IN THE SUPREME COURT OF THE STATE OF NEVADA ...Petition for Adoption Annulment a. Answer and Counterclaim for Annulment or in the Alternative for Divorce (no children) b. Decree of

ADKT 05_23

JUN 1 4 2017 ELC;

CLEEM

ORDER ADOPTING FAMILY LAW LEGAL FORMS FOR USE IN RURAL COURT DISTRICTS

IN THE SUPREME COURT OF THE STATE OF NEVADA

IN THE MATTER OF PROPOSED SELF-HELP LEGAL FORMS FOR THE RURAL COURT DISTRICTS

WHEREAS, on April 28, 2017, the Honorable Michael L.

Douglas, on behalf of the Access To Justice Commission, filed a petition in

this court seeking adoption of proposed family law legal forms for use in

rural court districts (excluding the Second Judicial District (Washoe) and

the Eighth Judicial District (Clark)) to enhance access to the courts for

self-represented litigants.

WHEREAS, this court has determined that adoption of the

proposed family law legal forms is warranted; accordingly,

IT IS HEREBY ORDERED that the proposed family law legal

forms for use in rural court districts shall be adopted and shall read as set

forth in Exhibit A.

IT IS FURTHER ORDERED that the adoption of the family

law legal forms for use in rural court districts shall be effective 30 days

from the date of this order. The clerk of this court shall cause a notice of

entry of this order to be published in the official publication of the State

Bar of Nevada. Publication of this order shall be accomplished by the

clerk disseminating copies of this order to all subscribers of the advance

sheets of the Nevada Reports and all persons and agencies listed in NRS

SUPREME COURT

OF

NEVADA

(0) I947A

Gibbons

06.44.1 J. Hardesty

J. Stiglich

2.345, and to the executive director of the State Bar of Nevada. The

certificate of the clerk of this court as to the accomplishment of the above-

described publication of notice of entry and dissemination of this order

shall be conclusive evidence of the adoption and publication of the

foregoing rule amendment.

Dated this Pr day of June, 2017

D-z,Lue Douglas

Pickering

0...A.A ...Q(1) , J. Parraguirre

, J.

CC:

Bryan K. Scott, President, State Bar of Nevada Kimberly Farmer, Executive Director, State Bar of Nevada All District Court Judges Clark County Bar Association Washoe County Bar Association First Judicial District Bar Association Administrative Office of the Courts

2

SUPREME COURT

OF

NEVADA

(0) 1947A ef.:D0

2664

EXHIBIT A

Nevada Statewide Family Court Forms (Excluding Clark County and Washoe County)

Adoption a. Order to Waive Child Welfare Investigation and Affidavit of Fees b. Ex Parte Application to Waive Child Welfare Investigation and Affidavit of Fees c. Consent to Adoption (Child 14 or Older) d. Consent to Termination of Parental Rights and Adoption e. Decree of Adoption f. Petition for Adoption Annulment a. Answer and Counterclaim for Annulment or in the Alternative for Divorce (no children) b. Decree of Annulment (With Children) c. Decree of Annulment (No Children) d. Paternity Order e. Complaint for Annulment or in the Alternative Divorce and UCCJEA Declaration (With

Children) f. Complaint for Annulment or in the Alternative Divorce and UCOEA Declaration (No

Children) g. Answer and Counterclaim for Annulment or in the Alternative for Divorce and UCOEA

Declaration (With Children) Custody-Paternity a. Paternity Order b. Complaint for Custody/Paternity and UCCJEA Declaration c. Answer and Counterclaim for Custody/Paternity and UCCJEA Declaration d. Custody Decree

IV. Divorce a. Decree of Divorce -Joint Petition Decree of Divorce (With Children) b. Decree of Divorce -Joint Petition Decree of Divorce (No Children) c. Joint Petition for Divorce (No Children) d. Joint Petition for Divorce and UCCJEA Declaration (With Children) e. Complaint for Divorce (With Children) f. Complaint for Divorce (No Children) g. Answer 8t Counterclaim for Divorce (With Children) h. Answer & Counterclaim for Divorce (No Children) i. Decree of Divorce (With Children) j. Decree of Divorce (No Children)

V. Fee Waiver a. Application to Proceed in Forma Pauperis b. Order to Proceed in Forma Pauperis

VI. Miscellaneous a. Certificate of Mailing (Publication) b. Affidavit of Due Diligence c. Order of Service By Publication d. Request for Submission e. Summons

f. Waiver of Service of Summons and Complaint (Domestic) g. Notice of Change of Address h. Affidavit of Attempted Service i. Affidavit of Resident Witness j. Default k. Parenting Time Share Holiday Schedule I. Notice of Intent to Appear by Communication Equipment m. Primary Physical Custody Child Support Calculation Worksheet n. Notice of Entry of Order/Judgment o. Affidavit of Service

VII. Motions and Oppositions a. Opposition to Motion for an Order to Enforce and/or for an Order to Show Cause

Regarding Contempt

b. Opposition to Motion for Permission to Relocate with a Minor Child and Countermotion c. Opposition to Motion for Orders for Temporary Custody, Visitation, Child Support,

Spousal Support, and/or Exclusive Possession and Countermotion d. Reply to Opposition and/or Countermotion e. Motion for Orders to Modify Child Custody, Visitation, and/or Child Support f. Motion for an Order to Enforce and/or for an Order to Show Cause Regarding Contempt

g. Motion for Permission to Relocate With a Minor Child h. Motion for Orders for Temporary Custody, Visitation, Child Support, Spousal Support,

and/or Exclusive Possession of Residence i. Opposition to Motion for Orders to Modify Child Custody, Visitation, and/or Child

Support and Countermotion VIII. Name Change (Adult)

a. Petition for Change of Name b. Request for Summary Disposition of Petition for Change of Name and Declaration in

Support c. Notice of Petition for Change of Name d. Order for Change of Name

IX. Name Change (Minor) a. Order for Change of Name b. Petition for Change of Name for Minor Children c. Proof of Service d. Consent to Name Change (Child 14 or Older) e. Request for Summary Disposition of Petition for Change of Name and Declaration in

Support f. Consent to Name Change (Parent) g. Notice of Petition for Change of Name

X. Separation a. Answer and Counterclaim for Separate Maintenance (No Children) b. Decree of Separate Maintenance (With Children) c. Decree of Separate Maintenance (No Children) d. Complaint for Separate Maintenance and UCCJEA Declaration (With Children)

e. Complaint for Separate Maintenance (No Children) f. Answer and Counterclaim for Separate Maintenance and UCCJEA Declaration (With

Children) Xl. Termination of Parental Rights

a. Affidavit of Service (Termination of Parental Rights)

b. Certificate of Mailing to Child Support Enforcement c. Acceptance of Service d. Notice of Hearing to Terminate Parental Rights

e. Order to Terminate Parental Rights f. Petition to Terminate Parental Rights

XII. Guardianship (Adult) a. Letters of Guardianship b. Notice of Entry of Order

c. Order Appointing Guardianship d. Petition for Appointment of Guardian(s) e. Exhibit A: Information Regarding the Proposed Ward's Estate

f. Exhibit B: List All of the Adult's Relatives

g. Physician's Certificate of Incapacity and Regarding the Need for Guardianship h. Admonishment of Rights for Proposed Adult Ward

i. Citation to Appear and Show Cause

j. Certificate of Mailing for the Petition for Appointment of Guardians k. Confidential Information Sheet — Guardianship

XIII. Guardianship (Minor) a. Order Appointing Guardians b. Petition for Appointment of General Guardian(s) c. Exhibit A: Information Regarding the Proposed Ward's Estate d. Exhibit B: List All of the Child's Relatives e. Citation to Appear and Show Cause f. Certificate of Mailing for the Petition for Appointment of Guardians g. Consent and Waiver of Proposed Minor Ward (Age 14 or Older) h. Consent and Waiver of Parent i. Confidential Information Sheet — Guardianship j. General Letters of Guardianship k. Notice of Entry of Order Regarding the Petition for Appointment of Guardian(s)

Name:

Address: City, State, Zip: Phone: Email:

Self-Represented

DISTRICT COURT COUNTY, NEVADA

In the Matter of the Petition of

and

(adoptive parents' names)

For adoption of a minor child.

