# PYRAMID LAKE TRIBAL COURT > Briefs, arguments, decisions, and more. URL: https://www.frixlaw.com/law-library/documents/tribal%3Apyramid_lake%3Afaf4967e0faadc6f ## Record - **Collection:** Tribal code - **Document type:** Tribal code ## Text PYRAMID LAKE TRIBAL COURT P.O. BOX 257/221 HIGHWAY 447 NIXON, NV 89424 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISTATION Purpose of this packet: Unmarried parents of children want a court order to establish custody, support, and/or visitation. Use this Packet if: 1) You and the other parent do not agree about custody, visitation, medical or other care, education, and/or child support; 2. The minor children have lived within the Pyramid Lake Paiute Tribe Reservation boundaries for at least six weeks prior to filing or since birth; 3. The children previously lived on the Pyramid Lake Paiute Tribe Reservation boundaries for six or more weeks and have been gone from the Pyramid Lake Paiute Tribe Reservation boundaries for less than six months, and one of the parents continues to live within the Pyramid Lake Paiute Tribe Reservation boundaries; or 4. Parties have had sufficient minimum contact with the Pyramid Lake Paiute Tribe and/or the Pyramid Lake Reservation. Contents: 1. Instructions 2. Legal Assistance Information 3. Family Court Information Sheet 4. Petition to Establish Custody, Support, and/or Visitation a. Appendix A: Gross monthly income worksheet b. Appendix B: Child Support Worksheet 5. General Financial Disclosure Form 6. Summons 7. Declaration of Personal Service Before filling in any portion of the petition, read all materials and, if needed, request clarification from court staff. PETITION FOR CHILD CUSTODY/SUPPORT/VISITATION INSTRUCTIONS:  Step 1: Fill out the following forms: o Confidential Family Court Information Sheet o Petition to Establish Custody and Visitation o Appendix A: Gross Monthly Income Worksheet o Appendix B: Child Support Worksheet o General Financial Disclosure Form o Summons You will be given a case number when your documents are filed with the Court. Fill out the top section of the Summons and lower section with your name and contact information. Court staff will complete the Summons with a signature, date, and stamp once it has been submitted completely to the Court. Use blue or black ink only to fill out the forms and neatly print the information requested. DO NOT USE WITE-OUT or other correction fluid/tape on the forms. The Petition will not be accepted by the Court personnel if correction fluid/tape is used.  Step 2: File your forms o If you plan on returning to the Courthouse to file the Petition, wait to sign the Petition in front of staff or bring it in already notarized. o Once the Petition is completed and ready to be filed, submit filing fee ($50.00), civil service fee ($15.00), and Petition to Court personnel. ▪ If the Respondent resides in another area (Off of the Pyramid Lake Paiute Reservation), you will be subject to a civil service fee that is determined by that county. You will be responsible to reach out the that Jurisdiction for their processes and for the fee; even if an application to Waive Filing Fees (hereinafter “Application”) is submitted. o If you submit your Petition with an Application to Waive Filing Fees, the Petition will not be filed until a decision on the Application is rendered. Should the Judge approve the Application, your petition will be filed, however, if it is denied, you will be contacted and must pay the filing fee prior to the Petition being filed. If the Application is approved, no filing fees will be assessed for 30 days of the approved application.  Step 3: Serve the Documents o The respondent must be personally served with the Petition and Summons within 120 days after the petition is filed or your case may be dismissed. Serve the respondent with the following documents: ▪ Petition to Establish Custody and Visitation including Appendix A and Appendix B ▪ Summons ▪ General Financial Disclosure Form PETITION FOR CHILD CUSTODY/SUPPORT/VISITATION 6/24/2025 PETITION FOR CHILD CUSTODY/SUPPORT/VISITATION You will receive file-stamped copies of these documents from Court Staff once all paperwork is submitted and processed. Personal service cannot be completed by you. It can be completed by: • The Pyramid Lake Police Department; • Civil Division of the Sheriff’s Office in the County in which the person you are serving resides or works; or • A responsible adult over the age of 18 years that is not party to the case; or A private process service. Personal service is completed by a person other than yourself by delivering to the party a served copy of the Petition to Establish Custody and Visitation including Appendix A and Appendix B, the Summons, and General Financial Disclosure Form. If a party personally refuses to accept service, service shall be deemed performed if the person is informed of the purpose of the service and offered copies of the papers served. If you are unable to serve the respondent, or do not know where they are, you may electronically file an Ex Parte Motion requesting permission to serve the respondent by alternative service. This form is available upon request.  Step 4: Declaration/Proof of Service o After the Respondent is personally served, fill out the top portion of the Declaration of Service with your contact information, The Petitioner and Respondent names, and case number. o The rest of the Declaration of Service form MUST be completed by the person who served the documents (NOT YOU).  Step 5: File the Declaration of Service o Mail/Email/Fax/Or bring in person the original of the completed Declaration of Service to the Pyramid Lake Tribal Court. o Once the Declaration of Service is file stamped in Court staff will give you a copy for your records. o NOTE*: Once the Respondent is served, he/she will have 20 calendar days to respond to the Petition. If the respondent files an Answer and Counterclaim, you may reply with an Answer to Counterclaim. o If the respondent files an Answer and Counterclaim and you do not file an Answer to Counterclaim, a default may be entered against you. o If the Respondent chooses not to respond, the full 20 calendar days will be allocated. You may then contact the Court to request a Default packet. PETITION FOR CHILD CUSTODY/SUPPORT/VISITATION 6/24/2025 PETITION FOR CHILD CUSTODY/SUPPORT/VISITATION LEGAL ASSISTANCE INFORMATION ATTENTION: THIS PACKET IS ONLY PROVIDED AS A COUTESY; THIS IS NOT A SUBSTITUTE FOR THE ADVICE OF AN ATTORNEY OR ADVOCATE. Counsel is Always Recommended for Legal Matters. The laws governing the Pyramid Lake Paiute Reservation allow any person to represent him/herself in any legal action heard in the Pyramid Lake Tribal Court. However, filing Petitions/Applications/Complaints with the court and representing yourself in the courtroom can involve complex legal matters. This packet only addresses a few legal issues involved in bringing your matter before the Court. When appearing pro se, Latin for “on one’s own behalf”, you are responsible for understanding the law that governs your case and for filing the correct legal documents. The laws and rules are set out in the Pyramid Lake Law & Order Code, the Federal Rules of Civil Procedure and the Pyramid Lake Tribal Court Procedures. When you return to the court and sign these documents for filing, the court assumes that all documents are read carefully and all potential outcomes of litigation in this matter are understood. The Court may upon request send you an updated list of approved advocates/attorneys for the Pyramid Lake Tribal Court. Note: The penalty for knowingly and/or willfully making a false statement under penalty of Perjury §3.4.704 is a Class A Offense carrying a Maximum sentence of One (1) year incarceration and/or maximum fine: Five Thousand Dollars ($5,000.00). §3.4.114. If there are any further questions, please