Rule 49 . Actions arising under NRS Chapter 604A . In an action arising under NRS Chapter 604A , the plaintiff must file a “Defaulted Loan Information Sheet,” which must include information in the following format:

DEFAULTED LOAN INFORMATION SHEET (To be completed by the lender at the time of filing the Complaint) Name of lender: ____________________________________________________ Name of the borrower: _______________________________________________ Date of loan: _____________________ Principal amount: $___________________ Annual percentage rate: ___________ Total finance charges: $_________________ Other fees (please specify): $__________________________________________ Total payment amount: $_____________________________________________ Date loan due: ___________________ Date of default: ______________________ Date repayment plan sent to borrower: ___________________________________ Expiration date of offer: ______________________________________________ Interest rate calculation: In order to determine the final judgment amount, the court needs to determine the method by which you calculated the total interest due. Original loan amount: $______________________________________________ Interest accrued at original rate before default: $____________________________ Interest accrued at the statutory rate following default (for no more than 90 days): $_ Any authorized fees: $______________ Total claimed amount: $_______________ I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. Signature __________________________ Executed on ______________________