CASE NO.:

DEPT:

ORDER TO WAIVE CHILD WELFARE INVESTIGATION AND AFFIDAVIT

OF FEES

Upon ex parte application, the Court having reviewed the matter, and good cause

appearing therefore;

IT IS HEREBY ORDERED that the Petitioners' request to waive the child welfare

investigation and affidavit of fees is hereby granted pursuant to NRS 127.120(2) and NRS

127.127.

DATED this day of , 20

DISTRICT COURT JUDGE

Submitted By: I

(print your name)

Order to Waive Investigation / Fees

Name: Address: City, State, Zip: Phone: Email: Self-Represented



and



CASE NO.:

DEPT:

EX PARTE APPLICATION TO WAIVE CHILD WELFARE INVESTIGATION

AND AFFIDAVIT OF FEES

Petitioners respectfully state:

1. Petitioners are (name of first petitioner) , and

(name of second petitioner) . Petitioners filed a

Petition for Adoption in the above -entitled court, requesting to adopt (name of

child(ren))

2. Petitioners are related to the child(ren) to be adopted as follows:

O Parent and Stepparent of the children.

O Grandparents of the children.

O Aunts/Uncles of the children.

O Siblings of the children.

Page 1 of 2 — Affidavit to Waive Investigation / Fees

3. Because at least one of the petitioners is related to the child within the third degree of

consanguinity, petitioners respectfully request that the Court waive the child welfare

services investigation pursuant to NRS 127.120(2).

4. Because at least one of the petitioners is related to the child within the third degree of

consanguinity, petitioners respectfully request that the Court waive the affidavit setting

forth fees, donations, and expenses pursuant to NRS 127.127.

5. Petitioners declare under penalty of perjury under the laws of the State of Nevada that

the foregoing is true and correct.

Date: Date:

(First Petitioner's signature)

(Second Petitioner's signature)

(First Petitioner's printed name) (Second Petitioner's printed name)

Page 2 of 2 -- Affidavit to Waive Investigation / Fees






and CASE NO.:

DEPT:

CONSENT TO ADOPTION (CHILD 14 OR OLDER)

I, (child's name) , am a 0 male / 0 female,

I was born on (date of birth)

I consent to being adopted by (first petitioner)

(second petitioner or "n/a")

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

DATED this (day) day of (month) , 20

Submitted By: (child's signature) I

(print child's name)

Page 1 of 2— Consent to Adoption (child)

, and I am at least 14 years old.

and

AFFIDAVIT OF WITNESSES

STATE OF NEVADA

COUNTY OF

On this (day) day of (month) , 20 , then and there

personally appeared the within named (first witness) ____

and (second witness)

, who, being duly sworn, depose and say: That they witnessed

the execution of the within consent to adoption by (child's name)

; that she, he or they subscribed the consent to adoption

and declared the same to be a voluntary consent to adoption in their presence; that at the time the

consent to adoption was executed it contained the names of the person or persons to whom

consent was thereby given to adopt the child; that they thereafter subscribed the same as

witnesses in the presence of (child's name) and in the presence

of each other and at the request of (child's name) ; that at

the time of the execution of the consent to adoption (child's name)

acknowledged to them that she, he or they was or

were, and she, he or they appeared to them to be, in full possession of her, his or their faculties

and not under the influence of any drug or sedative or subject to any duress, fear, menace,

compulsion or undue influence whatever; and that they make this affidavit at her, his or their

request.

(First Witness's signature)

(First Witness's printed name)

(Second Witness's signature)

(Second Witness's printed name) .

SUBSCRIBED and SWORN to before me this day of (month) , (year)

NOTARY PUBLIC




and



CASE NO.:

DEPT:

CONSENT TO TERMINATION OF PARENTAL RIGHTS AND ADOPTION

1. I, (consenting parent's name) , am

the natural (EI check one) El mother / o father of the following children:

2. I give my unqualified and absolute consent to the termination of my parental rights as to

my minor children named above.

3. I give my full and free consent to the adoption of the above named children to (name of

first petitioner) and (name of second

petitioner or "n/a")

Page 1 of 3 — Consent to Adoption (parent)

4. The best interests of the children will be served by the termination of my rights and the

adoption by the petitioner(s) named above.

I understand that this consent cannot be revoked or nullified. I waive notice of any further

proceedings based on my consent to the adoption.

DATED this (day) day of (month)

Submitted By: (parent's signature) ■

(print your name)

SUBSCRIBED and SWORN to before me this day of

(month) , (year)

, 20

NOTARY PUBLIC

Page 2 of 3 — Consent to Adoption (Parent)

AFFIDAVIT OF WITNESSES

STATE OF NEVADA

COUNTY OF CLARK

On this (day) day of (month) , 20 , then and there

personally appeared the within named (first witness)

and (second witness)_

, who, being duly sworn, depose

and say: That they witnessed the execution of the within consent to adoption by (name of

consenting parent) ; that she, he or they subscribed the

consent to adoption and declared the same to be a voluntary consent to adoption in their

presence; that at the time the consent to adoption was executed it contained the names of the

person or persons to whom consent was thereby given to adopt the child; that they thereafter

subscribed the same as witnesses in the presence of (name of consenting parent)

and in the presence of each other and at the request of

(name of consenting parent) ; that at the time of the

execution of the consent to adoption (name of consenting parent)

acknowledged to them that she, he or they was or

were, and she, he or they appeared to them to be, in full possession of her, his or their faculties

and not under the influence of any drug or sedative or subject to any duress, fear, menace,

compulsion or undue influence whatever; and that they make this affidavit at her, his or their

request.

to

(First Witness's signature) (Second Witness's signature)

(First Witness's printed name) (Second Witness's printed name)

SUBSCRIBED and SWORN to before me this day of

(month) , (year)

NOTARY PUBLIC

Page 3 of 3 — Consent to Adoption (Parent)




and CASE NO.: DEPT:



DECREE OF ADOPTION

The matter came before this Court for hearing on the day of

20 , on the Petition for Adoption filed by the Petitioners, (first petitioner's name)

and (second petitioner 's name)

. The Petitioners appeared before the Court

personally. The Court is satisfied that all required consents to adoption have been filed with the

Court. The Court has considered and examined the consents to adoption and all other

documents executed and filed herein and finds them in all respects proper. The Court has ( ES

check one)

0 waived the requirement for a child welfare services investigation;

0 reviewed the child welfare services investigation.