do not hesitate to call the Pyramid Lake Tribal Court at (775) 574-1094. PETITION FOR CHILD CUSTODY/SUPPORT/VISITATION 6/24/2025 Examples of Custody Schedules These custody schedules are provided to you as examples. You may select a pre-set schedule as shown in Options 1 – 4, or you may create your own visitation schedule in Option 5. Option 1 - Week On / Week Off (Joint physical custody) • • • • • • Both parents will have exactly equal time with the minor child(ren) The minor child(ren) will spend one week with Parent 1 and the following week with Parent 2 This schedule will alternate every week throughout the year The exchange time and day will always remain the same every week, for example, every Sunday evening at 7 p.m. (or at whichever time you agree) Depending on the time and day you agree on for exchanges, they might coincide with pick ups or drop offs at school NOTE: This schedule is often used when the parents have (a) school-age child(ren) Parent 1’s custodial days with the minor child Parent 2’s custodial days with the minor child This is an example of evening exchanges. You may pick any day and time for exchanges. Option 1: Week On / Week Off Custody Schedule Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Schedule continues the rest of the year. REV 4.24.23 BK Custody schedules Option 2 – Two / Two / Five / Five (Joint physical custody) • • • • • • Both parents will have exactly equal time with the minor child(ren) The children will spend every Monday and Tuesday with Parent 1, every Wednesday and Thursday with Parent 2, and alternate the weekends (Friday through Sunday) with each parent This way the children will spend 2 days with Parent 1, 2 days with Parent 2, followed by 5 days with Parent 1, and 5 days with Parent 2 The exchanges all take place at the same time of day, for example, if you decide to exchange the child(ren) at 7 a.m., then all custodial exchanges will take place at 7 a.m. (or at whichever time you agree) Depending on the time you agree on for exchanges, they might coincide with pick ups or drop offs at school NOTE: This schedule is often used when the parents have (a) preschool or young school-age child(ren) Parent 1’s custodial days with the minor child Parent 2’s custodial days with the minor child This is an example of morning exchanges Option 2: Two / Two / Five / Five Custody Schedule Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Schedule continues the rest of the year REV 4.24.23 BK Custody schedules Option 3: Repeating Two / Two / Three (Joint physical custody) • • • • • • Both parents will have exactly equal time with the minor child(ren) On week one, the minor child(ren) will spend two days with Parent 1, followed by two days with Parent 2, ending the week with three days with Parent 1 On week two, the minor child(ren) will spend two days with Parent 2, followed by two days with Parent 1, ending the week with three days with Parent 2 The exchanges all take place at the same time of day, for example, if you decide to exchange the child(ren) at 7 a.m., then all custodial exchanges will take place at 7 a.m. (or at whichever time you agree) Depending on the time you agree on for exchanges, they might coincide with pick ups or drop offs at school NOTE: This schedule is often used when the parents have (a) very young child(ren) Parent 1’s custodial days with the minor child This is an example of morning exchanges Parent 2’s custodial days with the minor child Option 3: Repeating Two/Two/Three Custody Schedule Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Schedule continues the rest of the year. REV 4.24.23 BK Custody schedules Option 4: Every Other Weekend (Primary physical custody) • • • • One parent (the primary custodian/custodial parent) will have more time with the minor child(ren) The minor child(ren) will spend every other weekend with the noncustodial parent All remaining time will be spent with the primary custodian/custodial parent The exchanges can be scheduled in the mornings or evenings, at whatever time you agree Primary custodian’s days with the minor child(ren) Noncustodial parent’s days with the minor child(ren) This is an example of evening exchanges Option 4: Every Other Weekend Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Schedule continues the rest of the year. Option 5: Create your own Option 5: Create your own Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday REV 4.24.23 BK Custody schedules IN THE PYRAMID LAKE TRIBAL COURT IN AND FOR THE PYRAMID LAKE INDIAN RESERVATION WASHOE COUNTY, NEVADA Plaintiff/Petitioner, vs. Defendant/Respondent. ) ) Case No. PL.____________________________ ) ) ) CONFIDENTIAL FAMILY COURT ) ) INFORMATION SHEET ) ) ) PLAINTIFF/PETITIONER INFORMATION DEFENDANT/RESPONDENT INFORMATION Name:________________________________ Name:_______________________________ _____________________________________ _____________________________________ Social Security #: _______________________ Social Security #: _______________________ Date of Birth: _________________________ Date of Birth: _________________________ Interpreter Needed? __ YES __ NO Interpreter Needed? __ YES __ NO If yes, language? ______________________ If yes, language? ______________________ Telephone #: __________________________ Telephone #: __________________________ Residential Address: ____________________ Residential Address: ____________________ _____________________________________ _____________________________________ City, State, & Zip: ______________________ City, State, & Zip: ______________________ ____________________________________ ____________________________________ Mailing Address: _______________________ Mailing Address: _______________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ CONFIDENTIAL INFORMATION SHEET (FAMILY COURT) Email Address: ________________________ Email Address: ________________________ _____________________________________ _____________________________________ Are you employed? __ YES __ NO Are you employed? __ YES __ NO If yes, name of employer: ________________ If yes, name of employer: ________________ _____________________________________ _____________________________________ Employer Address: _____________________ Employer Address: _____________________ _____________________________________ _____________________________________ Employer Phone #: _____________________ Employer Phone #: _____________________ Driver License #: _______________________ Driver License #: _______________________ Tribal Affiliation & Enrollment #: __________ Tribal Affiliation & Enrollment #: __________ _____________________________________ _____________________________________ Ethnicity: __ Native American/Alaskan Native Ethnicity: __ Native American/Alaskan Native __ White (Not Hispanic) __ White (Not Hispanic) __ African American __ African American __ Hispanic __ Hispanic __ Asian or Pacific Islander __ Asian or Pacific Islander __ Other __ Other CHILDREN INVOLVED IN THIS CASE: NAME:______________________________ SSN:___________________ DOB: ____________ NAME:______________________________ SSN:___________________ DOB: ____________ NAME:______________________________ SSN:___________________ DOB: ____________ NAME:______________________________ SSN:___________________ DOB: ____________ NAME:______________________________ SSN:___________________ DOB: ____________ If there are more than five children, list their names, SSN, and DOB on a separate sheet of paper and attach to this form. Does this case involve family violence: _____ YES _____ NO CONFIDENTIAL INFO SHEET 6/24/2025 1 2 3 4 Name: __________________________ Address: ________________________ ________________________________ Telephone: ______________________ Email: __________________________ Self-Represented Litigant 5 6 IN THE PYRAMID LAKE TRIBAL COURT IN AND FOR THE 7 PYRAMID LAKE INDIAN RESERVATION 8 WASHOE COUNTY, NEVADA 9 10 11 __________________________________ 12 Plaintiff, 13 vs. 14 15 16 __________________________________ Respondent. ) ) ) ) ) ) ) ) ) ) Case No. PL.DM-CS-____________________ PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, AND/OR VISITATION 17 18 19 Every section of this packet must be completed. If more room is needed for ANY 20 section, attach additional sheets. 