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89074 (702) 486-1100 FAX (702) 486-1190, INVESTIGATIONS (702) 486-1110 www.nscb.state.nv.us CHILD SUPPORT INFORMATION STATEMENT In compliance with State and Federal law, applications applying for licensure as an Individual are required complete and submit this Child Support Information Statement with their application for contractor’s license. Please mark the appropriate response and provide all other information requested on the form. q I am not subject to a Court Order for the support of.

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