The Court examined the Petitioners under oath, from which examination the Court finds

that all of the allegations of the Petition are true; if there are two Petitioners, they are married;

the Petitioners have been residents of County for at least six months;

the Petitioners are more than ten years older than the minor child(ren); and the Petitioners are

financially able to provide for the support and maintenance of the minor child(ren). The Court

Page 1 of 3—Decree of Adoption

[ild's-Current'FullName

further finds and concludes that the best interests of the child(ren) will be promoted by this

adoption and that there has been full compliance with the laws of the State of Nevada relating to

adoptions and with N.R.S. 127.220 to 127.310, inclusive.

IT IS THERFORE ORDERED that the Petitioners, (first petitioner 's name)

and (second petitioner's name)

are declared the legal and adoptive parents

of the following child(ren):

IT IS FURTHER ORDERED that if one of the Petitioner has existing parental rights

to the child(ren), those rights shall remain unaffected.

IT IS FURTHER ORDERED that the minor child(ren)'s names shall be changed as

follows:

IT IS FURTHER ORDERED that any other parent named on the child(ren)'s birth

certificates shall be removed, and Petitioners' names shall appear on the birth certificate as the

only parents to the child(ren).


IT IS FURTHER ORDERED that the minor child(ren) shall henceforth be regarded

and treated as Petitioner's natural child(ren) and have all the lawful rights as his/her own

child(ren), including the rights of support, protection and inheritance.

DATED this day of , 20


Respectfully Submitted:

(First Petitioner's signature) (Second Petitioner's signature)






and



CASE NO.:

DEPT:

PETITION FOR ADOPTION

Petitioners respectfully state:

1. Petitioners are:

(Name offirst petitioner)

(Name of second petitioner)

, age (age)

age (age)

Petitioners are more than ten years older than the child(ren) to be adopted, or are related

to the child(ren) pursuant to NRS 127.020(2)(a).

2. Petitioners have been residents of the State of Nevada since (date)

and have been married since (date of marriage)

3. Petitioners wish to adopt the following child(ren):

Page 1 of 4— Petition for Adoption

4. Petitioners are related to the child(ren) as follows (IZ check one):

O Parent and Stepparent of the child(ren).

O Grandparents of the child(ren).

0 Aunts/Uncles of the child(ren).

O Siblings of the child(ren).

5. The child(ren) have resided with the petitioners in their home since (date the child(ren)

first came to live with you)

6. Child(ren)'s Biological Mother.

The full name of the child(ren)'s biological mother is:

(name) (S check one):

O The mother is one of the petitioners to this adoption, and her spouse desires to

adopt the child(ren).

O The mother voluntarily consents to the termination of her parental rights and this

adoption. A proper consent will be filed with the court.

O The mother's rights were terminated by (name of court)

case number (case #) on (date)

*Attach a copy of the order as an exhibit*

O The mother is deceased.

7. Child(ren)'s Biological Father.

The full name of the child(ren)'s biological father is:

(name) check one):

O The father is one of the petitioners to this adoption, and his spouse desires to

adopt the child(ren).

O The father voluntarily consents to the termination of his parental rights and this

adoption. A proper consent will be filed with the court.

O The father's rights were terminated by (name of court)

case number (case #) on (date)

*Attach a copy of the order as an exhibit*

0 The father is deceased.

Page 2 of 4 - Petition for Adoption

8. Upon information and belief, the child(ren) are not known to be of Indian descent.

9. It is the desire of the petitioners that the relationship of parent and child be established

between them and the child(ren).

10. The petitioners are fit and proper persons to have the care and custody of the child(ren).

11. The petitioners are financially able to care for the child(ren).

12. There has been a full compliance with the law with respect to consent to adoption.

13. There has been a full compliance with NRS 127.220 to 127.310, inclusive.

14. Petitioners wish to change the child(ren)'s names as follows:

iireent PUltblitht

Petitioners request: 1. An order awarding the custody of the minor child(ren) to them declaring that the

child(ren) will from this time forward be regarded and treated in all respects as the

child of the petitioners;

2. That the child(ren) from this time forward bear the name(s) requested; and

3. For such other relief as the Court finds to be just and proper.

Date: Date:

(First Petitioner's signature) (Second Petitioner's signature)


Page 3 of 4 - Petition for Adoption

FIRST PETITIONER'S VERIFICATION

I, (name offirst petitioner) , declare that

I am the Petitioner in the above-entitled action; that I have read the foregoing Petition for

Adoption and know the contents thereof; that the pleading is true of my own knowledge, except

for those matters therein contained stated upon information and belief, and that as to those

matters, I believe them to be true. I declare under penalty of perjury under the law of the

State of Nevada that the foregoing is true and correct.

DATED this (day) day of (month) , 20 .

(First Petitioner's signature)

SECOND VERIFICATION

I, (name of second petitioner) , declare

that I am the Petitioner in the above-entitled action; that I have read the foregoing Petition for

Adoption and know the contents thereof; that the pleading is true of my own knowledge, except

for those matters therein contained stated upon information and belief, and that as to those

matters, I believe them to be true. I declare under penalty of perjury under the law of the

State of Nevada that the foregoing is true and correct.

DATED this (day) day of (month) , 20 .

(Second Petitioner's signature)

Page 4 of 4 -- Adoption Petition (Child)

Your Name: Address: City, State, Zip: Phone: Email: Self-Represented Defendant


CASE NO.:

Plaintiff, DEPT:

VS.

Defendant.

ANSWER AND COUNTERCLAIM FOR ANNULMENT OR IN THE ALTERNATIVE

FOR DIVORCE (No Children)

Defendant (your name) respectfully states:

1. Defendant admits the following allegations: (write the paragraph numbers from the

Complaint you agree with)

2. Defendant denies the following allegations: (write the paragraph numbers from the

Complaint you disagree with)

3. Defendant is without sufficient knowledge to admit or deny the following allegations:

(write the paragraph numbers you are unsure about)

Page 1 of 6— Answer & Counterclaim for Annulment (No Children)

COUNTERCLAIM FOR ANNULMENT OR IN THE ALTERNATIVE FOR DIVORCE

1. Jurisdiction. (01 check all that apply)

O The parties were married in the State of Nevada on (date of marriage)

O (Name of spouse who is a Nevada resident) has

been a resident of the State of Nevada for at least six weeks prior to filing this

Complaint for Annulment and intends to make Nevada his/her home for an indefinite

period of time. The parties were married on (date of marriage) _

in (city) , (state)

2. Reason for Annulment. (El check all that apply)

O There is a close enough blood relationship between the parties that the marriage is

prohibited by law.

O Plaintiff or Defendant was married to someone else on the day of the wedding

ceremony.

O Defendant was under the age of 18 at the time of the marriage ceremony and did not

get the proper consent from the parents, guardians, and/or district court. This

Complaint is being filed within one year of Defendant reaching 18 years of age, and

the parties have not freely cohabited since that time.

O Defendant lacked understanding of his/her actions to the extent that he/she was

incapable of agreeing to the marriage because (explain):

O Defendant was insane at the time of the wedding and has regained sanity. The parties

have not freely cohabited since Defendant regained sanity.

O Defendant's consent to the marriage was obtained by fraud because (describe):

Defendant has not freely cohabited with the other party since learning of the fraud.


onlinuni -Trope Community property includes but is notlimited.to: Checking, , saVings,'atylother,

investment accounts; real property /Alousei; 'vehicles, ,pensions, 401(k)s; defert '

' compensation; IRAs, and personal proper Make sure the list of property below is complete.

