annual
Income
12
Months
Annual Salary
Annual
Income
÷
=
12
Months
Gross Monthly
Income
C. Other Sources of Income.
Source of Income
Frequency
Amount
Annuity or Trust Income
Bonuses
Car, Housing, or Other allowance:
Commissions or Tips:
Net Rental Income:
Overtime Pay
Pension/Retirement:
Social Security Income (SSI):
Social Security Disability (SSD):
Spousal Support
Child Support
Workman’s Compensation
Other: ______________________
Total Average Other Income Received
Total Average Gross Monthly Income (add totals from B and C above)
Page 2 of 8
12 Month
Average
=
Gross Monthly
Income
D. Monthly Deductions
Type of Deduction
Amount
1.
Court Ordered Child Support (automatically deducted from paycheck)
2.
Federal Health Savings Plan
3.
Federal Income Tax
4.
Health Insurance
5.
Life, Disability, or Other Insurance Premiums
6.
Medicare
7.
Retirement, Pension, IRA, or 401(k)
8.
Savings
9.
Social Security
10.
Union Dues
11.
Other: (Type of Deduction) ______________________________
Amount for you: _____________________
For Opposing Party:___________________
For your Child(ren):__________________
Total Monthly Deductions (Lines 1-11)
Business/Self-Employment Income & Expense Schedule
A. Business Income:
What is your average gross (pre-tax) monthly income/revenue from self-employment or businesses?
$_______________
B. Business Expenses: Attach an additional page if needed.
Type of Business Expense
Frequency
Amount
Advertising
Car and truck used for business
Commissions, wages or fees
Business Entertainment/Travel
Insurance
Legal and professional
Mortgage or Rent
Pension and profit-sharing plans
Repairs and maintenance
Supplies
Taxes and licenses
(include est. tax payments)
Utilities
Other:___________________________
Total Average Business Expenses
Page 3 of 8
12 Month Average
Personal Expense Schedule (Monthly)
A. Fill in the table with the amount of money you spend each month on the following expenses and
check whether you pay the expense for you, for the other party, or for both of you.
Expense
Monthly Amount I Pay
Alimony/Spousal Support
Auto Insurance
Car Loan/Lease Payment
Cell Phone
Child Support (not deducted from pay)
Clothing, Shoes, Etc…
Credit Card Payments (minimum due)
Dry Cleaning
Electric
Food (groceries & restaurants)
Fuel
Gas (for home)
Health Insurance (not deducted from pay)
HOA
Home Insurance (if not included in mortgage)
Home Phone
Internet/Cable
Lawn Care
Membership Fees
Mortgage/Rent/Lease
Pest Control
Pets
Pool Service
Property Taxes (if not included in mortgage)
Security
Sewer
Student Loans
Unreimbursed Medical Expense
Water
Other:______________________________
Total Monthly Expenses
Page 4 of 8
For Me

Other Party

For Both

Household Information
A. Fill in the table below with the name and date of birth of each child, the person the child is living
with, and whether the child is from this relationship. Attached a separate sheet if needed.
Child’s Name
Child’s
DOB
Whom is this
child living
with?
Is this child
from this
relationship?
Has this child been
certified as special
needs/disabled?
1st
2nd
3rd
4th
B. Fill in the table below with the amount of money you spend each month on the following expenses
for each child.
1st Child
Type of Expense
2nd Child
3rd Child
4th Child
Cellular Phone
Child Care
Clothing
Education
Entertainment
Extracurricular & Sports
Health Insurance (if not deducted from pay)
Summer Camp/Programs
Transportation Costs for Visitation
Unreimbursed Medical Expenses
Vehicle
Other:__________________________
Total Monthly Expenses
C. Fill in the table below with the names, ages, and the amount of money contributed by all persons
living in the home over the age of eighteen. If more than 4 adult household members attached a
separate sheet.
Name
Age
Person’s Relationship to You
(i.e. sister, friend, cousin, etc…)
Page 5 of 8
Monthly
Contribution
Personal Asset and Debt Chart
A. Complete this chart by listing all of your assets, the value of each, the amount owed on each, and
whose name the asset or debt is under. If more than 15 assets, attach a separate sheet.
Line
Description of Asset and Debt
Thereon
Total Amount
Owed
Gross Value
Net Value
1.
