Nevada — ADMIN9

Source: https://www.nevada.courts.ca.gov/system/files/forms-and-filings/admin9-refund-request.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF NEVADA NOTE: THIS FORM IS NOT TO BE USED FOR REFUND OF JURY FEES.

ATTORNEY OR PARTY WITHOUT ATTORNEY: FOR COURT USE ONLY NAME: ADDRESS: TELEPHONE: EMAIL: ATTORNEY FOR:

SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF NEVADA 201 Church Street, Nevada City, CA 95959 (530) 362-4309 10075 Levon Avenue, Truckee, CA 96161 (530) 362-4309

PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT:

OTHER PARTY:

CASE NUMBER:

REQUEST FOR REFUND OF COURT FILING FEES (Matters Submitted Electronically)

I am requesting a refund in the amount of $_____________ for the following reasons:

Date of payment/deposit: $ Amount Paid: $ Receipt #: Depositor: Address:

Number, Street, City, State Zip

Signature: Date:

TO BE COMPLETED BY THE COURT

Request for Refund: ☐ Requires judicial approval ☐ Requires manager’s approval only Refund: ☐ Approved ☐ Denied ☐ Refund # ___________

By: _________________________________________SIGN Judicial Officer/Manager’s Signature

_________________________________________ Date: ___________
Printed Name

REQUEST FOR REFUND OF COURT FILING FEES LOCAL ADMIN9 (REVISED 7/01/2026) – MANDATORY