3. Pregnancy. (E1 check one)

O Neither spouse is pregnant.

O The following spouse is pregnant: (name of pregnant spouse)

The other spouse 0 is / 0 is not the parent of the unborn child. The child is due to be

born on (date):

O It is unknown whether either spouse is currently pregnant.

4. Children. There are no minor children in common born to or adopted by the parties.

5. Name Change. (IS1 check one)

O Defendant does not request a name change.

O Defendant would like his/her former name of (insert name)

restored.

6. Alternate Request for Divorce. (ISI check one)

O Defendant does not want to include a claim for divorce as part of this case. (Skip the

remaining sections and sign pages 5-6)

O If the Court does not grant an annulment, Defendant requests a divorce. The parties

are incompatible.

7. Community Property. (0 check one)

O There is no community property to divide.

O Any community property has already been divided.

O I do not know the full extent of the community property.

O The community property should be divided as follows:

Page 3 of 6 — Answer & Counterclaim for Annulment (No Children)

Plaintiff:

1.

2.

3.

4.

5.

Defendant:

1.

2.

3.

4.

5.

Attach additional sheets if more property needs to be listed.

Caninitifiity Debt: (20,Orriutii.q,,,debt includes but is not litritTed,to: mortgages, ear loans, credit eardS, & tax debt.

e iviion- of4ebt doe'not affeet creditars7,rightsto cOlket,ttiedebt. "fhe parties may .,

be required to restructure the debts per 'creditors' requirentents. _

8. Community Debt. (IE check one)

O There is no community debt to divide.

O Any community debt has already been divided.

O I do not know the full extent of the community debt.

O The community debt should be divided as follows:

Plaintiff:

1.

2.

3.

4.

5.


Defendant:

1.

2.

3.

4.

5.

Attach additional sheets if more debts need to be listed.

9. Alimony. (Z check one)

0 No spousal support is requested.

El Plaintiff should pay $ per month in spousal support for the next (number)

years.

El Defendant should pay $ per month in spousal support for the next (number)

years.

Defendant requests:

1. That the marriage existing between Plaintiff and Defendant be declared null and

void and/or dissolved, and that Defendant be granted an absolute Decree of

Annulment and/or Decree of Divorce, and that each of the parties be restored to

the status of a single, unmarried person;

2. That the Court grant the relief requested in this Counterclaim; and



Submitted By: (your signature) ■

(print your name)

, 20


VERIFICATION

Under penalty of perjury, I declare that I am the Defendant in the above-entitled action;

that I have read the foregoing Answer and Counterclaim and know the contents thereof; that the

pleading is true of my own knowledge, except for those matters therein contained stated upon

information and belief, and that as to those matters, I believe them to be true.

I declare under penalty of perjury under the law of the State of Nevada that the

foregoing is true and correct.


Submitted By: (your signature) I

(print your name)


Your Name: Address:

City, State, Zip: Phone:

Email:

Self-Represented


CASE NO.: DEPT:

Plaintiff,

VS.

Defendant.

DECREE OF ANNULMENT (With Children)

This Decree was submitted ( check one) 0 after a hearing 0 without a hearing before

the above-entitled court, and after a review of the pleadings and papers on file and the testimony

given, if any, this Court finds as follows:

1. Jurisdiction. This Court has jurisdiction to grant an annulment because: (El check one)

O The parties were married in the State of Nevada on (date)

O That Plaintiff and Defendant were married on (date) in

the city of , State of

(Name of spouse who is a Nevada resident) ___

has been a resident of the State of Nevada for at least six weeks prior to filing this

action and intends to make Nevada his/her home for an indefinite period of time.

2. Pregnancy. (1Z check one)



The other spouse (E1 check one) 0 is / 0 is not the parent of the unborn child. The

child is due to be born on (date):

Page 1 of 7— Decree of Annulment (With Children)

3. That Plaintiff and Defendant have (number) minor children in common who are

either biological or adopted. The names and dates of birth are:

4. Child Residency. (El check one)

0 The children are residents of Nevada and have lived here for at least the past 6

months. Nevada is the habitual residence of the children, and this Court has the

necessary UCCJEA jurisdiction to enter orders regarding custody and visitation.

o The children are not residents of Nevada or have not lived here for at least the

past 6 months. The children live in (state). which is

the habitual residence of the child, and this Court does not have the necessary

UCCJEA jurisdiction to enter orders regarding custody and visitation.

5. That any custody and visitation orders made herein are in the best interest of the children.

6. That the amount of child support ordered herein is in compliance with NRS 125B.070 or

it meets the children's financial needs and is based upon the deviation factors

enumerated in NRS 125B.080.

7. That the Plaintiff or Defendant should be granted a Decree of Annulment for the reasons

set forth in the Complaint or Counterclaim.

8. That any other necessary findings of fact are attached and incorporated herein.

Page 2 of 7 — Decree of Annulment (With Children)

NOW THEREFORE, IT IS HEREBY ORDERED that the marriage of Plaintiff and

Defendant is hereby declared null and void and of no effect, and each of the parties is restored

to the status of an unmarried person.

IT IS FURTHER ORDERED that (0 check one)

El The parties are granted joint legal custody of the minor children.

CI The Plaintiff is granted sole legal custody of the minor children.

El The Defendant is granted sole legal custody of the minor children.

O Nevada is not the home state of the children and does not have jurisdiction.

IT IS FURTHER ORDERED that (EJ check one)

O The parties shall share joint physical custody of the minor children. The parties shall

exercise a regular and/or holiday timeshare as outlined in Exhibit 1 which is

incorporated herein.

O Primary physical custody of the minor children shall be awarded to ( check one)

0 Plaintiff / 0 Defendant. The parties shall exercise a regular and/or holiday

timeshare as outlined in Exhibit 1 which is incorporated herein.

O Nevada is not the home state of the children and does not have jurisdiction.

IT IS FURTHER ORDERED that (LEI check one)

O Child support shall be paid by (name of parent who will pay child support)

in the amount of (amount)$ per

month. This is based on: (1E1 check one)

O The statutory minimum of $100/month per child.

O The statutory calculation pursuant to NRS Chapter 125B.

O The deviation factors enumerated in NRS 125B.080.

O The amount already established by the District Attorney / Child Support

Enforcement Office, case (insert case number)

O Neither party shall pay child support.

Page 3 of 7 — Decree of Annulment (With Children)

IT IS FURTHER ORDERED that (0 check one)

O No child support arrearages exist or the entitled custodial parent waived his/her right

to child support arrearages.

O Child support arrears are being handled by the District Attorney / Child Support

Enforcement Office, case (insert case number) and shall

continue as ordered in that case.

O Back child support shall be paid by (name of parent who will pay back child

support) in the total amount of

, which amount is reduced to judgment. The obligor is ordered to

make monthly payments towards the arrearages in the amount of $ per

month until paid in full.

IT IS FURTHER ORDERED that ( check one)

O A wage withholding shall issue against the obligor parent to secure payment of child

support and spousal support, if any.

O Good cause exists to postpone the withholding of income from the obligor parent to

pay child support and spousal support, if any.

IT IS FURTHER ORDERED that (El check one)

O Both parties shall maintain future health insurance for the minor children, if

available.

O Future health insurance for the minor children shall be provided by (name of parent)

if available.