21 1. Residency 22  The Parties and minor children have lived within the Pyramid Lake Paiute Tribe 23 Reservation boundaries for at least six weeks prior to filing or since birth; 24 -OR- 25  The children previously lived in the Pyramid Lake Paiute Tribe Reservation 26 boundaries for six or more weeks and have been gone from the Pyramid Lake 27 Paiute Tribe Reservation boundaries for less than six months, and one of the 28 -1 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 parents continues to live within the Pyramid Lake Paiute Tribe Reservation 2 boundaries; 3 -OR- 4  Parties have had sufficient minimum contact with the Pyramid Lake Paiute 5 Tribe and/or the Pyramid Lake Reservation. 6 7 2. Jurisdiction 8  No other custody case for the minor child(ren) named in this petition has ever 9 been filed in another court and no other court has previously issued a custody 10 order for the minor child(ren) named in this petition. -OR- 11 12 13  A custody case for the minor child(ren) named in this petition has been filed in another court but no custody order has been issued. 14 -OR- 15  Another court has previously issued a custody order for the minor child(ren) 16 named in this petition. If you mark this box, STOP; this is not the correct 17 packet for you. 18 19 3. Tribal Enrollment/Affiliation 20 The child(ren) is/are enrolled member(s) of: 21 ☐ Pyramid Lake Paiute Tribe; Enrollment #: ___________________________________ 22 ☐ Eligible for enrollment for the Pyramid Lake Paiute Tribe 23 ☐ Not applicable 24 ☐ Other: ___________________________________________________________________ 25 I am an enrolled member of: 26 ☐ Pyramid Lake Paiute Tribe; Enrollment #: ___________________________________ 27 ☐ Eligible for enrollment for the Pyramid Lake Paiute Tribe 28 ☐ Not applicable -2 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 ☐ Other: ____________________________________________________________________ 2 The other parent is an enrolled member of: 3 ☐ Pyramid Lake Paiute Tribe; Enrollment #: ____________________________________ 4 ☐ Eligible for enrollment for the Pyramid Lake Paiute Tribe 5 ☐ Not applicable 6 ☐ Other: ____________________________________________________________________ 7 8 4. Pregnancy 9 Is either party currently pregnant? 10 Petitioner ☐ is -OR- ☐ is not pregnant at this time. 11 Respondent ☐ is -OR- ☐ is not pregnant at this time. 12 If either party is pregnant, is the other party the parent of the unborn child? 13 ☐ YES -OR- ☐ NO 14 What is the child’s due date (month, day, & year)? _______________________________ 15 16 5. Addresses 17 a. I reside at the following address ☐ with –or– ☐ without the minor child(ren): 18 _____________________________________________________________________________ 19 _____________________________________________________________________________ 20 Fully describe your last contact with the minor child(ren), the date, whether it was in 21 person or by telephone, who was present at the time of the contact, etc.: 22 _____________________________________________________________________________ 23 ______________________________________________________________________________ 24 ______________________________________________________________________________ 25 ______________________________________________________________________________ 26 b. The other parent resides at the following address ☐ with –or– ☐ without the 27 minor child(ren): ______________________________________________________________ 28 ______________________________________________________________________________ -3 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 Fully describe the other parent’s last contact with the minor child(ren), the date, 2 whether it was in person or by telephone, who was present at the time of the 3 contact, etc.: ________________________________________________________________ 4 _____________________________________________________________________________ 5 _____________________________________________________________________________ 6 _____________________________________________________________________________ 7 _____________________________________________________________________________ 8 9 6. Minor Children 10 On the lines below, provide the information requested regarding each minor child 11 born to or adopted by the parties. You MUST LIST where the child currently lives, 12 where the child has lived for the PAST 5 YEARS, and the name(s) and current 13 address(es) of the person(s) with whom the child lived at each address. 14 15 16 Childs Name: Date child moved Here Childs Address (Street Address, City, State) 17 Date of Birth: __ M ___ F Person(s) with whom Child Lived (Name & Current Address) Relationship to Child Date of Birth: __ M ___ F Person(s) with whom Child Lived (Name & Current Address) Relationship to Child 18 19 20 21 22 23 24 25 Childs Name: Date child moved Here Childs Address (Street Address, City, State) 26 27 28 -4 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2 3 4 Childs Name: Date child moved Here Childs Address (Street Address, City, State) Date of Birth: __ M ___ F Person(s) with whom Child Lived (Name & Current Address) Relationship to Child Date of Birth: __ M ___ F Person(s) with whom Child Lived (Name & Current Address) Relationship to Child Date of Birth: __ M ___ F Person(s) with whom Child Lived (Name & Current Address) Relationship to Child 5 6 7 8 9 10 11 12 Childs Name: Date child moved Here Childs Address (Street Address, City, State) 13 14 15 16 17 18 19 20 Childs Name: Date child moved Here 21 Childs Address (Street Address, City, State) 22 23 24 25 // 26 // 27 // 28 // -5 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2 3 7. Other Related Court Cases a) Are there any other Court cases in which either party has participated as a party, witness, or in any other way concerning custody, visitation, or support of the child(ren) listed above? ☐ YES ☐ NO 4 If yes, please complete the following: 5 Name(s) of child(ren) involved: _____________________________________________ 6 __________________________________________________________________________ 7 8 9 10 Court: _________________________________ Case #: __________________________ b) Are there any court cases that could affect this case, including proceedings for enforcement and proceedings relating to domestic violence, protective orders, termination of parental rights, adoptions, guardianships, dependency (child abuse and neglect), and parentage actions? ☐ YES ☐ NO 11 If yes, please complete the following: 12 Name(s) of child(ren) involved: _____________________________________________ 13 __________________________________________________________________________ 14 Court: _________________________________ Case #: __________________________ 15 16 17 18 19 Type of Case: __________________________ Date of Last Order: ________________ c) Is/Are there any person(s) not a party to this court case who has/have physical custody of the child(ren) or claim(s) a right to legal custody, physical custody, or visitation with the minor child(ren)? ☐ YES ☐ NO If yes, please complete the following: Name(s) of child(ren) involved: _____________________________________________ 20 __________________________________________________________________________ 21 Name(s) and address(es) of person(s) claiming custody or visitation rights: 22 __________________________________________________________________________ 23 24 25 8. Parentage Place an “X” in all boxes that apply. 