Nevada > Statewide > State Bar
Certification Of Compliance And Consent Form - Nevada
| Certification Of Compliance And Consent Form Form. This is a Nevada form and can be used in State Bar Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
STATE BAR OF NEVADA Please use this form to report new or additional trust accounts maintained by you or your firm. Internal Use Only Bar Number Last Name First Name MI SCR 78.5 & SCR 217 ACKNOWLEDGEMENT AND CERTIFICATION OF COMPLIANCE AND CONSENT TRUST ACCOUNT REPORTING Every active member of the State Bar of Nevada MUST acknowledge compliance and consent to the Rule annually. Please do not report financial institutions outside of Nevada. By signing below you agree to follow, and acknowledge, you are in compliance with and consent to the provisions of SCR 78.5 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 #1 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: Account #2 Yes 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: NV Zip: No State: NV Zip: Is this an IOLTA account created in accordance with SCR 217? I certify all of the above statements required by SCR 78.5 and SCR 217 are true and complete: Signature Please return to: State Bar of Nevada P.O. Box 50 Las Vegas, NV 89125 Date American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