IT IS FURTHER ORDERED that ( check one)

O Any medical expenses not covered by insurance shall be paid equally by both

parties.

O Any medical expenses not covered by insurance shall be paid by (name of parent)

due to the following extraordinary

circumstances (explain):


IT IS FURTHER ORDERED that (El check one)

CI The Plaintiff shall claim the following children as dependents for tax purposes every

year: (insert children's names):

0 The Defendant shall claim the following children as dependents for tax purposes

every year: (insert children's names):

El The tax deduction shall alternate, with Plaintiff claiming the children in (Z check

one) 0 even / 0 odd years, and Defendant claiming the children the other years.

El The tax deduction shall be allocated per federal law.

IT IS FURTHER ORDERED that (CZ check all that apply)

El Neither spouse changed their name or neither spouse wishes to have a former or

maiden name restored.

0 The name of (spouse 's married name)

should be

restored to his / her former or maiden name of (write full name the spouse wants to

go back to)

o The name of (spouse 's married name)

should be


go back to)

IT IS FURTHER ORDERED that each party shall submit the information required in

NRS 125B.055, NRS 125.130 and NRS 125.230 on a separate form to the Court and the

Welfare Division of the Department of Human Resources within ten days from the date this

Decree is filed. Such information shall be maintained by the Clerk in a confidential manner and

not part of the public record. The parties shall update the information filed with the Court and

the Welfare Division of the Department of Human Resources within ten days should any of that

information become inaccurate.

NOTICE IS HEREBY GIVEN of the following provision of NRS 125C.0045(6):

PENALTY FOR VIOLATION OF ORDER: THE ABDUCTION, CONCEALMENT OR


DETENTION OF A CHILD IN VIOLATION OF THIS ORDER IS PUNISHABLE AS A


CATEGORY D FELONY AS PROVIDED IN NRS 193.130. NRS 200.359 provides that

every person having a limited right of custody to a child or any parent having no right of

custody to the child who willfully detains, conceals or removes the child from a parent,

guardian or other person having lawful custody or a right of visitation of the child in

violation of an order of this court, or removes the child from the jurisdiction of the court

without the consent of either the court or all persons who have the right to custody or

visitation is subject to being punished for a category D felony as provided in NRS 193.130.

NOTICE IS HEREBY GIVEN that the terms of the Hague Convention of October 25,

1980, adopted by the 14th Session of the Hague Conference on Private International Law, apply

if a parent abducts or wrongfully retains a child in a foreign country. The parties are also put on

notice of the following provision of NRS 125C.0045(8):

If a parent of the child lives in a foreign country or has significant commitments in a foreign

country: (a) The parties may agree, and the court shall include in the order for custody of the

child, that the United States is the country of habitual residence of the child for the purposes

of applying the terms of the Hague Convention as set forth in subsection 7.

(b) Upon motion of one of the parties, the court may order the parent to post a bond if

the court determines that the parent poses an imminent risk of wrongfully removing or

concealing the child outside the country of habitual residence. The bond must be in an

amount determined by the court and may be used only to pay for the cost of locating the

child and returning him to his habitual residence if the child is wrongfully removed from or

concealed outside the country of habitual residence. The fact that a parent has significant

commitments in a foreign country does not create a presumption that the parent poses an

imminent risk of wrongfully removing or concealing the child.

NOTICE IS HEREBY GIVEN that the parties are subject to the relocation requirements

of NRS 125C.006 & NRS 125C.0065. If joint or primary physical custody has been established

pursuant to an order, judgment or decree of a court and one parent intends to relocate his or her

residence to a place outside of this State or to a place within this State that is at such a distance

that would substantially impair the ability of the other parent to maintain a meaningful

relationship with the child, and the relocating parent desires to take the child with him or her,

the relocating parent shall, before relocating: (a) Attempt to obtain the written consent of the

non-relocating parent to relocate with the child; and (b) If the non-relocating parent refuses to

give that consent, petition the court for permission to move and/or for primary physical custody


for the purpose of relocating. A parent who desires to relocate with a child has the burden of

proving that relocating with the child is in the best interest of the child. The court may award

reasonable attorney's fees and costs to the relocating parent if the court finds that the non-

relocating parent refused to consent to the relocating parent's relocation with the child without

having reasonable grounds for such refusal, or for the purpose of harassing the relocating

parent. A parent who relocates with a child pursuant to this section without the written consent

of the other parent or the permission of the court is subject to the provisions of NRS 200.359.

NOTICE IS HEREBY GIVEN that the parties are subject to the provisions of NRS

31A and 125.450 regarding the collection of delinquent child support payments.

NOTICE IS HEREBY GIVEN that either party may request a review of child support

every three years pursuant to NRS 125B.145.




By: (Plaintiff's signature)

(Name)

(Address)

By: (Defendant's signature)

(Name)

(Address)

(Telephone)

(Telephone)


Your Name: Address: City, State, Zip: Phone: Email: Self-Represented

• DISTRICT COURT COUNTY, NEVADA

CASE NO.: DEPT:

Plaintiff,

VS.

Defendant.

DECREE OF ANNULMENT (No Children)

This Decree was submitted ( check one) 0 after a hearing 0 without a hearing before


given, if any, this Court finds as follows:

1. Jurisdiction. This Court has jurisdiction to grant an annulment because: (r check one)

O The parties were married in the State of Nevada on (date)

O That Plaintiff and Defendant were married on (date) in

the city of , State of

(Name of

spouse who is a Nevada resident)

has been a resident of the State of Nevada for at least six weeks prior to filing this

action and intends to make Nevada his/her home for an indefinite period of time.

2. Pregnancy. (El check one)



The other spouse (El check one) 0 is / 0 is not the parent of the unborn child. The

child is due to be born on (date):

Page 1 of 2 — Decree of Annulment (No Children)

3. That Plaintiff and Defendant have no minor children in common who are either

biological or adopted.

4. That the Plaintiff or Defendant should be granted a Decree of Annulment for the reasons

set forth in the Complaint or Counterclaim.

5. That any other necessary findings of fact are attached and incorporated herein.

NOW THEREFORE, IT IS HEREBY ORDERED that the marriage of Plaintiff and

Defendant is hereby declared null and void and of no effect, and each of the parties is restored

to the status of an unmarried person.

IT IS FURTHER ORDERED that (@ check all that apply)

o Neither spouse changed their name or neither spouse wishes to have a former or

maiden name restored.

O The name of (spouse 's married name) ____

should be


go back to)

O The name of (spouse 's married name) ___

should be


go back to)




By: (Plaintiff's signature)

(Name)

(Address)

By: (Defendant's signature)

(Name)

(Address)


(Telephone)

(Telephone)




CASE NO.:

Plaintiff, DEPT:

VS.

Defendant.

PATERNITY ORDER

This Order was submitted ( check one) 0 after a hearing / 0 without a hearing before


given, if any, this Court finds that it has jurisdiction over this matter and that is in the best

interest of the child to have paternity adjudicated, therefore:

IT IS HEREBY ORDERED that the birth certificate of the minor child, (first child's

full name)

birth)

, born on (date of

, in (city and state where born)

shall be amended as follows:

ADD the correct legal father (full name of father to be added to the birth certificate, or

"none" if no father)

REMOVE the currently named incorrect father (full name of man to be removed from

the birth certificate, or "n/a" if none)

check one)

0 The child's name shall remain unchanged.

0 The child's name shall be changed to (child's new first, middle, and last name)

Page 1 of 2— Paternity Order

IT IS FURTHER ORDERED that the birth certificate of the minor child, (second

child's full name or "n/a") , born on (date

of birth) , in (city and state where born)



none" if no father)



check one)



IT IS FURTHER ORDERED, ADJUDGED AND DECREED that the Department of

Vital Statistics shall issue a new birth certificate for the above-named children reflecting the

changes above.