26  Both parents signed a voluntary acknowledgement of parentage, at birth or later. 27  Parentage was established through a Court proceeding: 28 i. Name of Court: _________________________________________________ ii. County & State of Court: _________________________________________ -6 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 iii. Case Number: __________________________________________________ 2 iv. Type of Proceeding (Adoption, Child support, etc.): ________________ 3 ________________________________________________________________ v. Date order was filed: ___________________________________________ 4  Parentage has not been established. 5 6 9. Legal Custody of the Minor Child(ren) 7 8 9 Place an “X” in the box to select ONLY ONE of the options below. Who should have LEGAL CUSTODY of the minor child(ren)? Legal custody means having legal responsibility for the child(ren) and making major decisions regarding the child(ren), including the child(ren)’s health, education, and religious upbringing. 10  Both Parties: JOINT Legal Custody 11 12 -OR- 13  Petitioner: SOLE Legal Custody -OR- 14  Respondent: SOLE Legal Custody 15 16 10. Physical Custody of the Minor Child(ren) 17 18 19 Place an “X” in the box to select ONLY ONE of the options below. Who should have PHYSICAL CUSTODY of the minor child(ren)? Physical custody refers to the amount of time that the child(ren) physically spends in the care of each parent. 20  Both Parties: JOINT Physical Custody -OR- 21  Petitioner: PRIMARY Physical Custody 22 -OR- 23  Respondent: PRIMARY Physical Custody 24 -OR- 25  Petitioner: SOLE Physical Custody (Respondent receives no visitation) 26 -OR- 27 28  Respondent: SOLE Physical Custody (Petitioner receives no visitation) // -7 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 11. Custody/Visitation and Exchange Schedule A. Regular Custodial Schedule Place an “X” in a box to select ONLY ONE of the custody schedules provided below. If you select Option 5 or would like to modify Options 1 - 4, write in your proposed schedule below. A visual description of each custody schedule is provided with this packet. ☐ Option 1 - Week On / Week Off (Joint physical custody): The minor child(ren) will spend one week with one parent and will spend the following week with the other parent. This schedule will alternate every week throughout the year. Both parents will have exactly equal time with the minor child(ren); Depending on the time and day you agree upon for exchanges, they might coincide with pick-ups and/or drop-offs at school. The exchanges will be at (time) __________ ☐ a.m. –or– ☐ p.m. and will take place on (day of the week) _______________at (location) _________________________________________. ☐ Petitioner –or– ☐ Respondent will have the child(ren) the first week following granting of the Order Establishing Custody, Visitation and/or Child Support. NOTE: This schedule is often used when the parents have (a) school-age child(ren). ☐ Option 2 - Two / Two / Five / Five (Joint physical custody): The minor child(ren) will spend every Monday and Tuesday with one parent, every Wednesday and Thursday with the other parent, and alternate the weekends (Friday through Sunday) with each parent. Both parents will have exactly equal time with the minor child(ren); Depending on the time and day you agree upon for exchanges, they might coincide with pick-ups and/or drop-offs at school. 23 The exchanges will be at (time) __________ ☐ a.m. –or– ☐ p.m. and will take place at (location) ____________________________________________________________________. 24 ☐ Petitioner –or– ☐ Respondent will have the child(ren) every Monday and Tuesday. 25 ☐ Petitioner –or– ☐ Respondent will have the child(ren) every Wednesday and Thursday. 26 27 28 ☐ Petitioner –or– ☐ Respondent will have the child(ren) the first weekend following granting of the Order Establishing Custody, Visitation and/or Child Support and the parties will alternate each weekend thereafter. NOTE: This schedule is often used when the parents have (a) preschool or young schoolage child(ren). -8 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2 3 4 5 6 ☐ Option 3 - Repeating Two / Two / Three (Joint physical custody): The minor child(ren) will spend two days with one parent, then two days with the other parent, three days with one parent, two days with the other parent, two days with one parent, three days with the other parent, alternating throughout the year. Both parents will have exactly equal time with the minor child(ren); Depending on the time and day you agree upon for exchanges, they might coincide with pick-ups and/or drop-offs at school. 7 8 9 The exchanges will be at (time) __________ ☐ a.m. –or– ☐ p.m. and will take place at (location) ____________________________________________________________________. 10 ☐ Petitioner –or– ☐ Respondent will have the child(ren) first the first Monday following granting of the Order Establishing Custody, Visitation and/or Child Support. 11 NOTE: This schedule is often used when the parents have (a) very young child(ren). 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 ☐ Option 4 - Every Other Weekend (Primary physical custody): The minor child(ren) will spend every other weekend and any other mutually agreed-upon time with ☐ Petitioner –or– ☐ Respondent. All remaining time will be spent with the other parent, who has primary physical custody. If the weekend falls on a three-day weekend, it will include the holiday. The exchanges will be Friday at (time) ____________ ☐ a.m. –or– ☐ p.m. and Sunday at (time) _____________ ☐ a.m. –or– ☐ p.m. and will take place at (location): ____________________________________________________________________________. ☐ Petitioner –or– ☐ Respondent will have the child(ren) the first weekend following granting of the Order Establishing Custody, Visitation and/or Child Support. ☐ Option 5 - I request the following schedule (Be as specific as possible regarding exchange days, times, and locations as the schedule must be specific enough to be enforced by the Court. For example, “Petitioner will have the children every spring break, every fall break, every summer break except for the first and last week of summer break, and one-half of winter break with the parents alternating the first and second week each year. Petitioner shall provide transportation to pick up the children from Respondent’s home in Reno, Nevada, and Respondent shall provide transportation to pick up the children from Petitioner’s home in Nixon, Nevada. Respondent will have the children all other remaining times. Petitioner may visit the children in Reno with at least 30-days’ written notice.”): ____________________________________________________________________ 27 ____________________________________________________________________________________ 28 ____________________________________________________________________________________ ____________________________________________________________________________________ -9 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 ____________________________________________________________________________________ 2 ___________________________________________________________________________________ 3 ____________________________________________________________________________________ 4 5 ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 6 ____________________________________________________________________________________ 7 ____________________________________________________________________________________ 8 ____________________________________________________________________________________ 9 ____________________________________________________________________________________ 10 11 ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 12 ____________________________________________________________________________________ 13 ____________________________________________________________________________________ 14 NOTE: This schedule is often used when the parents are unable to exercise joint physical custody due to the parents residing at a great distance from one another. 