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10 11 12 1314 15 1617 18 1920 21 2223 24 25 Code No. ____________________________
Name: ____________________________ Address
: ____________________________
____________________________
Telephone Number: _______________________
In Proper Person
IN THE ____________ JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA
IN AND FOR THE COUNTY OF _____________________
____________________________ )
(The other party’s name) )
Plaintiff, ) Case No. _____________________ v s )
) Dept. No. _____________________
______________________________ )
(Your name) )
Defendant. ) ___________________________________) ANSWER TO COMPLAINT FOR DIVORCE AND COUNTERCLAIM
(With Children)
COMES NOW, Defendant, __________________________, in Proper Person, and
( Your n am e)
hereby Answers Plaintiff’s Complaint as follows:
I.
On the line below, write in the paragraph numbers from the Complaint that you agree
with.
Defendant admits the allegations co ntained in paragraph(s) _____________________
__________________ of the Complaint.
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10 11 12 1314 15 1617 18 1920 21 2223 24 25 II.
On the line below, write in the paragraph numbers from the Complaint that you do not agree with.
Defendant denies the allegations contained in paragraph(s) ________________________
of the Complaint.
III.
On the line below, write in the paragraph numbers from the Complaint that you do not know to be true or false because you do not have enough information.
After reasonable investigation, this Defendant is without sufficient information to form a
belief as to the truth or falsity of th e matters alleged in paragraph(s) _______________________
of the Complaint; the allegations are therefor e denied with proof demanded at trial.
COUNTERCLAIM
Defendant, as and for a Counterclaim for Divor ce against Plaintiff, alleges as follows:
IV .
The ____________________________ is a resident of the State of Nevada, County of
(Plaintiff or Defendant)
_______________________, for a period of more than six weeks immediately preceding the (County of residence)
commencement of this action, has resided in, been phys ically present in, and is a resident of, the
State of Nevada, and intends to continue to make the State of Nevada __________ home for an
(his or her)
indefinite period of time. The ____________________ is a resident of the State of _______________, County of
(Plaintiff or Defendant) (State of residence) _______________________. (County of residence)
V.
The parties were married on ___________________, in __________________________
(date of marriage) (City or County of Marriage)
State of _____________________________, and ever since that day have been, and are now,
(State in which marriage took place) husband and wife.
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VI.
The parties were separated on ___________________________.
( date )
VII.
Wife _________________ pregnant at this time.
(is or is not)
If Wife is pregnant at this time, answer the following questions. If Wife is not pregnant,
print “N/A” in the spaces.
Husband _____________ the father of the unborn child. The unborn child is
(is or is not) due to be born on: (dat e of expected birth)__________________________________.
VIII.
In the following paragraph, list all minor chil dren born of this union, whether born prior
to marriage or during the marriage and al so include any minor children who were
adopted during the time of the marriage.
That there are _____________ minor children born to, or adopted, through this union.
(Number of minor children) Name
Age Date of Birth
______________________________________ _____________ ___________________
______________________________________ _____________ ___________________
______________________________________ _____________ ___________________
______________________________________ _____________ ___________________
______________________________________ _____________ ___________________ ______________________________________ _____________ ___________________
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10 11 12 1314 15 1617 18 1920 21 2223 24 25 IX.
Children’s Residence
In the following paragraph, print each child’s name and indicate in what State each
child presently resides and how long the child has resided in that state.
The state of residence of the children is as follows:
Name
State Of Residence Length Of Time Child Has
Lived In That State
____________________ _____________________ _________________________
____________________ _____________________ _________________________
____________________ _____________________ __________________________
____________________ _____________________ __________________________
____________________ ______________________ __________________________
If the children have not been physically present in the State of Nevada for the past six
months, STOP HERE. There may be a jurisdictional issue regarding the authority of the
court to enter orders concerning custody and vi sitation of the children and you should seek
immediate legal assistance on this matter before going any further.
X.
LEGAL CUSTODY OF THE CHILDREN
WARNING:
Your choice of custody terms will have a direct effect on your legal rights
to your children. Be sure you are familiar with the legal definitions of the different
kinds of custody before you agree to how cust ody will be stated in these documents.
