Eviction Form Eviction Information Type * 5 Day Notice 30 Day Notice Jurisdiction * Las Vegas North Las Vegas Henderson Boulder City Your Contact Information First Name * Last Name * Phone * Email * Address * City * State * Zip Code * Tenants Information Move In Date * The date of the occupancy. Full Name - Tenant 1 * Full Name - Tenant 2 Full Name - Tenant 3 Property Information Address * City * State * Zip Code * Total Monthly Rent * Security Deposit * Non Refundables Usually these are things like a pet deposit. Order Date you want the notice to be served * Date Rent Was Considered Late * On what date was the rent considered late. Start Date for rent owed * Date range specific to the start day and end day for the past due rent. End Date for rent owed * Total Late Rent * This is total amount of past due rent and should not include any late fees. (Numeric Input Only) Total Late Fees * Total dollar amount the tenant owes in late fees. Other Fees This can be deposits not paid, utilities owed or repairs. Totals Total Rent Due: $0.00 Total Fees: $0.00 Notice Fees: $0.00 Grand Total: $0.00 This is the total amount owed. Submit