15 16 17 18 19 20 21 22 23 24 25 26 B. Summer Break Visitation Schedule Place an “X” in a box to select ONLY ONE of the summer visitation schedules provided below. If you select Option 3, or would like to modify Options 1 or 2, write in your proposed visitation schedule below. If one or both parents want an additional block of time, describe it in Option 3. ☐ Option 1 – Summer Break will follow the Parents Regular Custodial Schedule. ☐ Option 2 – Alternating One-Week Timeshares: The minor child(ren) will spend one week with ☐ Petitioner –or– ☐ Respondent and spend the following week with the other parent. This will alternate for the remainder of the summer break. ☐ Option 3 – Schedule described below: I request the following summer visitation schedule (Be as specific as possible as the schedule must be specific enough to be enforced by the Court. For example: “Petitioner will have the children the first week after school lets out and the last week prior to school resuming. Respondent will have the remainder of the summer break.”): ___________________________________________________ ____________________________________________________________________________________ 27 ____________________________________________________________________________________ 28 ____________________________________________________________________________________ - 10 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 C. Holiday Visitation Schedule 1 Please fill out the holiday visitation schedule below. School breaks, religious holidays (e.g., Yom Kippur, Easter, Eid al-Fitr, etc.) or school holidays (e.g., Labor Day, Nevada Day, etc.) will follow the parents’ regular custodial schedule, unless marked below or detailed in the “Other” sections below. 2 3 4 5 6 Holiday Exchange Times Even Numbered Years 1st Half of Spring Break It begins upon school release and ☐ Petitioner ends at 9 a.m. halfway through the ☐ Respondent break. ☐ Petitioner It begins at 9 a.m., halfway through the break and ends when school resumes. ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent Beginning at 7 p.m. the evening before Mother’s Day; it ends 9 a.m. the morning after. ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent It begins 7 p.m. evening before Father’s Day; ends 9 a.m. the morning after. ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent Begins 7 p.m. on July 3rd; ends 9 a.m. on July 5th. ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent Begins 7 p.m. on October 30th; ends 9 a.m. on November 1st. ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent Begins upon release of school and ends when school resumes. ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent Begins upon release of school and ends when school resumes. ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent Begins upon release of school and ends at 9 a.m. on December 26th. ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent 2nd Half of Winter Break Begins at 9 a.m. on December 26th and ends when school resumes. ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent Other: ☐ Petitioner ☐ Petitioner 7 8 9 10 2nd Half of Spring Break 11 12 Mother’s Day 13 14 Father’s Day 15 16 17 18 4th of July Halloween 19 20 Fall Break 21 22 23 24 25 26 27 Thanksgiving Break 1st Half of Winter Break (Includes Christmas Day) Old Numbered Years ☐ Respondent 28 - 11 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2 Other: ☐ Respondent ☐ Respondent Other: ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent ☐ Petitioner ☐ Petitioner ☐ Respondent ☐ Respondent 3 4 Other: 5 6 7 Other: Other: 8 9 Other: 10 11 12 13 14 15 16 17 18 19 20 12. Transportation for Exchanges Place an “X” in a box to select ONLY ONE of the statements below and complete the requested information. ☐ Transportation will be provided by the parent ☐ picking up – or - ☐ dropping off the child(ren). -OR☐ Transportation will be provided as follows (explain how transportation will be provided): ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 21 22 23 24 25 13. Best Interest of the Child(ren) Answer each question. Describe, in detail, why the requested custody and visitation schedule is in the best interest of the child(ren). a. Is/Are the child(ren) old enough (14 years or older) and are capable of having a preference concerning custody and/or visitation? (check one) 26 ☐ No. 27 ☐ Yes. If known, what is their preference and why? ___________________________ 28 ___________________________________________________________________________ __________________________________________________________________________. - 12 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2 3 4 b. Is one parent more likely to allow the child(ren) to have frequent contact and a continuing relationship with the other parent? (check one) ☐ No. ☐ Yes, (Name of parent) _______________________________ is because __________ __________________________________________________________________________ 5 __________________________________________________________________________ 6 __________________________________________________________________________. 7 c. How do you and the other parent get along? _________________________________ 8 __________________________________________________________________________ 9 10 __________________________________________________________________________. d. Are you and the other parent able to cooperate to meet the needs of the child(ren)? (check one) 11 ☐ No, because: ___________________________________________________________ 12 __________________________________________________________________________ 13 14 ☐ Yes e. Describe your mental and physical health: ___________________________________ ___________________________________________________________________________ 15 16 Describe the other parents mental and physical health: _______________________ 17 ___________________________________________________________________________ 18 f. What physical, developmental, and emotional needs does/do the child(ren) have? ____________________________________________________________________ 19 __________________________________________________________________________ 20 g. What do you and your child(ren) do together? ________________________________ 21 __________________________________________________________________________ 22 __________________________________________________________________________ 23 What does the other parent do with the child(ren) when they are together? _____ 24 25 26 __________________________________________________________________________ __________________________________________________________________________ h. Will the proposed custody and/or visitation schedule allow the child(ren) to maintain a relationship with their siblings? (check one) 27 ☐ Not Applicable 28 ☐ No ☐ Yes - 13 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 i. Has there been a history of parental abuse or neglect of the child(ren) or any siblings of the child(ren), or a history of domestic violence against the child(ren), you, or the other parent, or any other person who lives with the child(ren)? (check all that apply) 1 2 3 4 ☐ No 5 ☐ Yes, I have a history; the abuse, neglect, and/or act of domestic violence was (include case number(s), if any and if known): ________________________________ 6 ___________________________________________________________________________ 7 __________________________________________________________________________. 8 ☐ Yes, the other parent has a history; the abuse, neglect, and/or act of domestic violence was (include case number(s), if any and if known): __________ 9 ___________________________________________________________________________ 10 __________________________________________________________________________. 