The policy of the State of Nevada is to grant parents joint legal custody
. Sole legal
custody is granted only in ex treme or unusual circumstances.
Initial only ONE
of the following statements and print “N/A” in the other space.
WARNING:
If you select “SOLE CUSTODY” you must describe facts which
demonstrate why joint custody is not in th e child’s best interest and you may be
required to appear in court to justif y your choice of sole legal custody..
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10 11 12 1314 15 1617 18 1920 21 2223 24 25 _________ Mother and father are fit and proper persons
to share joint legal custody of the minor
Initial child(ren) _____________________________________________________________________ (names of child(ren)
OR
_________ __________________________ is a fit and prop er person to have sole legal custody
Initial (mother or father)
of the minor child(ren) ___________________________________________________________ (names of child(ren) )
The other parent is not fit to have joint legal custody because ____________________________
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
X.
PHYSICAL CUSTODY OF THE CHILDREN
There are THREE
different choices in the following paragraph: (a) joint physical
custody; (b) primary physical custody; or (c) sole physical custody; Choose only ONE
.
Initial the ONE
choice. In the space not initialed, print “ N/A”.
(a) Joint Physical Custody
____________ husband and wife are fit and proper pers ons to be awarded joint physical custody
Initials
of the minor children ____________________________________________________________
(Names of children) with visitation and exchange as set out in Paragraph XII.
(b) Primary Physical Custody
____________ ________________________is a fit and proper pe rson to have the primary
Initials (Name of custodial parent)
physical custody of the minor child(ren),_____________________________________________
(Names of the children) with visitation by the non-cu stodial parent as set forth in the following schedule.
(c) Sole Physical Custody
____________ ________________________is a fit and proper person to have the sole Initials (Name of custodial parent)
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physical custody of the minor child(ren),_____________________________________________
(Names of the children) with visitation by the non-cu
stodial parent as set forth in the following schedule.
XII.
WEEKLY/MONTHLY AND SUMMER EXCHANGE AND VISITATION
Visitation must be set out in specific detail, including a full weekly or monthly schedule
with the days and exchanges will take plac e, the times of the exchanges, and who will
provide transportation. Also include specific details regarding holiday sharing and
summer vacation periods. Without very sp ecific visitation, a Decree will not be
granted.
Terms such as “reasonable visitation” and “visitation at reasonable times and places”
will not be accepted.
______________________________________________________________________________ ______________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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10 11 12 1314 15 1617 18 1920 21 2223 24 25 HOLIDAY VISITATION
(You may add or subtract any holidays on th
e following list. If you choose not to
exchange the child/ren on a spec ific holiday, print “N/A” in the spaces for that holiday. If
no changes for the holidays are to be made in the regular visitation schedule, state that
clearly in the next paragraph and print “N/A” on the lines provided for the individual
holidays. )
The major holidays will be handled in the following manner: (Name each specific
holiday, such as Thanksgiving, Christmas, East er, Passover, Hanukkah and include exactly when
the holiday visitation shall begi n and who will provide transporta tion to and from the visiting
parent.) ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Should a holiday fall on a three day weekend and it is the other parent’s weekend to have the
child(ren), the three day holiday will be handled as follows:
_____________________________________________________________________________ _____________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
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10 11 12 1314 15 1617 18 1920 21 2223 24 25 ______________________________________________________________________________ ______________________________________________________________________________
On each of the following holidays, visitation shall commence at __________ ____.m. on
the day of the holiday and end at ______________ ______.m.
_________________________ will provide the transportation for the initial exchange (Visiting parent or custodial parent)
and ________________________ will provide the transportation for the return exchange (Visiting parent or custodial parent)
New Year’s Day will be alternated with_____________________________ having
(Husband or Wife)
the child in the year _________ and each ______________year thereafter.
(odd or even) Martin Luther King’s Birthday will be alternated with____________________ having
(Husband or Wife)
the child in the year __________ and each ______________year thereafter.
(odd or even)
President’s Day will be alternated with____________________________ having
(Husband or Wife)
the child in the year __________ and each ______________year thereafter.
