REV 10/2017 JCB 1 M3 MOTION 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2 0 21 22 23 24 25 26 27 28 Code: 2340 Name: Address: Telephone: Email: 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 , Case No. Dept. No. vs. , / MOTION FOR REVIEW AND MODIFICATION OF CHILD SUPPORT A. I request the Court review and modify or adjust the child support obligation in this matter. To the best of my knowledge, the last order for child support in this matter was entered on . B. The name(s) and birth date(s) of the child(ren) who are the subject of this Motion are: Name Birth Date Plaintiff / Petitioner, Defendant / Respondent, (Date of Last Order) American LegalNet, Inc. www.FormsWorkFlow.com REV 10/2017 JCB 2 M3 MOTION 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2 0 21 22 23 24 25 26 27 28 C. 1. I 226OR226 THE OTHER PARENT has primary physical custody of the child(ren). 226OR226 2. We have joint physical custody. D. If there is a custody agreement Order through the Courts, the date of the last order was . E. My child support IS 226OR226 IS NOT currently paid through the District Attorney222s Office. If the child support is paid though the District Attorney222s Office, the case number is . F. My child support IS 226OR226 IS NOT currently up to date. G. I DO 226OR226 DO NOT currently have a judgement for arrears. If there is a current judgement the order was entered on in the amount of $ . H. I DO 226OR226 DO NOT currently receive public assistance. I. My total monthly income before taxes is $ . The other parent222s total monthly income before taxes IS $ 226OR226 IS UNKNOWN . // // // ( Case number ) ( Date ) ( Amount ) ( Amount ) ( Amount ) Place an 223X224 in a box to select ONLY ONE of the two statements below. ( Date of Order ) American LegalNet, Inc. www.FormsWorkFlow.com REV 10/2017 JCB 3 M3 MOTION 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2 0 21 22 23 24 25 26 27 28 Check all that apply. Explain, in detail, the statement(s) you checked above. Place an 223X224 in a box to select ONLY ONE of the three statements below. J. This Motion is made for the following reasons: It has been three years or more since my child support has been reviewed. There has been a substantial change in circumstances. There has been a change of 20% or more of the gross monthly income of the parent who has the support obligation. The current child support order was set based on inaccurate or false information. Other: If more room is needed, attach additional sheets. K. I request the following child support amount: 1. $ per month in child support should be paid by ME 226OR226 THE OTHER PARENT . This amount is in compliance with NRS 125B.070. 226OR226 2. The amount should be set at the statutory minimum of $100 per month, per child. 226OR226 3. I don222t know how much child support should be paid. The Judge should set the amount. American LegalNet, Inc. www.FormsWorkFlow.com REV 10/2017 JCB 4 M3 MOTION 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2 0 21 22 23 24 25 26 27 28 If a hearing is requested, please explain, in detail, why you feel a hearing is necessary. If you have other requests you would like the Court to consider, please list, in detail, below. L. I DO 226OR226 DO NOT request a hearing on this matter. If more room is needed, attach additional sheets. M. I request the additional relief listed below: If more room is needed, attach additional sheets. This document does not contain the personal information of any person as defined by NRS 603A.040. 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: Notice to Responding Party: You have a limited amount of time to respond to this Motion. If you do not respond in writing within ten (10) judicial days, plus three (3) calendar days if the Motion was mailed, the Court may grant this Motion without a hearing. American LegalNet, Inc. www.FormsWorkFlow.com