11 j. Have either you or the other parent committed an act of abduction against the child(ren) or any other child? (check all that apply): 12 ☐ No 13 14 ☐ Yes, I have a history; the act of abduction was (include case number(s), if any and if known): _____________________________________________________________ 15 ___________________________________________________________________________ 16 __________________________________________________________________________. 17 ☐ Yes, the other parent has a history; the act of abduction was (include case number(s), if any and if known): _____________________________________________ 18 ___________________________________________________________________________ 19 __________________________________________________________________________. k. Is there a nomination of a guardian? (check one) 20 21 ☐ No 22 ☐ Yes, the name(s) of the nominated guardian(s) is/are: _____________________ __________________________________________________________________________. 23 24 14. Gross Monthly Income 25 Fill in the information requested below. Attached as Appendix A to the Petition is the Gross Monthly Income Worksheet, which will assist you with calculating your and the other parent’s gross monthly income. If you do not know the other parent’s information, put “unknown” in the space below. 26 27 28 // // - 14 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 The gross monthly incomes (GMI) of the parties are: 2 a. Petitioner’s GMI: $ ___________________ 3 b. Respondent’s GMI: $ _________________ 4 15. Existing Child Support Order(s) 5 6 If there is an existing child support order, place an “X” in the box below and enter the case number for your child support case. 7 ☐ Child support has been established through (the court) _______________________ 8 in child support Case Number: ________________________________________________. (If you do not wish to modify child support or if it is a recent order, SKIP TO SECTION 17.) 9 10 16. Child Support Calculation 11 Fill in the information requested and place an “X” in the boxes below. Attached as Appendix B to the Petition is the Child Support Worksheet, which will assist you with calculating child support. If you do not know the other parent’s information, put “unknown” in the space below. 12 13 14 15 Based upon the completed and attached Child Support Worksheet in Appendix B of the Petition, child support under the law would be as follows: 16 17 a. Petitioner’s Base Child Support Obligation is: $ _________________ 18 b. Respondent’s Base Child Support Obligation is: $ _________________ 19 c. The Total Child Support Obligation by law would be $ _________________ per month, paid by (check one) ☐ Petitioner –or– ☐ Respondent. 20 d. The Court should adjust the child support obligation based upon the following factors (check all that apply): 21 ADJUSTMENT FACTORS 22 23 24 ☐ Any special education needs of the child(ren) ☐ A parent’s legal responsibility to support others ☐ Value of services contributed by either parent 25 ☐ Any public assistance paid to support the child(ren) 26 ☐ Cost of transportation of the child(ren) to and from visitation 27 ☐ The relative income of both households 28 ☐ The obligor’s ability to pay ☐ Any other necessary expenses for the benefit of the child(ren) - 15 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2 3 17. Child Support Payment Plan Place an “X” in a box to select ONLY ONE of the two statements below. 5 ☐ The parent paying child support should make the payments directly to the other parent by the (enter day of the month, e.g., 1st, 2nd, 3rd, etc.) _______________ day of each month starting on (date) __________________________. 6 –or– 4 7 ☐ A wage assignment should be put in place and payment should be enforced through the District Attorney’s Office. 8 9 18. Childcare Expenses 10 Place an “X” in a box to select ONLY ONE of the two statements below. 11 ☐ Neither parent has any childcare expenses. 12 13 14 –or– ☐ Childcare is $____________________ per month and should be paid by (check one): ☐ Petitioner –or– ☐ Respondent –or– ☐ both parties equally –or– other: ___________ ______________________________________________________________________________ 15 16 17 18 19. Health Care for Child(ren) Complete the statements below by placing an “X” in a box to select your answers. a. The child(ren) is/are, or should be covered by the following health insurance policy (check one): 19 ☐ Indian Health Services 20 ☐ Medicaid 21 22 23 24 25 26 27 28 ☐ Private/Employer insurance of (check one): ☐ Petitioner ☐ Respondent ☐ Other: _____________________________________________________________ b. The monthly premium is $____________________ and should be paid for by (check one) Place an “X” in a box to select ONLY ONE of the two statements and complete the requested information. Petitioner –or– ☐ Respondent –or– ☐ both parties equally –or– ☐ other: ___________________________________________________________________________ ___________________________________________________________________________ 20. Tax Deduction Place an “X” in a box to select ONLY ONE of the two statements and complete the requested information. - 16 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2 3 4 ☐ Petitioner –or– ☐ Respondent should claim the child(ren) as dependents for tax purposes every year. -or☐ The tax deduction should be shared as follows: _______________________________ _____________________________________________________________________________ 5 _____________________________________________________________________________ 6 _____________________________________________________________________________. 7 8 9 10 21. School Enrollment and Extracurricular Activities Place an “X” in a box to select ONLY ONE of the three statements. The minor child(ren) should attend: a. ☐ The school(s) zoned for my address. 11 12 –orb. ☐ The school(s) zoned for Respondent’s address. –or- 13 14 15 16 17 18 c. ☐ Other: _________________________________________________________________ _________________________________________________________________________ d. Costs for extracurricular activities should be determined as follows: ___________ ___________________________________________________________________________ ___________________________________________________________________________ 22. Additional Relief 19 Do you have any other requests you would like the Court to consider? 20 Place an “X” in a box to select ONLY ONE of the two statements below. 21 ☐ No additional relief is requested. 22 23 24 25 26 27 28 –or– ☐ I request the additional relief listed below: ___________________________________ _____________________________________________________________________________ _____________________________________________________________________________ ____________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ - 17 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2 3 23. I reserve the right to amend this Petition, and to request additional and/or modified relief. 24. I ask for judgment as follows: 4 a. That I be granted my requests regarding custody, visitation, and/or child support as set forth above; and 5 b. For other and further relief the Court may deem just and proper in this action. 6 7 8 9 10 11 25. Verification I (your name), , under penalty of perjury, makes the following assertions: That I am the Petitioner, in the aboveentitled action; that I have read the foregoing PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, AND/OR VISITATION and know the contents thereof; that the same is true of my own knowledge, except for those matters therein contained stated upon information and belief, and as to those matters, I believe them to be true. 12 13 Done and dated this day of , 2025. 