(odd or even)
Memorial Day will be a lternated with_____________________________ having the
(Husband or Wife)
child in the year _________ a nd each ______________year thereafter.
(odd or even)
Fourth of July will be alternated with_____________________________ having the (Husband or Wife)
child in the year _________ a nd each ______________year thereafter.
(odd or even)
Labor Day will be alternated with _______________________having the child in
(Husband or Wife)
the year __________ and each ______________year thereafter. (odd or even)
Nevada Day will be alternated with_________________________ having the child in (Husband or Wife)
the year __________ and each ______________year thereafter. (odd or even)
Halloween will be alternated with_________________________ having the child in
(Husband or Wife)
the year _________ and each ______________year thereafter. (odd or even)
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10 11 12 1314 15 1617 18 1920 21 2223 24 25 Veteran’s Day will be alternated with______________________ having the child in
(Husband or Wife)
the year _________ and each ______________year thereafter.
(odd or even)
Child’s birthday will be altern ated with ____________________having the child in
(Husband or Wife)
the year _________ and each ______________year thereafter.
(odd or even) ________Wife shall have the child on Mother’s Day and Husband shall have the child on
(Yes or No) Father’s Day.
XIII.
CHILD SUPPORT
The child support MUST be based on the fo rmula as set out in the Nevada Revised
Statutes. You may not just state an arbitr ary amount and you may not state “no child
support to be paid”..
_______________ shall pay child suppor t in the amount of $____________
(Husband or Wife)
per month, per child
, for a total monthly child support obligation of $________________. The
(Total monthly child support payment)
child support shall be paid on or before the ________day of each month.
This amount is based upon the following information:
Husband’s gross monthly income is $________________________________.
(Amount earned per month before deductions)
Wife’s gross monthly income is $___________________________________.
(Amount earned per month before deductions)
Initial either
line 19 or line 23 or li ne 1 of the next page. DO NOT INITIAL ALL LINES .
Print “N/A” on those lines you do not initial.
_________ _______________________ is the non-custodial pa rent and, the amount on line 10
(Husband or Wife)
above, is in compliance with NRS 125B.070 and is either ______________% of
(18%, 25%, 29%, 31%)
_____________________ gross monthly income or the statutory minimum. (Husband’s or Wife’s)
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OR
__________ Because Parents are joint physical custodi ans, the amount of child support on line
10 of the previous pa ge meets the statutory requirement.
OR
__________ The support obligation amount is not the amount required in the statutes. Under the
statutes , the child support obligat ion for ______________ would be $___________
(Husband or Wife)
per month, per child. Howe ver, that amount should be different because: (Please
see NRS 125B.080 for the only
reasons you can deviate from the statutory formula,
and list your reasons here)
______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________
The child support obligation for each child shall continue until that child reaches 18 years of age
if he is no longer enrolled in high school, othe rwise, when he reaches 19 years of age.
A wage assignment for the child sup port ________________be immediatel y put in place.
(will or will not)
If child support arrears from the date of se paration are being requested, you must fill
in the following information. If you ar e not claiming child support arrears, print
“N/A” on the following lines. If you ar e claiming child support arrears pursuant to
NRS 125B.030, you may request up to four (4) years in arrears without a prior court order.
Defendant requests child support in th e amount of $____________ per month, per child,
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10 11 12 1314 15 1617 18 1920 21 2223 24 25 for a total of $____________ per month from the date of
the separation to the date of the Decree
or other Order is filed.
You must initial ONLY ONE
of the following statements regarding child support. On
all other lines, print “N/A”
1. ________ There is already a Child Support action through the District Attorney’s Office and
payment of the child sup port shall continue to be handled through that office.
2. ________ The children are receiving Welfare bene fits and the Welfare Department has, or
will have, a child support case through the District Attorney’s Office and the
District Attorney’s Office shall c ontinue to handle the child payments.
3. ________ No formal child support obligation has ev er previously been established and this
will be the first Court Order for child support and the parent paying child support
will pay the support directly to the receiving parent.