$
- $
= $
2.
$
3.
$
4.
$
- $
- $
- $
= $
= $
= $
5.
$
6.
$
- $
- $
= $
= $
7.
$
8.
$
- $
- $
= $
= $
9.
$
10.
$
- $
- $
= $
= $
11.
$
12.
$
- $
- $
= $
= $
13.
$
14.
$
- $
- $
= $
= $
$
- $
= $
$
- $
= $
15.
Total Value of Assets
(add lines 1-15)
Whose Name is
on the Account?
You, Your
Spouse/Domestic
Partner or Both
B. Complete this chart by listing all of your unsecured debt, the amount owed on each account, and
whose name the debt is under. If more than 5 unsecured debts, attach a separate sheet.
Line
#
Description of Credit Card or
Other Unsecured Debt
Total Amount
owed
1.
$
2.
$
3.
$
4.
$
5.
$
6.
$
Total Unsecured Debt (add lines 1-6)
$
Page 6 of 8
Whose Name is on the Account?
You, Your Spouse/Domestic Partner or Both
CERTIFICATION
Attorney Information: Complete the following sentences:
1. I (have/have not)
retained an attorney for this case.
2. As of the date of today, the attorney has been paid a total of $
on my behalf.
3. I have a credit with my attorney in the amount of $
.
4. I currently owe my attorney at total of $
.
5. I owe my prior attorney at total of $
.
IMPORTANT: Read the following paragraphs carefully and initial each one.
This document does not contain the Social Security Number of any person.
I swear or affirm under penalty of perjury that I have read and followed all instructions
in completing this Financial Disclosure Form. I understand that, by my signature, I guarantee
the truthfulness of the information on this Form. I also understand that if I knowingly make
false statements I may be subject to punishment, including contempt of court.
I have attached a copy of my 3 most recent pay stubs to this form.
I have attached a copy of my most recent YTD income statement/P&L state
to this form, if self-employed.
I have not attached a copy of my pay stubs to this form because I am currently
unemployed.
Signature
Date
Page 7 of 8
CERTIFICATE OF SERVICE
I hereby declare under the penalty of perjury of the State of Nevada that the following is true and
correct:
That on (date) ______________________________, service of the General Financial
Disclosure Form was made to the following interested parties in the following manner:
☐Via 1st Class U.S. Mail, postage fully prepaid addressed as follows:
_______________________________________________________________________________
☐Via Electronic Service, in accordance with the Master Service List, pursuant to NEFCR 9, to:
___________________________________________________________________________
☐ Via
Facsimile and/or Email Pursuant to the Consent of Service by Electronic Means on file
herein to: _______________________________________________________________________
Executed on the _____ day of ________________, 20___.
_____________________________
Signature
Page 8 of 8
INSTRUCTIONS: STEP 5
Complete the Declaration of Resident Witness as Shown:
Do Not Copy Or File This Page
In order to get a divorce in Nevada, either your spouse OR you must have lived, and been
physically present in, Nevada for more than six (6) weeks prior to the filing of the
divorce with the court.
This Declaration must be completed by someone other than your spouse or you, who is 18
years of age or older, who is a resident of the State of Nevada, and who personally knows that
your spouse or you have been physically present in Nevada for at least six (6) weeks prior to
filing a Complaint or Petition. This person is called the Resident Witness.
1) Print your name, address
and phone number.
You will be assigned a Case
No. and Department No.
when you file the Complaint
and this form with the court.
2) Print your name.
3) Print your spouse’s name.
4) The Resident Witness
(someone other than your
spouse or you) must
complete the Declaration
form from this point
forward.
5) The Resident Witness
must sign and date the
Declaration on page 2.
REV 08/2014 ER
D6 VISUAL INSTRUCTIONS
1
2
3
Code: 1521
Name:
__________________________
Address: __________________________
____________________________________
Telephone: __________________________
Self-Represented Litigant
4
5
IN THE FAMILY DIVISION
6
OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA
7
IN AND FOR THE COUNTY OF WASHOE
8
9
10
_______________________________________,
Plaintiff / Joint Petitioner,
Case No. ___________________
Dept. No. ________
11
vs.
12
_______________________________________,
Defendant / Joint Petitioner.