14 15 16 17 Petitioner Printed Name Petitioners Signature Subscribed and sworn to before me on this day of , 2025. 18 19 20 Notary Public/Court Clerk 21 22 23 24 25 26 27 28 - 18 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 IN THE PYRAMID LAKE TRIBAL COURT 2 IN AND FOR THE PYRAMID LAKE INDIAN RESERVATION 3 WASHOE COUNTY, NEVADA 4 AFFIDAVIT 5 6 7 8 I (your name), , being first duly sworn on oath, affirm that I am the affiant in this cause that the statements made herein are true and correct to the best of my knowledge, recollection and belief, as follows: 9 10 11 12 13 14 15 16 17 18 19 _______________________________________ 20 21 22 23 DATE: AFFIANT SIGNATURE: Subscribed and Sworn to before me on this day of , 2025. 24 25 26 Notary Public/Court Clerk 27 28 - 19 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2 PLEASE PROVIDE THE FOLLOWING CASE INFORMATION TO THE COURT WHEN SUBMITTING THE PETITION. 3 {This portion must be completed or the petition will not be accepted.} 4 5 PETITIONER’S NAME: ________________________________________________________ 6 MAILING ADDRESS: _________________________________________________________ 7 PHYSICAL ADDRESS: ________________________________________________________ 8 EMAIL ADDRESS: __________________________________________________________ 9 PHONE NO(s): (CELL) ____________________________ (OTHER) _________________ 10 11 RESPONDENT’S NAME: ______________________________________________________ 12 MAILING ADDRESS: _________________________________________________________ 13 PHYSICAL ADDRESS: ________________________________________________________ 14 EMAIL ADDRESS: __________________________________________________________ 15 PHONE NO(s): (CELL) ____________________________ (OTHER) _________________ 16 17 18 19 20 21 22 23 $50.00 Filing Fee when Petition is returned and Filed with the Court Service fee/Inside Jurisdiction $15.00 Service fee/Outside Jurisdiction TBD 24 25 26 27 28 - 20 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 APPENDIX A 2 Gross Monthly Income (GMI) Worksheet 3 This worksheet must be used to calculate each Party’s gross monthly income as required in Section 14 (“Gross Monthly Income”) of the Petition packet. ____________________________________________________________________________________ 4 5 6 7 8 9 10 11 Gross monthly income is the amount of money you make each month before taxes are deducted. Gross monthly income includes income received from employment, social security (not SSI), unemployment benefits, pension or retirement plan payments, income from interest and investments, military allowances and veterans’ benefits, alimony, etc. Gross monthly income DOES NOT include SSI, SNAP, TANF, cash benefits from the county, or child support received. 1. Calculate Gross Monthly Income (GMI) from Employment To calculate your GMI from employment, use ONLY ONE of the tables below per party: Petitioner Respondent 12 Annual Income $ Annual Income $ 13 ÷ by 12 months = $ ÷ by 12 months = $ 14 Employment GMI Employment GMI 15 Biweekly Income $ Biweekly Income $ x 26 pay periods $ x 26 Pay periods $ 17 ÷ by 12 months = $ ÷ by 12 months = $ 18 Employment GMI 16 Employment GMI 19 20 21 22 Bimonthly Income $ Bimonthly Income $ x 24 pay periods $ x 24 pay periods $ ÷ by 12 months = $ ÷ by 12 months = $ Employment GMI Employment GMI 23 24 Hourly Wage 25 # of hours worked per week 26 27 28 Hourly Wage $ $ # of hours worked per week Hourly wage x hours worked per week $ Hourly wage x hours worked per week $ x 52 weeks $ x 52 weeks $ - 21 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2 ÷ by 12 months = ÷ by 12 months = Employment GMI Employment GMI 3 4 5 6 Weekly Income $ Weekly Income $ x 52 weeks $ x 52 weeks $ ÷ by 12 months = ÷ by 12 months = Employment GMI Employment GMI 7 8 Per Diem Rate 9 # of days worked per week 10 11 12 Per Diem Rate $ # of days worked per week Per diem rate x days worked per week $ Per diem rate x days worked per week $ x 52 weeks $ x 52 weeks $ 13 ÷ by 12 months = ÷ by 12 months = 14 Employment GMI Employment GMI 15 $ *Copy the amount of GMI from employment for each party into the table below. 16 17 18 19 20 21 22 2. Calculate Total Gross Monthly Income (GMI) Now, add any additional money each Party receives each month from overtime pay (if it is substantial, consistent and can be accurately determined), social security, unemployment benefits, pension or retirement plan payments, income from interest/investments, compensation for lost wages, military allowances, veteran’s benefits, alimony, regular gifts from others, etc. Use the table below to add up each Party’s total gross monthly income. Petitioner Respondent Employment GMI $ Employment GMI $ 23 Social Security $ Social Security $ 24 Unemployment $ Unemployment $ 25 Pension/Retirement $ Pension/Retirement $ 26 Interest/Investments $ Interest/Investments $ TOTAL GMI = TOTAL GMI = 27 28 $ $ You now have calculated each Party’s total gross monthly income. Each Party’s total gross monthly income (GMI) as calculated above must be transferred to Section 14 on page 15 of the Petition packet (under Gross Monthly Income). - 22 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 APPENDIX B 2 Child Support Worksheet 3 This worksheet must be used to calculate each Party’s base child support obligation and the total child support obligation as required in Section 16 (“Child Support Calculation”) of the Petition for Custody. 4 5 ____________________________________________________________________________________ 6 7 1. Petitioners Base Child Support Obligation 8 9 10 11 How much is Petitioner’s gross monthly income (GMI)? _________________________________ a. If petitioners gross monthly income is $1,956.00 or less, use the attached Lowincome Child Support Schedule located on the last page of this Appendix to Identify Petitioner’s base child support obligation and list it here: $_______________________ 12 13 14 15 If petitioner’s gross monthly income (GMI) is $1,956.00 or less, stop here, and go to Step 2. If petitioner’s gross monthly income (GMI) is $1,957.00 or more, go to Step b. 16 17 b. Multiply the amount of Petitioner’s gross monthly income which is $6,000.00 or less by: 18 .16 (1 child) 19 .22 (for 2 children) 20 .26 (for 3 children) 21 .28 (for 4 children) Add .02 for each additional child B $______________________ 22 23 24 c. Multiply the amount of Petitioner’s gross monthly income which is more than $6,000.00 but less than $10,000.00 by .08 (for 1 child) 25 .11 (for 2 children) 26 .13 (for 3 children) 27 .14 (for 4 children) 28 Add .01 for each additional child C $______________________ - 23 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2 d. Multiply the amount of Petitioner’s gross monthly income which is more than $10,000.00 by .04 (for 1 child) 3 .06 (for 2 children) 4 .06 (for 3 children) 5 .07 (for 4 children) 6 7 Add .005 for each additional child D $______________________ Petitioner’s base child support obligation (Add lines B, C, and D) $___________________ 8 9 10 11 12 13 2. Respondent’s Child Support Obligation How much is Respondent’s gross monthly income (GMI)? __________________________ a. If Respondent’s gross monthly income is $1,956.00 or less, use the attached Lowincome Child Support Schedule located on the last page of this Appendix to Identify Petitioner’s base child support obligation and list it here: $_______________________ 14 15 16 17 If Respondent’s gross monthly income (GMI) is $1,956.00 or less, stop here, and go to Step 3. If Respondent’s gross monthly income (GMI) is $1,957.00 or more, go to Step b. 18 19 b. Multiply the amount of Respondent’s gross monthly income which is $6,000.00 or less by: 20 .16 (1 child) 21 .22 (for 2 children) 22 .26 (for 3 children) 23 .28 (for 4 children) Add .02 for each additional child B $______________________ 24 25 26 c. Multiply the amount of Respondent’s gross monthly income which is more than $6,000.00 but less than $10,000.00 by .08 (for 1 child) 27 .11 (for 2 children) 28 .13 (for 3 children) .14 (for 4 children) - 24 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 Add .01 for each additional child C $______________________ 2 3 d. Multiply the amount of Respondent’s gross monthly income which is more than $10,000.00 by 4 .04 (for 1 child) 5 .06 (for 2 children) 6 7 .06 (for 3 children) .07 (for 4 children) Add .005 for each additional child D $______________________ 8 9 10 11 12 13 14 Respondent’s base child support obligation (Add lines B, C, and D) $___________________ 3. The Toal Child Support Obligation a. Primary Physical Custody If a primary physical custody arrangement was selected in Section 10 of the Petition for Custody packet (“Physical Custody of the Minor Child(ren)”), the non-custodial parent should pay their base child support obligation calculated above to the parent with primary physical custody of the child(ren). (The parent with primary physical custody will have no child support obligation.) 