4. ________ Although this is the first Court Order for child support, the payments will be
through the District Attorney’s Office and the parent who will be collecting child
support shall open the case with the District Attorney’s Office.
XIII.
HEALTH CARE
Provisions must be made for health care for the child(ren). If neither parent has health
insurance on the child(ren), th at must be stated. If the children are on Medicaid or
Nevada Check-Up, that must be stated. Fill in all spaces, do not leave any spaces blank.
The child(ren) presently ____________covered by a health insurance policy. The
(are or are not)
children’s portion of the pr emium costs $_______________ per month.
The child(ren) presen tly __________________ on Medicaid.
( are o r a re n o t)
The children presently _________________ on Nevada Check-up. ( are o r a re n o t)
______________________ shall maintain health insu rance on the child(ren).
(Husband, Wife, both parents, or neither parent)
The parties shall each share, equally, any health expenses incurred on behalf of the
child(ren) that are not covered by insurance and each party shall be responsible for one half of
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10 11 12 1314 15 1617 18 1920 21 2223 24 25 the deductible and one half of the medical insu
rance premium if the child(ren) are covered by
medical insurance. XIV.
DIVISION OF ASSETS
Initial ONLY ONE
of the statements below. Print “N /A” in the spaces you do not use.
Be sure to address all retirement accounts, bank accounts and vehicles. When listing
accounts, use the last four digits of the account. Include the VIN numbers when listing
vehicles.
1. ________ All of the community assets and propert y have been previously divided and
each is to keep the property they have in their possession at this time.
2. ________ There is no community property to be divided.
3. ________ The community property should be divided as follows: (Be sure to list specific
assets with enough information to identify t hose assets, including pension benefits.)
WIFE SHALL RECEIVE THE FOLLOWING
AS HER SOLE AND SEPARATE PROPERTY:
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
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___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
HUSBAND SHALL RECE IVE THE FOLLOWING
AS HIS SOLE AND SEPARATE PROPERTY:
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
(If more room is needed, attach additional sheets but make sure the sheets are clearly identified
as a continuation of the division of assets. Wr ite only on one side of the page of additional
sheets and each additional sh eet must be initialed.)
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There may be additional community assets of the parties, the exact amounts and
descriptions of which are unknown to Defendant at this time. Defendant asks permission of this
Court to amend this Answer and Counterclaim to insert this information when it becomes known
to Defendant, or at time of trial.
XV.
DIVISION OF DEBTS
Initial ONLY ONE of the three statements below. Print “N/A” in the spaces you do not
use. Be sure to list all credit cards with the last four numbers of each account, if
known.
1. ________ All of the community debts have been pr eviously divided and each is to keep
those debts assigned to them and hold the other party harmless from those
debts.
2. ________ There are no community debts to be divided.
3. ________ The community debts should be divi ded as follows: (Be sure to list specific
debts with enough information to identif y those debts, including the last four
numbers of any credit ca rd accounts, if known.)
WIFE SHALL RECEIVE THE FOLLOWING DEBTS
AS HER SOLE AND SEPARATE DEBTS AND
SHALL INDEMNIFY AND HOLD HUSBAND HARMLESS FROM THESE DEBTS:
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
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___________________________________ ____________________________________
___________________________________ ____________________________________
HUSBAND SHALL RECEIVE THE FOLLOWING DEBTS
AS HIS SOLE AND SEPARATE DEBTS AND
SHALL INDEMNIFY AND HOLD WIFE HARMLESS FROM THESE DEBTS:
__________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
__________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
___________________________________ ____________________________________
(If more room is needed, attach additional sheets but make sure the sheets are clearly identified
as a continuation of the division of debts. Write only on one side of the page on additional sheets
and each additional sheet must be initialed.) There may be additional community debts of the parties, the exact amounts and
descriptions of which are unknown to Defendant at this time. Defendant asks permission of this
Court to amend this Answer and Counterclaim to insert this information when it becomes known
to Defendant, or at time of trial.
XVI.
SPOUSAL SUPPORT (ALIMONY)
Initial only ONE of the following statements. If yo u initial one of the statements which
makes a provision for spousal support, be sure to fill in all the spaces in that statement.