(print your name)

Page 2 of 2 — Paternity Order

Your Name: Address: City, State, Zip: Phone: Email: Self-Represented Plaintiff


CASE NO.:

Plaintiff, DEPT:

V S.

Defendant.

COMPLAINT FOR ANNULMENT OR IN THE ALTERNATIVE DIVORCE AND

UCCJEA DECLARATION (With Children)

Plaintiff (your name)

respectfully states:

1. Jurisdiction. (EI check all that apply)

0 The parties were married in the State of Nevada on (date of marriage)

0 (Name of spouse who is a Nevada resident) has



period of time. The parties were married on (date of marriage)

in (city) , (state)

Page 1 of 10 — Complaint for Annulment (With Children)

2. Reason for Annulment. (Z check all that apply)


prohibited by law.


ceremony.

O Plaintiff was under the age of 18 at the time of the marriage ceremony and did not get

the proper consent from the parents, guardians, and/or district court. This Complaint is

being filed within one year of Plaintiff reaching 18 years of age, and the parties have

not freely cohabited since that time.

O Plaintiff lacked understanding of his/her actions to the extent that he/she was incapable

of agreeing to the marriage because (explain):

O Plaintiff was insane at the time of the wedding ceremony and has regained sanity. The

parties have not freely cohabited since Plaintiff regained sanity.

O Plaintiff's consent to the marriage was obtained by fraud because (describe the fraud):

Plaintiff has not freely cohabited with the other party since learning of the fraud.

3. Pregnancy. (Ei check one)


O The following spouse is pregnant (name of pregnant spouse):


born on (date):



• Child's not all children)

ame

4. Children. There are (number) minor children in common born to or adopted

by the parties. The children's names and information are listed below:

5. UCCJEA Declaration. (Z check one)

0 The children have lived in Nevada for the past six months, or since birth. Nevada is

the children's "home state."

0 The children have NOT lived in Nevada for the past six months or since birth.

Nevada is not the children's "home state."

a. Living Arrangements Last 5 Years. The children have lived with the following

people in the following places within the last five years:

leribd anie of Person the

mo/yr—,motvr Children 'Lived With

- present

The names and current addresses of each non-parent the children lived with during the

last five years are:

Page 3 of 10— Complaint for Annulment (With Children)

b. Participation in Other Cases: (EJ check one)

I 0 have / 0 have not participated as a party or witness or in some other capacity in any

other case involving the children. If you have, provide all specifics including the state, the

court, children involved, the case number and the date of the child custody order, if any:

c. Knowledge of Other Cases: (El check one)

I 0 do / 0 do not know of a different case that could affect the current case. If you do,

provide all specifics including the state, the court, parties involved, the case number and

the nature of the proceeding:

d. Person(s) Who Claim Custody / Visitation: (E) check one)

I 0 do / 0 do not know of anyone other than the parents who has physical custody of the

children or who claims custody/visitation rights to the children. If you do, list names and

addresses of anyone who claims custody/visitation rights:

6. Legal Custody. Legal custody refers to the ability to access information and make major decisions about the children, such as medical care, education, and religious

upbringing. (IZ check one)

O The parties should share joint legal custody of the children.

O Plaintiff should have sole legal custody of the children.

O Defendant should have sole legal custody of the children.

O Nevada is not the "home state" of the children and the Court generally cannot enter

custody orders.


7. Physical Custody. Physical custody refers to the amount of time the children spend

with each parent. OM check one)

O The parties should share joint physical custody of the children (each parent must

have the children roughly 40% of the time, or 146 days per year). A proposed

parenting timeshare and holiday schedule is attached as Exhibit I.

O The (Z check one) 0 Plaintiff / 0 Defendant should have primary physical custody

of the children. A proposed parenting timeshare and holiday schedule is attached as

Exhibit 1.


custody orders.

8. Public Assistance. (E check one)

O None of the parties in this case have ever received state assistance or welfare.

O State assistance or welfare has been or is being provided to parties in this case.

9. Child Support. Complete the attached Child Support Worksheet that applies to your

custody arrangement before you complete this section. (El check one)

O Child support should be paid by (name of parent who should pay child support)

in the amount of (amount) $ per

month. This is based on: OM check one)


O The calculation from the attached Child Support Worksheet.


Enforcement office, case (insert case number)

O No child support is requested. (Explain why not):

O I'm not sure how much child support should be paid, and ask the court to set support.


10. Child Support Arrears. A maximum offour years' worth of child support arrears may be requested The court may award some, none or all that is requested. (IZ check one)

O No back child support or arrears are requested.


Enforcement office, case (insert case number) and should


O Back child support should be paid by (name of parent who should pay back child

support)

from (date back child support

should begin) to present.

11. Wage Withholding. (D3:1 check one)

O A wage withholding order should be entered to secure payment of any support owed.

O A wage withholding order should NOT be entered.

12. Health Insurance. (El check all that apply)

O Both parties should provide future health insurance for the minor children if

available.

O Future health insurance for the minor children should be provided by (name of

parent) if available.

13. Unreimbursed Medical Expenses. (E] check one)

O Any expenses not covered by insurance should be paid equally by both parties.

O Any expenses not covered by insurance should be paid by (name of parent)

due to the following extraordinary circumstances:

.(explain)


14. Tax Deduction. (IS1 check all that apply)

O Plaintiff should claim the following children as dependents for tax purposes every


O Defendant should claim the following children as dependents for tax purposes every


O The tax deduction should alternate, with Plaintiff claiming the children in (IZ check

one) 0 even / 0 odd years, and Defendant claiming the children the other years.

O The tax deduction should be allocated per federal law.

15. Name Change. ( Co check one)

O Plaintiff does not request a name change.

O Plaintiff would like his/her former name of (insert name)

restored.

16. Alternate Request for Divorce. ( check one)

O Plaintiff does not want to include a claim for divorce as part of this case. (Skip

remaining sections and sign pages 9- 10)

O If the Court does not grant an annulment, Plaintiff requests a divorce. The parties are

incompatible.

Community Property: Community property includes but is not limited to: checking, savings, and other investment accounts, real property / houses, vehicles, pensions, 401(k)s, deferred

compensation, IRAs, and personal property. Make sure the list of property below is complete.

17. Community Property. (Z check one)






Plaintiff:

I.

2.

3.

4.

5.

defendant:

1.

2.

3.

4.

5.


0 PI intim Debt: ?. 7 2 '

' ctebt includes but isnofhthited to nioi -tgages, car, loans, e4i,dit car s, & tax debi.

ivision of debt does riot arffecC&reditdfs ' rirghts to collect --the debt. 'Ilte

be re tared to restructure the debts per creditors requirements.

18. Community Debt. (Z check one)





Plaintiff:

1.

2.

3.

4.

5.


Defendant:

1.

2.

3.

4.

5.


19. Alimony. (E1 check one)

O No spousal support is requested.

O Plaintiff should pay $ per month in spousal support for the next (number)

years.