13
/
14
15
DECLARATION OF RESIDENT WITNESS
16
17
I, _________________________________________, do hereby declare under penalty of
(Name of person completing the form)
18
19
20
21
perjury that the following is true.
I am over the age of eighteen and competent to testify of my own knowledge to the
following:
22
23
1. I have lived in the State of Nevada for _____________ years and presently live at:
(Number)
24
______________________________________________________________
25
(Your street address)
26
______________________________________________________________
(City, State, Zip Code)
27
28
1
REV 08/2013
Declaration of Resident Witness
1
2
2. To my personal knowledge, _________________________________________________,
(Name of wife or husband)
a. lives at:
3
4
______________________________________________________________
(Street address)
5
______________________________________________________________
6
(City, State, Zip Code)
7
b. has lived at that address since_______________________ and has been physically
(Month and year)
8
present within the State of Nevada on a daily basis for at least six (6) weeks prior to
Montgh )
9
the filing of the Complaint -or- Joint Petition in this case.
10
11
c. has physically lived in the State of Nevada since: ____________________________
(Month and year /or year only)
12
and is a bona fide resident of the State of Nevada.
13
14
Montgh )
3. I see him / her an average of _____________ times a week. He / She is my:
(Number)
15
(select one option below)
Montgh )
16
Friend
Co-Worker
Relative
Neighbor
Other: ________________________
17
18
19
20
21
This document does not contain the Social Security Number of any person.
I declare under penalty of perjury, under the law of the State of Nevada, that the foregoing
statements are true and correct.*
22
23
Date: ____________________
24
Signature:
________________________________
Printed Name: ________________________________
25
Telephone:
26
________________________________
27
28
* The penalty for willfully making a false statement under penalty of perjury is a minimum of 1 year, and a
maximum of 4 years in prison, in addition to a fine of not more than $5,000.00. N.R.S. §199.145.
2
REV 08/2013
Declaration of Resident Witness
INSTRUCTIONS: STEP 6
Complete the Summons as Shown:
Do Not Copy Or File This Page
1) Print your name.
2) Print your spouse’s name.
You will be assigned a Case
No. and Department No.
when you file the Complaint
and this form with the court.
3) Print “Complaint for
Divorce” as the object of
this action.
4) Print your name, address
and phone number.
REV 08/2014 ER
D6 VISUAL INSTRUCTIONS
1
Code: 4085
2
IN THE FAMILY DIVISION
3
OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA
4
IN AND FOR THE COUNTY OF WASHOE
5
6
__________________________________,
Plaintiff / Petitioner / Joint Petitioner,
7
8
9
Case. No. ___________________
vs.
Dept. No. ________
__________________________________,
Defendant / Respondent / Joint Petitioner.
/
10
11
SUMMONS
12
TO THE DEFENDANT: YOU HAVE BEEN SUED. THE COURT MAY DECIDE
AGAINST YOU WITHOUT YOUR BEING HEARD UNLESS YOU RESPOND IN
WRITING WITHIN 20 CALENDAR DAYS. READ THE INFORMATION BELOW
VERY CAREFULLY.
A civil complaint or petition has been filed by the plaintiff(s) against you for the relief as
set forth in that document (see complaint or petition). When service is by publication, add a brief
statement of the object of the action. See Nevada Rules of Civil Procedure, Rule 4(b).
The object of this action is:
.
13
14
15
16
17
18
19
20
21
22
1. If you intend to defend this lawsuit, you must do the following within 20 calendar days
after service of this summons, exclusive of the day of service:
a. File with the Clerk of the Court, whose address is shown below, a formal written
answer to the complaint or petition, along with the appropriate filing fees, in
accordance with the rules of the Court, and;
b. Serve a copy of your answer upon the attorney or plaintiff(s) whose name and address
is shown below.
2. Unless you respond, a default will be entered upon application of the plaintiff(s) and this
Court may enter a judgment against you for the relief demanded in the complaint or
petition.
23
Dated this
day of
, 20
.
24
25
26
Issued on behalf of Plaintiff(s):
Name:
Address:
27
Phone Number:
28
JACQUELINE BRYANT
CLERK OF THE COURT
By:
Deputy Clerk
Second Judicial District Court
75 Court Street
Reno, Nevada 89501
1
REVISED 11/2014 ER
SUMMONS
Do Not Copy Or File This Page
INSTRUCTIONS: STEP 7
Copying and Filing Documents
Take the original and two (2) copies of the completed documents to the Filing Clerk's
Office to be filed. Each document must be stapled. The Filing Clerk’s Office will not
accept forms that are not stapled.