DO NOT LEAVE ANY SPACES BLANK IN THIS SECTION. PRINT “N/A” IN ALL
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10 11 12 1314 15 1617 18 1920 21 2223 24 25 SPACES THAT ARE NOT APPL
ICABLE TO YOU. Spousal support will automatically
terminate on the death of either of the parties.
___________ Spousal support is not appr opriate in this case .
___________ Wife shall receive spousal support in the amount of $_____________________per
(Amount Wife to receive)
______________________, due and payable on the ___________________of each
(Week or month) (Date amount due)
_______________________ for a period of ______________________________
(Week or month) (Number of week s, months or years)
The spousal support shall begin on ______________________________________
(Date spousal support to begin)
and end on _________________________________________. Spousal support
(Date last spousal support payment will be made)
shall cease upon the remarriage of the re cipient or the death of either party.
___________ Husband shall receive spousal su pport in the amount of $__________________per
(Amount Husband to receive)
______________________, due and payable on the ___________________of each
(Week or month) (Date amount due)
_______________________ for a period of ______________________________
(Week or month) (Number of week s, months or years)
The spousal support shall begin on ______________________________________
(Date spousal support to begin)
and end on _________________________________________. Spousal support
(Date last spousal support payment will be made)
shall cease upon the remarriage of the re cipient or the death of either party.
XVII.
FORMER NAME
If wife is filing, wife should initial ONLY ONE
of the following three statements and
print “N/A” in the spaces no t filled in. If husband is filing, husband should print
“N/A” in all the spaces.
_________ Wife does not wish to return to her former name.
_________ Wife wishes to return to her former name of _______________________________
___________________________________________________
(Print full name).
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10 11 12 1314 15 1617 18 1920 21 2223 24 25 _________ Wife never changed her name and, ther
efore, does not request restoration of her
former name.
XVIII.
The parties are incompatible in marriage and there is no hope for reconciliation and/or the
parties have lived separate and apart for more than one year without cohabitation.
WHEREFORE, Defendant prays for judgm ent against Plaintiff as follows:
1. That the bonds of matrimony heretofore and now existing between the Plaintiff and
Defendant be forever dissolved, and that each of the parties be restored to the status of unmarried
persons. 2. That the Court grant the relief requested in this Answer and Counterclaim;
3. That the Court award Defendant child support in the amount of $___________ per month
per child for a total of ___________ per month un til the Decree of Divorce or other Order
is filed.
4. That the Court award Defendant spou sal support in the amount of $______________ per
month until the Decree of Divorce or other Order is filed.
5. For such other relief as the Cour t finds to be just and proper.
DATE:________________________________ __________________________________ (Signature)
__________________________________
(Address) __________________________________
__________________________________
(Telephone number)
I n P ro per P ers o n
STATE OF NEVADA ) ) ss
County of ___________________ )
_____________________________________, being first duly sworn, under oath and the
(Your name)
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10 11 12 1314 15 1617 18 1920 21 2223 24 25 penalties of perjury, deposes and says: I am
the Defendant in the above entitled action, and
competent to testify as to the c ontents of the attached pleading of my own knowledge; that I have
read the foregoing Answer to Complaint for Divorce and Counterclaim and know the contents
thereof; that the same are true to the best of my own knowledge, sa ve and except to those matters
stated upon information and belief, and, as to those matters, I believe the same to be true.
Dated this _______ day of (month) ___________________, (year) __________. ___________________________________
( Sig natu re )
___________________________________
( Prin te d N am e)
SUBSCRIBED and SWORN to before me this _____day of ______________, _________. _________________________________
NOTARY PUBLIC
STATE OF NEVADA ) ) ss
County of ___________________ )
On this _______________________, ________ personally appeared before me, the
undersigned, a Notary Public in and for the County of ____________________________, State of Nevada, ___________________________________________________, personally known to
me or proved to me to be the person whose na me is subscribed to the above instrument who
acknowledged that she/he execute d the above instrument freely and voluntarily for the uses and
purposes therein mentioned. ________________________________
NOTARY PUBLIC
