Fill and Sign the Local Rules of the Superior Court for Clark Form

AFFIDAVIT OF SURETY CASE NO. ........................................................................\ ................ ........................................................................\ ...................... [ ] General District Court [ ] Juvenile & Domestic Relations District Court [ ] Circuit Court ........................................................................\ ...................................................... v. ........................................................................\ ................................................. The undersigned state under oath that the following information is true: ........................................................................\ ...............................................................................................................................\ ............................................................... (NAMES OF ALL OWNERS OF PROPERTY PLEDGED AS SECURITY) [ ] Real Estate – fair market value $ ........................................................................\ ....... ........................................................................\ .................................................................... ADDRESS OF REAL ESTATE ........................................................................\ .................................................................... DESCRIPTION OF REAL ESTATE [ ] Personal Property Items – fair market value $ ........................................................................\ ....... ........................................................................\ .................................................................... DESCRIPTION OF PERSONAL PROPERTY ITEMS Less encumbrances to title: Loans or charge accounts – personal property $ ........................................................................\ ......... Mortgage or deeds of trust – real estate $ ........................................................................\ ......... Unpaid taxes $ ........................................................................\ ......... Unsatisfied judgments $ ........................................................................\ ......... Other surety bonds $ ........................................................................\ ......... Other (assessments, mechanic’s liens, etc.) Specify type of lien ........................................................................\ ....... $ ........................................................................\ ......... Total Encumbrances $ ........................................................................\ ......... NET EQUITY $ ........................................................................\ ................... The undersigned further state they are the sole owners of the property, that there are no other encumbrances on the property an d that no other person, group, or entity has any equity interest in the property described above. ........................................................................\ ...................................................... ______________________________________________ (seal) NAME (PRINT OR TYPE) SIGNATURE ........................................................................\ ...................................................... ______________________________________________ (seal) NAME (PRINT OR TYPE) SIGNATURE ........................................................................\ ...................................................... ______________________________________________ (seal) NAME (PRINT OR TYPE) SIGNATURE Acknowledged, sworn/affirmed and signed before me this day: ........................................................................\ ...................................................... _____________________________________________________________ (DATE OF ATTESTATION) [ ] JUDGE [ ] CLERK [ ] MAGISTRATE FOR NOTARY PUBLIC’S USE ONLY: State of ........................................................................\ ................................... [ ] City [ ] County of ........................................................................\ ......................... . Acknowledged, subscribed and sworn to before me this ...................... day of ........................................................................\ .................... , 20 ................... . ........................................................................\ ........................ ________________________________ ______________________________ _ NOTARY REGISTRATION NUMBER NOTARY PUBLIC (My commission expires: .................................................. )