O Defendant should pay $ per month in spousal support for the next (number)

years.

Plaintiff requests:


void and/or dissolved, and that Plaintiff be granted an absolute Decree of



2. That the Court grant the relief requested in this Complaint; and




(print your name)

, 20


VERIFICATION

Under penalty of perjury, I declare that I am the Plaintiff in the above-entitled action;

that I have read the foregoing Complaint and know the contents thereof; that the pleading is true

of my own knowledge, except for those matters therein contained stated upon information and

belief, and that as to those matters, I believe them to be true.



DATED this (day) day of (month) ' 20


(print your name)


Your Name: Address: City, State, Zip: Phone: Email:

Self-Represented Plaintiff


CASE NO.:

Plaintiff, DEPT:

VS.

Defendant.

COMPLAINT FOR ANNULMENT OR IN THE ALTERNATIVE DIVORCE AND

UCCJEA DECLARATION (No Children)

Plaintiff (your name) respectfully states:

1. Jurisdiction. (Z check all that apply)

0 The parties were married in the State of Nevada on (date of marriage)

0 (Name of spouse who is a Nevada resident) has



period of time. The parties were married on (date of marriage)

in (city) , (state)

Page 1 of 5 — Complaint for Annulment (No Children)

2. Reason for Annulment. (0 check all that apply)


prohibited by law.


ceremony.

O Plaintiff was under the age of 18 at the time of the marriage ceremony and did not get

the proper consent from the parents, guardians, and/or district court. This Complaint is

being filed within one year of Plaintiff reaching 18 years of age, and the parties have

not freely cohabited since that time.

O Plaintiff lacked understanding of his/her actions to the extent that he/she was incapable

of agreeing to the marriage because (explain):

CI Plaintiff was insane at the time of the wedding ceremony and has regained sanity. The

parties have not freely cohabited since Plaintiff regained sanity.

O Plaintiff's consent to the marriage was obtained by fraud because (describe the fraud):

Plaintiff has not freely cohabited with the other party since learning of the fraud.

3. Pregnancy. (E] check one)

0 Neither spouse is pregnant.

CI The following spouse is pregnant: (name of pregnant spouse)

The other spouse 0 is / CI is not the parent of the unborn child. The child is due to be

born on (date):

CI It is unknown whether either spouse is currently pregnant.


4. Children. There are no minor children in common born to or adopted by the parties.

5. Name Change. (M check one)

O Plaintiff does not request a name change.

O Plaintiff would like his/her former name of (insert name)

restored.

6. Alternate Request for Divorce. (El check one

O Plaintiff does not want to include a claim for divorce as part of this case. (Skip

remaining sections and sign page 5)

O If the Court does not grant an annulment, Plaintiff requests a divorce. The parties are

incompatible.

Community Property: Communitypropertyjri tglestut isTot limited to: checkina. savings, and'other

iri\festinent aceounts, tztil-propeft y / h'ouses, ehieies. pensions. 401 (10s, deferred

compensation40-As,and personal property.

Make sure the iRt ,property'bglow is ,complete.

7. Community Property. ((2] check one)



O 1 do not know the full extent of the community property.


Plaintiff:

1.

2.

3.

4.

5.


Defendant:

1.

2.

3.

4.

5.


Community Debt: Community debt. includes but is not limited to: -Mtirtgages, car loans, credit cards. & ta\ qebt.

The division of debt does not affect creditors7;„tights-toccollect the debt, The Tarti es rn a

be:required to restructure the debtsPei rectuirnlents

8. Community Debt. (IZ check one)





Plaintiff:

1.

2.

3.

4.

5.

Defendant:

1.

2.

3.

4.

5.



9. Alimony. (Ki check one)

El No spousal support is requested.

0 Plaintiff should pay $ per month in spousal support for the next (number)

years.

0 Defendant should pay $ per month in spousal support for the next (number)

years.

Plaintiff requests:


void and/or dissolved, and that Plaintiff be granted an absolute Decree of



2. That the Court grant the relief requested in this Complaint; and




(print your name)

VERIFICATION

Under penalty of perjury, I declare that I am the Plaintiff in the above-entitled action;

that I have read the foregoing Complaint and know the contents thereof; that the pleading is true

of my own knowledge, except for those matters therein contained stated upon information and

belief, and that as to those matters, I believe them to be true.





(print your name)


Your Name: Address: City, State, Zip: Phone: Email: Self-Represented Defendant


CASE NO.:

Plaintiff, DEPT:

VS.

Defendant.

ANSWER AND COUNTERCLAIM FOR ANNULMENT OR IN THE ALTERNATIVE FOR DIVORCE AND UCCJEA DECLARATION

(With Children)

Defendant (your name) respectfully states:

1. Defendant admits the following allegations: (write the paragraph numbers from the

Complaint you agree with)

2. Defendant denies the following allegations: (write the paragraph numbers from the

Complaint you disagree with)

3. Defendant is without sufficient knowledge to admit or deny the following allegations:

(write the paragraph numbers you are unsure about)

Page 1 of 10— Answer & Counterclaim for Annulment (With Children)

COUNTERCLAIM FOR ANNULMENT OR IN THE ALTERNATIVE FOR DIVORCE

1. Jurisdiction. (El check all that apply)

O The parties were married in the State of Nevada on (date of marriage)

O (Name of spouse who is a Nevada resident) has



period of time. The parties were married on (date of marriage) _

in (city) , (state)

2. Reason for Annulment. (0 check all that apply)


prohibited by law.


ceremony.

O Defendant was under the age of 18 at the time of the marriage ceremony and did not

get the proper consent from the parents, guardians, and/or district court. This

Complaint is being filed within one year of Defendant reaching 18 years of age, and

the parties have not freely cohabited since that time.

O Defendant lacked understanding of his/her actions to the extent that he/she was

incapable of agreeing to the marriage because (explain):

O Defendant was insane at the time of the wedding and has regained sanity. The parties

have not freely cohabited since Defendant regained sanity.

O Defendant's consent to the marriage was obtained by fraud because (describe):

Defendant has not freely cohabited with the other party since learning of the fraud.

Page 2 of 10 — Answer & Counterclaim for Annulment (With Children)

- present

1ersôn the hildrOifL ived Wit

Child's Name not all children

nctStafe

3. Pregnancy. (Z check one)




born on (date):




5. UCCJEA Declaration. (ZI check one)

O The children have lived in Nevada for the past six months, or since birth. Nevada is


O The children have NOT lived in Nevada for the past six months or since birth.







b. Participation in Other Cases: (E1 check one)

I 0 have / 0 have not participated as a party or witness or in some other capacity, in any



c. Knowledge of Other Cases: (Z check one)




d. Person(s) Who Claim Custody / Visitation: (El check one)




6. Legal Custody. Legal custody refers to the ability to access information and make major decisions about the children, such as medical care, education, and religious upbringing. (EI check one)





custody orders.



with each parent. (El check one)

O The parties should share joint physical custody of the children (each parent must

have the children roughly 40% of the time, or 146 days per year). A proposed

parenting timeshare and holiday schedule is attached as Exhibit 1.

O The (N check one) 0 Plaintiff! 0 Defendant should have primary physical custody


Exhibit 1.


custody orders.

8. Public Assistance. (X check one)

O None of the parties in this case have ever received state assistance or welfare.