The Filing Clerk’s Office is located on the first floor of the courthouse at 75 Court
Street, Reno, NV.
A copy machine is available at the Law Library located on the first floor of the
courthouse at 75 Court Street, Reno, NV (to the left of the Filing Clerk’s Office). There
is a per page charge to use the copy machine.
There will be a filing fee charged when the documents are filed. Fee information is
available at the Filing Clerk’s Office, Family Court Self Help Center, and online at:
www.washoecourts.com.
You can call the Filing Clerk’s Office at (775) 328-3110 to confirm the amount of the
fee.
FILING FEE WAIVERS
If you cannot afford the filing fee, you may apply to have your filing fee waived. To
apply, you must fill out and file the application found in the Application for Waiver
of Fees and Costs packet, which may be obtained at the following locations:
•
•
•
Family Court Self Help Center, 1 South Sierra Street, Reno, NV, First Floor
Filing Clerk’s Office, 75 Court Street, Reno, NV, First Floor
Online at: www.washoecourts.com (select the “Forms and Packets” tab on the
right hand side of the home screen)
The Filing Clerk’s Office will keep the original documents and return file-stamped copies
to you. Please make sure to keep copies of all the documents you file for your personal
records.
INSTRUCTIONS: STEP 8
Setting a Case Management Conference
You must set a case management conference. One will not be set automatically for you.
Contact the Family Court Self Help Center for further information.
REV 08/2014 ER
D6 VISUAL INSTRUCTIONS
Do Not Copy Or File This Page
INSTRUCTIONS: STEP 9
Serving the Documents
Your spouse must be personally served within 120 calendar days after the Complaint is
filed or your case may be dismissed. You must have your spouse personally served with
the Summons, Complaint, and all documents you have filed with the court other than an
application for waiver of fees and costs or ex parte motion(s). The ORIGINAL
SUMMONS must be filed with the Court after service is completed.
Personal Service
Personal Service is completed by a person other than yourself:
 handing a copy of the summons and complaint along with all other documents
you have filed with the court to your spouse; or
 leaving a copy of the summons and complaint along with all other documents you
have filed with the court at your spouse’s home with a person of suitable age and
discretion who lives there; or
 delivering a copy of the summons and complaint along with all other documents
you have filed with the court to an agent authorized to receive service (such as an
attorney).
Personal Service cannot be completed by you. Service may be completed by:
 the Civil Division of the Sheriff’s Office in the County in which your spouse
resides or works; or
 a responsible adult over the age of 18 years (such as a friend or relative); or
 a private process service.
Filing the Summons and Declaration of Service
After service is completed, the Declaration of Service on the second page of the original
Summons must be filled out by the person who performs the service (see Instructions:
Step 10). You must file the original Summons and Declaration of Service with the
court. Without proof of service on your spouse, the court cannot grant a decree of
divorce.
Your spouse has 20 calendar days after the date of service in which to file an Answer to
the Complaint. If your spouse does not file an Answer, please contact the Family Court
Self Help Center for further information regarding a default packet.
Service by Publication
If you do not know where your spouse is, you may file an Ex Parte Motion for
Publication of Summons in order to serve your spouse by publishing the Summons in the
newspaper. Contact the Family Court Self Help Center for further information.
REV 08/2014 ER
D6 VISUAL INSTRUCTIONS
Do Not Copy Or File This Page
INSTRUCTIONS: STEP 10
Complete the Declaration of Personal Service as Shown:
This Declaration must be completed by the person who serves your spouse (see
Instructions: Step 9). Service may be made by the Sheriff’s Office in the county in which
your spouse resides or works, a responsible person who is 18 years of age or older, or by
a private process service. Service cannot be completed by you.
The person who completes service must fill out the Declaration and sign it. It is your
responsibility to file the original Summons and Declaration of Service with the court after
service has been made.
1) The person who
completed service must fill
out this form.
