Neb. Sup. Ct. R. 1

As amended through September 11, 2024
Appendix 1 - Certificate of Depositing Original, Authenticated or Certified Document Ch2Art2App1

Nebraska State Court Form

REQUIRED

Effective [date]

Ch. 2, Art. 2, App. 1

Neb. Ct. R. § 2-107(C)

CERTIFICATE OF DEPOSITING ORIGINAL, AUTHENTICATED, OR CERTIFIED DOCUMENT

IN THE ____________ COURT OF _______________ COUNTY, NEBRASKA

___________________________________

Plaintiff

CASE NO. ___________

CERTIFICATE

V.

___________________________________

Defendant

Description of document:___________________________________________________________________

Date of deposit with court or mailing: _____________

I swear or affirm, under the penalties of perjury, that the undersigned has or had physical possession of the original, authenticated, or certified document immediately prior to taking the action below and that the undersigned :

____ Deposited the original, authenticated, or certified document with the Clerk of the above-listed Court on the date indicated above.

OR

____ Deposited in the U.S. Mail, first class, postage pre-paid, the original, authenticated, or certified document for mailing to the Clerk of the above-listed Court on the date indicated above.

Signature

Date:

Name

Street Address/P.O. Box

Bar Number/Firm Name (Attorneys only)

City/State/Zip Code

Phone

Email Address

Neb. Sup. Ct. R. 1

Amended June 9, 2021, effective 1/1/2022; amended November 17, 2021, effective 1/1/2022.