ALL LICENSE FEES AND DISCLOSURES DUE JANUARY 1, 20XX

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1 ALL LICENSE FEES AND DISCLOSURES DUE JANUARY 1, 20XX Name Address Dear Member Name, Enclosed, please find your 20XX license fee packet. This packet contains your invoice and all annual disclosures. Please do not allow other members to use your invoice or disclosures as they are personalized for you. We encourage you to submit all license fees and disclosures online at You will receive immediate confirmation of all items submitted online. Fees and disclosures do not need to be submitted at the same time. The enclosed FAQs page is designed to answer many of your questions. Payment Information Credit Cards: All credit card payments must be made online at Sign in by clicking Member Login at the top right of our home page. Username and password information is provided at log in. Other Remittances: Please remit all other payments, with invoice, to: Annual Disclosures Disclosures may be submitted online any time. You may submit them with your license fee or separately by following the instructions on our homepage at Updating Contact Information - Submitting Addresses Every member of the is required to provide a current address. To add an address or make changes to your contact information, please visit click "Member Login" at the top right. Username and password information is provided at login. Status Changes - Important Deadline Active to Inactive - please remit "Transfer to Inactive Request," including the affidavit, prior to March 1, 20XX. Inactive request forms received after March 1, 20XX shall be subject to active license fees plus late fee. The "Transfer to Inactive Request" is available on the forms page of our website, Inactive to Active - please remit "Transfer to Active Request" as well as all annual disclosures including the trust account reporting form. Payment, in full, is required prior to status change. "Transfer to Active Request" is available on the forms page of our website, If you are not sure of what you owe, please contact Member Services. Regards, Mary Jorgensen Member Services Manager

2 20XX STATE BAR OF NEVADA LICENSE FEE INVOICE License Fees due January 1, 20XX Member Name, Bar No. Please pay online at Part A Current Membership Current Fees 5 Years or More Active 20XX $ Part B Volunatry Donations one client. one attorney. one promise. Total A $ You can be the One. Please check the appropriate box. I will take ONE pro bono case I will contribute $500 in lieu of taking ONE case I will take ONE pro bono case and wish to contribute to the ONE campaign $ $ $ $ Additional Voluntary Donations Clients' Security Fund $25.00 $ NV Bar Foundation (Law Related Education) $25.00 $ Total B $ Please pay online at Or Return this invoice with all payments to: Part C Sections Administrative Law $25.00 Alternative Dispute Resolution $25.00 Animal Law $25.00 Appellate Litigation $25.00 Bankruptcy Law $25.00 Business Law $25.00 Construction Law $30.00 Elder Law $25.00 Energy, Utilities and Communication Law $25.00 Entertainment Law $30.00 Environmental and Natural Resources Law $25.00 Family Law $35.00 Gaming Law $25.00 Insurance and Health Law $25.00 Intellectual Property Law $25.00 International Law $25.00 Labor and Employment Law $30.00 LGBT $25.00 Litigation $30.00 Probate and Trust Law $25.00 Public Lawyers $25.00 Real Property Law $25.00 Solo and Small Practice $25.00 Tax Law $20.00 Tribal Law $30.00 Young Lawyers $25.00 Total C $ Total A, B, C $ 20XX Member *INVOICE* *INVOICE*

3 STATE BAR OF NEVADA 20XX LICENSE FEE AND ANNUAL DISCLOSURES FREQUENTLY ASKED QUESTIONS LICENSE FEES Q. When are license fees due and when will I be charged a late fee? A. License fees are due January 1, 20XX. Late fees attach March 2, 20XX at 12:01 a.m. Envelopes must be postmarked no later than March 1, 2016 to avoid late fees. Q. I am exempt. Why did I get an invoice? A. The invoice will allow you to join sections and make voluntary donations. Q. I was admitted in 2012 and was charged at the rate for attorneys who have been licensed for 5 years or more. Is this correct? A. Yes. Supreme Court Rule 98 states that an active attorney licensed in any jurisdiction for 5 years or more pays the rate of $450. Without consideration to the month you were admitted; if 2012 was the first calendar year you were admitted in any jurisdiction: 2012 was your 1st year, 2013 was your 2nd year, 2014 was your 3rd year, 2015 was your 4th year, and 2016 is your 5th year. Q. Can I pay my license fee and submit my annual disclosures on different days? A. Yes. Fees and disclosures may be submitted independently of each other. VOLUNTARY DONATIONS ONE Promise Nevada - tax deductible contributions to the One campaign support pro bono efforts in Nevada. One is managed by the Access to Justice Commission and seeks to increase State Bar member involvement in pro bono by asking attorneys to take one case or make a donation. One client. One attorney. One promise. Visit us at onepromisenevada.org. Clients' Security Fund - Supreme Court Rule 86.5 establishes this fund as an avenue of last resort to compensate clients who have been victims of attorney theft. Voluntary contributions to this fund provide for such compensation. Visit us at NV Bar Foundation - tax deductible contributions to the State Bar's 501(c)(3) non-profit Nevada Bar Foundation are directed to law related education programs. Recent efforts have focused on support of programs such as We the People, Project Citizen and the Mock Trial program. Visit us at ANNUAL DISCLOSURES Q. I am a sitting Judge. Am I required to submit the annual disclosures? A. Yes. As an active member of the bar you are required to submit all annual disclosures. They can easily be submitted online any time at Q. I am inactive. Am I required to submit the annual disclosures? A. Yes. As an inactive member you are required to submit the following disclosures: report of child support, professional liability insurance and report of pro bono. Q. Can I submit my disclosures online? A. Yes. Please click Member Login at the top right of our homepage, Username and password information is provided at log in. Q. Can I make a copy of someone else's disclosures and use them as mine? A. No. All disclosures and invoices are individually bar coded. If you need new disclosures, please send an request to one of the addresses listed below. Q. Can you send me another set of disclosures? A. Yes. Please send a request to one of the addresses listed below. Q. I carry professional liability insurance in another state. Do I list this on my disclosure? A. Yes. Q. I am licensed in another state. Do I report those trust accounts to the? A. No. Only report Nevada trust accounts. Q. Can I use my out-of-state IOLTA for Nevada funds? A. No. Please see SCR 78.5 and SCR 217. Q. What are the consequences if my disclosures are late? A. Fines and/or administrative suspension shall occur. Member Services: Stephanie White at stephaniew@nvbar.org Mary Jorgensen at maryj@nvbar.org or STATE BAR CONTACT INFORMATION