O State assistance or welfare has been or is being provided to parties in this case.


custody arrangement before you complete this section. (El check one)

O Child support should be paid by (name of parent who should pay child support)

in the amount of (amount) $ per

month. This is based on: (Z check one)


O The calculation from the attached Child Support Worksheet.


Enforcement office, case (insert case number)

O No child support is requested. (Explain why not):

O I'm not sure how much child support should be paid, and ask the court to set support.


10. Child Support Arrears. A maximum of four years' worth of child support arrears may be requested. The court may award some, none or all that is requested. (Z check one)

O No back child support or arrears are requested.


Enforcement office, case (insert case number) and should


O Back child support should be paid by (name of parent who should pay back child

support) from (date back child support

should begin) to present.

11. Wage Withholding. CZ check one)

O A wage withholding order should be entered to secure payment of any support owed.

O A wage withholding order should NOT be entered.

12. Health Insurance. (El check all that apply)

O Both parties should provide future health insurance for the minor children if

available.

O Future health insurance for the minor children should be provided by (name of

parent) if available.

13. Unreimbursed Medical Expenses. (E1 check one)

O Any expenses not covered by insurance should be paid equally by both parties.

O Any expenses not covered by insurance should be paid by (name of parent)

due to the following extraordinary, circumstances:

(explain)


14. Tax Deduction. (ZI check all that apply)

O Plaintiff should claim the following children as dependents for tax purposes every


O Defendant should claim the following children as dependents for tax purposes every


O The tax deduction should alternate, with Plaintiff claiming the children in (EI check

one) 0 even! 0 odd years, and Defendant claiming the children the other years.

O The tax deduction should be allocated per federal law.

15. Name Change. (El check one)

O Defendant does not request a name change.

O Defendant would like his/her former name of (insert name)

restored.

16. Alternate Request for Divorce. (ISI check one)

O Defendant does not want to include a claim for divorce as part of this case. (Skip the

remaining sections and sign pages 9- 10)

O If the Court does not grant an annulment, Defendant requests a divorce. The parties

are incompatible.

Community proper Community property includes but is not limited to checking savings, : and other

investment accounts, real property / houses, vehicles, pensions, 401(k)s, deferred , „ , compensation; IRAs, and personal prOperty.

Make Sure the list Of property below is complete;

17. Community Property. (Fs' check one)






Plaintiff.

1.

2.

3.

4.

5.

Defendant:

1.

2.

3.

4.

5.


Community Debt: Community debt includes but is notlimited to: mortgages, car loans, credit cards, & tax debt.

The division of debt does not affect creditors' rights to collect the debt. The parties may , debts be required to restructure the aents per creditors requirements. -

18. Community Debt. ( check one)


o Any community debt has already been divided.



Plaintiff;

1.

2.

3.

4.

5.


Defendant:

1.

2.

3.

4.

5.


19. Alimony. (Z check one)

O No spousal support is requested.

O Plaintiff should pay $ per month in spousal support for the next (number)

years.

O Defendant should pay $ per month in spousal support for the next (number)

years.

Defendant requests:


void and/or dissolved, and that Defendant be granted an absolute Decree of



2. That the Court grant the relief requested in this Counterclaim; and



Submitted By: (your signature)

(print your name)


VERIFICATION

Under penalty of perjury, I declare that I am the Defendant in the above-entitled action;

that I have read the foregoing Answer and Counterclaim and know the contents thereof; that the

pleading is true of my own knowledge, except for those matters therein contained stated upon

information and belief, and that as to those matters, I believe them to be true.





(print your name)




CASE NO.:

Plaintiff, DEPT:

VS.

Defendant.

PATERNITY ORDER

This Order was submitted OM check one) 0 after a hearing / 0 without a hearing before


given, if any, this Court finds that it has jurisdiction over this matter and that is in the best

interest of the child to have paternity adjudicated, therefore:

IT IS HEREBY ORDERED that the birth certificate of the minor child, (first child's

full name)

birth)

, born on (date of

, in (city and state where born)



none" if no father)



III check one)




IT IS FURTHER ORDERED that the birth certificate of the minor child, (second

child's full name or "n/a") , born on (date

of birth) , in (city and state where born)



"none" if no father)



check one)

1:1 The child's name shall remain unchanged.


IT IS FURTHER ORDERED, ADJUDGED AND DECREED that the Department of

Vital Statistics shall issue a new birth certificate for the above-named children reflecting the

changes above.




(print your name)

, 20


Disputed „

Okgerfalir.

Paterni (put"

aterni

Your Name: Address: City, State, Zip: Phone: Email:

Self-Represented Plaintiff


CASE NO.:

Plaintiff, DEPT:

VS.

Defendant.

COMPLAINT FOR CUSTODY / PATERNITY AND UCCJEA DECLARATION

Plaintiff (your name)

respectfully states:

1. (Name of parent who is a Nevada resident) has been

a resident of the State of Nevada for at least six weeks prior to filing this Complaint.

2. The parties (lE] check one) 0 have / 0 have not been married.



Page 1 of 7 — Complaint for Custody / Paternity

Time Pe-riO ame of Pers on the Children Lived 1

4. UCCJEA Declaration. (E] check one)

0 The children have lived in Nevada for the past six months, or since birth. Nevada is


0 The children have NOT lived in Nevada for the past six months or since birth.




- present

lid's Name if otailchildren



b. Participation in Other Cases: (EJ check one)

I 0 have / 0 have not participated as a party or witness or in some other capacity in any



c. Knowledge of Other Cases: (El check one)




Page 2 of 7— Complaint for Custody / Paternity

d. Person(s) Who Claim Custody / Visitation: (E1 check one)




5. Paternity. (El check all that apply):

0 Paternity is not an issue for the following children: (names of children)

because (E1 check all that apply):

o Birth Certificate. The father is listed on the birth certificate(s).

o Court Order. Paternity was already established by a court order through

(name of court) in case number (case number)

on (date)

o DNA Test. A DNA test shows who is the biological father; copy is attached.

o Parents Lived Together. The parties lived together at least 6 months before

conception and lived together through the period of conception.

o Admission. The man named in this case openly holds out the child as his

own and has accepted the child into his home.

0 Paternity is unclear and needs to be decided for the following children (names of

children)

because (Z check all that apply):

o DNA Test Requested. A DNA test is requested to determine if this is the

biological father.

o The wrong man is named as the father on the birth certificate. The birth

certificate incorrectly says that the father is (name of father on birth

certificate) . Instead, the father should

be (name of true father)

o The Declaration of Paternity was signed due to fraud, duress, or

material mistake of fact because (explain the fraud, duress, or mistake):

Page 3 of 7 — Complaint for Custody / Paternity

If you are filing this case to disprove paternity and you do not need a custody or child support order, skip sections 6-14.

6. Legal Custody. Legal custody refers to the ability to access information and make major decisions about the children, such as medical care, education, and religious

upbringing. (0 check one)





with each parent. (El check one)

O The parties should share joint physical custody of the children (each parent must have

the children roughly 40% of the time, or 146 days per year). A proposed parenting

timeshare and holiday schedule is attached as Exhibit 1.

O The (El check one) 0 Plaintiff / 0 Defendant should have primary physical custody


Exhibit 1.


custody arrangement before yo

Documents

IN THE SUPREME COURT OF THE STATE OF NEVADA ...Petition for Adoption Annulment a. Answer and Counterclaim for Annulment or in the Alternative for Divorce (no children) b. Decree of