This Space for Internal Use Only 2009 CHILD SUPPORT INFORMATION _________________ Bar# ______________________________________________ Printed Name NRS 7.034 and 425.520 require that all licensed attorneys in Nevada report information regarding child support obligations annually. Please mark the appropriate response below. Failure to mark one of the three may result in suspension or non-renewal of license. ______ I am not subject to a court order for the support of a child. ______ I am subject to a court order for the support of one or more children and am in compliance with the order or am in compliance with a plan approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed pursuant to the order. ______ I am subject to a court order for the support of one or more children and am not in compliance with the order or a plan approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed pursuant to the order. ____________________________________________________ Signature YOU MUST RETURN THIS FORM TO: State Bar of Nevada 600 E. Charleston Blvd. Las Vegas, NV 89104-1563 American LegalNet, Inc. www.FormsWorkflow.com