IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE., Plaintiff/Petitioner, Dept. No.

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1 Code: 1 Name: Address: Telephone: Self-Represented Litigant IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE 1 1 Plaintiff/Petitioner, vs. Defendant/Respondent. / Case No. Dept. No. 0 1 CASE MANAGEMENT CONFERENCE STATEMENT DIVORCE NO CHILDREN The purpose of the Case Management Conference Statement is to identify and give notice to the other party of the issues to be addressed at the Case Management Conference. Failure to provide notice of issues through this statement may result in those issues not being addressed at the Case Management Conference. 1. Temporary use and possession of the family residence should be granted to ME OR MY SPOUSE OR N/A as each party is maintaining a separate residence.. Temporary spousal support should be ordered in the amount of $ and should be paid by ME OR MY SPOUSE OR N/A beginning on and payable on the day of each month. The basis for making this request is: REV /0 JDB 1

2 . Preliminary attorney s fees of $ should be paid to ME OR MY SPOUSE OR N/A Property and/or assets you wish the Court to address at the Case Management Conference (for example use of a vehicle, return of clothing, etc.):. Debts you wish the Court to address at the Case Management Conference (for example bills that need to be paid while the case is pending):. Other issues to discuss at the Case Management Conference:.. Discovery issues (List any documents or information that the other party may have that you need to present your case):. Bring any documents that you think will help the judge make temporary orders on any REV /0 JDB

3 of the issues raised above. (For example mortgage or rent, credit card statements, telephone bills, etc. Bring three copies of any documents you plan to present in Court to the conference):. Witnesses you intend to call if the case goes to trial at a later date (list the names and contact information for any witnesses) if known at this time: This document does not contain the personal information of any person as defined by NRS 0A Date: Your Signature: Print Your Name: REV /0 JDB

4 Code: 0 Name: Address: Telephone: Self-Represented Litigant IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE 1 1 Plaintiff/Petitioner, vs. Defendant/Respondent. / Case No. Dept. No. 0 1 PROOF OF SERVICE Pursuant to Nevada Rule of Civil Procedure (b), I served a true and correct copy of the CASE MANAGEMENT CONFERENCE STATEMENT filed on in the manner(s) and at the location(s) described below. A copy of this Proof of Service has been mailed or personally delivered to all parties or their lawyer. Service Description (Date filed) Fill in the information requested on the next page for each person who has been served. If a person was served by United States Postal Service certified mail, you must attach the return receipt to this document. REV /0 JDB 1 CMCS PROOF OF SERVICE

5 A copy of the above named document(s) was served upon the following people: 1. Name: Date: (Name of the person who was served) (Date of service: month / day / year) By: Personal service OR Service by U.S. Mail, postage prepaid OR Certified mail, return receipt attached OR Other: Address: (Mailing address or physical address where service took place) 1 1. Name: Date: (Name of the person who was served) (Date of service: month / day / year) By: Personal service OR Service by U.S. Mail, postage prepaid OR Certified mail, return receipt attached OR Other: 0 1 Address: (Mailing address or physical address where service took place) If more room is needed, attach additional sheets This document does not contain the personal information of any person as defined by NRS 0A.00. I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. Date: Your Signature: Print Your Name: REV /0 JDB CMCS PROOF OF SERVICE