REV 08/2014 ER
D6 VISUAL INSTRUCTIONS
DECLARATION OF PERSONAL SERVICE
1
(To be filled out and signed by the person who served the Defendant or Respondent)
2
3
I,
, declare:
(Name of person who completed service)
4
1. I
AM –OR–
AM NOT a party to this action.
6
2. I
AM –OR–
AM NOT over 18 years of age.
7
3. I personally served
5
, a person who
(Name of person you served)
8
WAS –OR–
WAS NOT of suitable age and discretion by handing him/her
9
10
a copy of the following:
Summons;
Complaint;
11
Family Court Information Sheet;
12
Notice of Case Management Conference;
13
Motion to
Civil Cover Sheet;
Declaration of Resident Witness;
General Financial Disclosure Form;
;
(Name of motion)
14
15
Other:
,
at the following address:
16
17
18
19
on the
day of
4. The person I served
, 20
DOES –OR–
.
DOES NOT live at that address.
20
This document does not contain the Social Security Number of any person.
21
22
23
I declare, under penalty of perjury under the law of the State of Nevada, that the foregoing is
true and correct.*
Signature:
(Signature of person who completed service)
24
25
Date:
Printed Name:
(Name of person who completed service)
26
27
28
*The penalty for willfully making a false statement under penalty of perjury is a minimum of 1 year, and a
maximum of 4 years in prison, in addition to a fine of not more than $5,000.00. N.R.S. § 199.145.
2
REVISED 11/2014 ER
SUMMONS
Legal Assistance
The information in this packet is provided as a courtesy only. This packet is not a
substitute for the advice of an attorney. Counsel is always recommended for legal
matters.
If you do not have an attorney, you are encouraged to seek the advice of a licensed
attorney or visit the Family Court Self Help Center which is located at One South Sierra
Street, Reno, NV. The Family Court Self Help Center cannot give legal advice but
can give information regarding court procedures.
You may also wish to speak with a family law lawyer at no cost through the Law
Library’s “Lawyer in the Library” program, or to seek assistance from other free or
reduced-cost legal resources in the area, to include:
LAWYER IN THE LIBRARY
First Floor (to the left of the filing office) of the courthouse located at:
75 Court Street, Reno, NV.
(775) 328-3250
www.washoecourts.com/lawlib
Tuesday Evenings – Arrive by 4:25 p.m.
*Please Note* The program is limited to 10 participants each evening.
NEVADA LEGAL SERVICES
204 Marsh Avenue Reno, NV 89509
(775) 284-3491 x214 – leave message if necessary
http://nlslaw.net
WASHOE LEGAL SERVICES
299 S. Arlington Avenue Reno, NV 89501
(775) 329-2727 – leave message if necessary
http://www.washoelegalservices.org
Do Not Copy Or File This Page
REV 08/2014 ER
D6 VISUAL INSTRUCTIONS
SOME DEFINITIONS OF TERMS USED IN THE COMPLAINT FOR DIVORCE
Do Not Copy Or File This Page
The following definitions and explanations are only to be used as general guidance.
The definitions provided do not explain the entire legal meaning or importance of the
terms. A private attorney, licensed to practice in the State of Nevada, or a representative
of one of the local legal resource agencies can provide you with a full explanation of the
terms.
Alimony:
Community
Debts:
Community
Property:
Residency:
Resident
Witness:
REV 08/2014 ER
Money that your spouse or you, by court order, pays to the other person
for support while they are separated or after they are divorced (see
Complaint, Page 2).
Usually, any amount owed by your spouse or you, or both, that was
contracted or came due during the marriage. It often does not matter if the
debt is in one or both names (see Complaint, Page 3).
Usually anything acquired by your spouse or you, or both, during
marriage. It often does not matter if the property is owned in one or both
names (see Complaint, Page 4).
Nevada law requires that a divorce case be granted only if your spouse or
you, or both, were physically present in the State of Nevada for at least six
weeks immediately before the Complaint for Divorce is filed with the
court. An additional requirement is that the person who has been in
Nevada for six weeks, must intend to continue to live in Nevada for the
foreseeable future (see Complaint: Page 1).
Any adult resident of the State of Nevada, other than your spouse or you,
who knows and can swear that either your spouse or you was physically
present in the State of Nevada for at least six weeks immediately before
the Complaint for Divorce is filed with the court (see Instructions: Step 5).
D6 VISUAL INSTRUCTIONS