4 20XX Annual Disclosures Member Name Bar No. Bar Number Name REPORT OF EXISTENCE OR ABSENCE OF CHILD SUPPORT NRS and NRS All members, active or inactive, MUST complete this section. Please select ONE option. 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. SCR 79 PROFESSIONAL LIABILITY INSURANCE DISCLOSURE All members, active or inactive, MUST complete this section. Please select ONE option. I am not currently representing clients; or I am engaged as a full-time government lawyer or judge; or I am employed by an organizational client and do not represent clients outside that capacity. If you check this box, you are done, please sign and date at the bottom of this page. I am engaged in the private practice of law and do not maintain professional liability insurance. If you check this box, you are done, please sign and date at the bottom of this page. I am engaged in the private practice of law and, I or my firm, maintain professional liability insurance with the carrier listed below. This includes insurance from ANY state. If you check this box, you MUST disclose the following: Firm Name (if you are reporting insurance): Names of Insurance Carrier (not broker): Insurance Carrier Address: City: State: Zip: I certify all of the above disclosures required by NRS 7.034, NRS and SCR 79 are true and complete. Signature Please return to: OR: Submit online at Date *MANDOCSA* *MANDOCSA*

5 20XX Annual Disclosures Member Name Bar No. Bar Number Name SCR 78.5 AND SCR 217 ACKNOWLEDGEMENT AND CERTIFICATION OF COMPLIANCE AND CONSENT TRUST ACCOUNT REPORTING Every active member of the MUST acknowledge compliance and consent to the Rule annually. Active members include every person licensed to practice law in Nevada. By signing below you agree to follow and acknowledge you are in compliance with and consent to the provisions of SCR Account #1 Firm Name: I am exempt from having a trust account pursuant to SCR 78.5 because I handle no client or third party funds in the state of Nevada. If you check this box, you are done. Please sign and date at the bottom of this page. I or my firm maintains the trust account(s) listed below. Please check all that apply. If you check this box, you MUST select A or B below. A. This is an IOLTA account created in accordance with SCR 217. This account is exempt from participating bank requirements because I do not maintain an office within 20 miles of an approved financial institution. B. This account is an SCR 78.5 account exempt from mandatory IOLTA requirements because I do not handle nominal/short term funds. Please list ALL Nevada, not out-of-state, trust accounts maintained by you or the law firm in which you work. Account Name as it appears on bank statement: Account Number (do not include the routing number): Name of Financial Institution: Nevada Address: City: State: Account #2 Yes No Is this an IOLTA account created in accordance with SCR217? Firm Name: Account Name as it appears on bank statement: Account Number (do not include the routing number): Name of Financial Institution: Nevada Address: City: State: I certify all of the above statements required by SCR 78.5 and SCR 217 are true and complete: Zip: Zip: Signature Please return to: OR: Submit online at Date *MANDOCSB* *MANDOCSB*

6 20XX Annual Disclosures Member Name Bar No. Bar Number Name 20XX Mandatory Report of Pro Bono RPC 6.1 Reporting Period January 1, 20XX - December 31, 20XX I received my cases through: All members, active or inactive, MUST complete this disclosure. Please select ONE option. I did not provide any pro bono service as described in RPC 6.1. If you check this box, you are done. Please sign and date at the bottom of this page. pro bono service as described in RPC 6.1. Please complete the questions below. Legal Aid Center of Southern Nevada Southern Nevada Senior Law Program Nevada Legal Services Other Please provide additional information below hours of direct legal services for no fee to low income clients. I contributed money to organizations that provide pro bono services: $ Legal Aid Center of Southern Nevada Volunteer Attorneys for Rural Nevadans Washoe Legal Services $ Dues Check Off $ Southern Nevada Senior Law Program $ Nevada Legal Services $ Volunteer Attorneys for Rural Nevadans $ Washoe Legal Services $ Other hours of direct legal services at a substantially reduced fee. hours of legal services to organizations that address the needs of persons of limited means. hours of service of activities improving the law or law related education. Voluntary - Firm/Office Demographic Information Please indicate the number of attorneys in your Nevada firm/office Solo 2-4 Attorneys 5-14 Attorneys 15 + Attorneys I certify all of the above disclosures required by RPC 6.1 are true and complete. Signature Please return to: OR: Submit online at Date *MANDOCSC* *MANDOCSC*