© 2018 Nevada Supreme Court
Page 1 of 2 – Notice of Change of Address (Guardianship)
COURT CODE: NCOA
Your Name:
Address:
City, State, Zip:
Telephone:
Email Address:
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Guardianship of the:
Person
Estate
Person and Estate
of:
_
___________________________________
(name of person who has a guardian)
A Protected Person.
CASE NO.: ____________________
DEPT: ____________________
NOTICE OF CHANGE OF ADDRESS
PLEASE TAKE NOTICE of the following new mailing address:
Your Name: ________________________________
Street Address: ________________________________
City, State, Zip ________________________________
DATED (month) ____________________________ (day) ________, 20___.
Submitted By: (your signature)_________________________________
Printed Name: _________________________________
/s/
© 2018 Nevada Supreme Court
Page 2 of 2 – Notice of Change of Address (Guardianship)
CERTIFICATE OF SERVICE
BY MAIL
I certify that I deposited copies of the Notice of Change of Address in the U.S. mail in
(city) ________________, Nevada, addressed to the persons listed below on (date)
____________.
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
ELECTRONIC
I served the following persons pursuant to the court’s electronic service rules on (date) ___________:
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
Name: ____________________________
Email Address: _____________________
I declare under penalty of perjury under the law of the State of Nevada that the
foregoing is true and correct.
(Your Signature)
(Printed Name)
/s/