© 2017 Family Law Self-Help Center Complaint for Separate Maintenance (No Children)
* You are responsible for knowing the law about your case. For more information on the law, this form, and free
classes, visit www.familylawselfhelpcenter.org or the Family Law Self Help Center at 601 N. Pecos Road. To find
an attorney, call the State Bar of Nevada at (702) 382-0504.
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CMSM
Your Name: _________________________
Address: ____________________________
City, State, Zip: ______________________
Phone: _____________________________
Email: ______________________________
Self-Represented Plaintiff
DISTRICT COURT
CLARK COUNTY, NEVADA
_
_____________________________
Plaintiff,
vs.
_
_____________________________
Defendant.
CASE NO.: ____________________
DEPT: ____________________
COMPLAINT FOR SEPARATE MAINTENANCE (No Children)
Plaintiff (your name) _______________________________________, respectfully states:
1. Residency. The following spouse has been a resident of the State of Nevada for at least
six weeks prior to filing this Complaint and intends to make Nevada his/her home for an
indefinite period of time: (name of Nevada resident) ____________________________.
2. The parties were married on (date of marriage) ___________________________ in
(city) _________________, (state) __________________.
( check all that apply)
The parties are incompatible, and reconciliation is not possible.
The parties have lived separate and apart for more than one year and there is no
possibility of reconciliation.
The Defendant deserted the Plaintiff at least 90 days prior to filing this case and has
not returned.
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3. Children. There are no minor children in common born to or adopted by the parties.
( check one)
Neither spouse is pregnant.
The following spouse is pregnant: (name of pregnant spouse) __________________.
The other spouse is / is not the parent of the unborn child. The child is due to be
born on (date): ____________________.
It is unknown whether either spouse is currently pregnant.
4. Community Property. ( check one)
There is no community property to divide.
Any community property has already been divided.
I do not know the full extent of the community property.
The community property should be divided as follows:
Property to Plaintiff:
1. ______________________________________________________
2. ______________________________________________________
3. ______________________________________________________
4. ______________________________________________________
Property to Defendant:
1. ______________________________________________________
2. ______________________________________________________
3. ______________________________________________________
4. ______________________________________________________
5. Community Debt. ( check one)
There is no community debt to divide.
Any community debt has already been divided.
I do not know the full extent of the community debt.
The community debt should be divided as follows (next page):
Page 3 of 4 - Complaint for Separate Maintenance (No Children)
Debts to Plaintiff:
1. ______________________________________________________
2. ______________________________________________________
3. ______________________________________________________
4. ______________________________________________________
Debts to Defendant:
1. ______________________________________________________
2. ______________________________________________________
3. ______________________________________________________
4. _____________________________________________________
6. Alimony. ( check one)
No spousal support is requested.
Plaintiff should pay $________ per month in spousal support for the next (number)
_______ years.
Defendant should pay $________ per month in spousal support for the next (number)
_______ years.
7. Name Change. ( check one)
Plaintiff does not request a name change.
Plaintiff would like to be restored to his/her former name of (insert former name you
would like to go back to) ____________________________________________.
8. If Plaintiff is able to hire counsel, attorney’s fees and costs are requested.
Plaintiff requests:
1. That Plaintiff be granted an absolute Decree of Separate Maintenance;
2. That the Court grant the relief requested in this Complaint; and
3. For such other relief as the Court finds to be just and proper.
DATED this (day) ______ day of (month) ___________________, 20____.
Submitted By: (your signature) _______________________________
(print your name) _______________________________
/s/
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VERIFICATION
Under penalties 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.
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____.
Submitted By: (your signature) _______________________________
(print your name) _______________________________
/s/