15 16 17 ____________________________________________________ (enter name of noncustodial parent) should pay $_____________ (base child support obligation) to 18 19 20 21 22 23 24 25 26 27 28 ____________________________________________________ (name of parent with primary physical custody). b. Joint Physical Custody If a joint physical custody arrangement was selected in Section 10 of the Petition for Custody packet (“Physical Custody of the Minor Child(ren)”), the total child support obligation is calculated as follows: Subtract the lower earning parent’s base child support obligation from the higher earning parent’s base child support obligation. Higher $ _______________________ - Lower $ ________________________ __________________________________________________ Total Child Support Obligation Name of higher income parent $________________________ paid by ____________________ - 25 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2025 Low-Income Child Support Schedule 2 Child Support Obligation of Low-Income Payers 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 At 75% to 150% of the 2025 Federal Poverty Guidelines One Child Monthly Child Income Percent Support Up To Amount $978 10.56% $103 $1,013 10.75% $109 $1,048 10.95% $115 $1,083 11.14% $121 $1,118 11.34% $127 $1,153 11.53% $133 $1,188 11.73% $139 $1,223 11.92% $146 $1,258 12.11% $152 $1,293 12.31% $159 $1,327 12.50% $166 $1,362 12.70% $173 $1,397 12.89% $180 $1,432 13.09% $187 $1,467 13.28% $195 $1,502 13.47% $202 $1,537 13.67% $210 $1,572 13.86% $218 $1,607 14.06% $226 $1,642 14.25% $234 $1,677 14.45% $242 $1,712 14.64% $251 $1,747 14.83% $259 $1,782 15.03% $268 $1,817 15.22% $277 $1,851 15.42% $285 $1,886 15.61% $294 $1,921 15.81% $304 $1,956 16.00% $313 Two Children Child Percent Support Amount 14.52% $142 14.79% $150 15.05% $158 15.32% $166 15.59% $174 15.86% $183 16.12% $191 16.39% $200 16.66% $209 16.92% $219 17.19% $228 17.46% $238 17.73% $248 17.99% $258 18.26% $268 18.53% $278 18.79% $289 19.06% $300 19.33% $311 19.60% $322 19.86% $333 20.13% $345 20.40% $356 20.66% $368 20.93% $380 21.20% $392 21.47% $405 21.73% $418 22.00% $430 Three Children Child Percent Support Amount 17.16% $168 17.48% $177 17.79% $186 18.11% $196 18.42% $206 18.74% $216 19.05% $226 19.37% $237 19.69% $248 20.00% $259 20.32% $270 20.63% $281 20.95% $293 21.26% $305 21.58% $317 21.90% $329 22.21% $341 22.53% $354 22.84% $367 23.16% $380 23.47% $394 23.79% $407 24.11% $421 24.42% $435 24.74% $449 25.05% $464 25.37% $479 25.68% $493 26.00% $509 Four Children Child Percent Support Amount 18.48% $181 18.82% $191 19.16% $201 19.50% $211 19.84% $222 20.18% $233 20.52% $244 20.86% $255 21.20% $267 21.54% $278 21.88% $290 22.22% $303 22.56% $315 22.90% $328 23.24% $341 23.58% $354 23.92% $368 24.26% $381 24.60% $395 24.94% $409 25.28% $424 25.62% $439 25.96% $453 26.30% $469 26.64% $484 26.98% $500 27.32% $515 27.66% $531 28.00% $548 Five Children Child Percent Support Amount 19.80% $194 20.16% $204 20.53% $215 20.89% $226 21.26% $238 21.62% $249 21.99% $261 22.35% $273 22.71% $286 23.08% $298 23.44% $311 23.81% $324 24.17% $338 24.54% $351 24.90% $365 25.26% $380 25.63% $394 25.99% $409 26.36% $424 26.72% $439 27.09% $454 27.45% $470 27.81% $486 28.18% $502 28.54% $518 28.91% $535 29.27% $552 29.64% $569 30.00% $587 Six Children Child Percent Support Amount 21.12% $207 21.51% $218 21.90% $229 22.29% $241 22.67% $253 23.06% $266 23.45% $279 23.84% $291 24.23% $305 24.62% $318 25.01% $332 25.39% $346 25.78% $360 26.17% $375 26.56% $390 26.95% $405 27.34% $420 27.73% $436 28.11% $452 28.50% $468 28.89% $484 29.28% $501 29.67% $518 30.06% $535 30.45% $553 30.83% $571 31.22% $589 31.61% $607 32.00% $626 Calculations: The income in the first row is 75% of the monthly poverty level income for a one person household. Child support amount in the first row is 66% of the amount calculated by applying the Nevada rate to the monthly income. The income amount for the last row is 150% of the monthly poverty level income for a one person household. 2025 Federal Poverty Guidelines Nevada Rates Annual Monthly One Child 16% Household Size Income Income Two Children 22% 1 $15,650 $1,304 Three Children 26% 2 $21,150 $1,763 Four Children 28% 3 $26,650 $2,221 Five Children 30% 4 $32,150 $2,679 5 $37,650 $3,138 6 $43,150 $3,596 7 $48,650 $4,054 8 $54,150 $4,513 For families/households with more than 8 persons, add $5,500 for each additional person. Federal Register :: Annual Update of the HHSPoverty Guidelines - 26 PETITION TO ESTABLISH CHILD CUSTODY, SUPPORT, &/OR VISITATION -REVISED 6/25/2025 1 2 3 4 Name: __________________________ Address: ________________________ ________________________________ Telephone: ______________________ Email: __________________________ Self-Represented Litigant 5 IN THE PYRAMID LAKE TRIBAL COURT IN AND FOR THE 6 PYRAMID LAKE INDIAN RESERVATION 7 WASHOE COUNTY, NEVADA 8 9 10 11 __________________________________ Plaintiff, vs. 12 13 __________________________________ Respondent. ) Case No. PL.DM-CS-____________________ ) ) GENERAL FINANCIAL DISCLOSURE ) FORM ) ) 14 15 16 17 18 A. Personal Information: 1. What is your full name? (first, middle, last) ___________________________________ 2. How old are you? ____________________________ 3. What is your date of birth? _____________________ 4. What is your highest level of education? _____________________________________ 19 20 21 22 B. Employment Information: 1. Are you currently employed/ self-employed? (check one) ☐ No ☐ Yes If yes, complete the table below. Attach an additional page if needed. Date of Hire Employer Name Job Title 23 Work Schedule (Days) Work Schedule (Shift Times) 24 25 26 27 28 2. Are you disabled? (check one) ☐ No ☐ Yes If yes, what is your level of disability? ________________________________________ What agency certified you disabled? _______________________________________ What is the nature of your disability? _______________________________________ -1 GENERAL FINANCIAL DISCLOSURE FORM -REVISED 6/25/2025 1 C. Prior Employment: If you are unemployed or have been working at your current job for less than 2 years, complete the following information. Prior Employer: __________________________________ Date of Hire: ________________ Date of Termination: ____________ Reason for Leaving: ___________________________ 2 3 4 5 6 7 8 9 MONTHLY PERSONAL INCOME SCHEDULE A. Year-to-date Income As of the pay period ending _________ my gross year to date pay is________________. B. Determine your Gross Monthly Income. Hourly Wage X 10 11 12 13 14 Hourly Wage = Number of hours worked per week X Weekly Income 52 Weeks = ÷ 12 Months Annual Income = Gross Monthly Income Annual Salary 15 16 17 18 19 20 21 22 23 24 25 26 27 28 ÷ Annual Income 12 Months = Gross Monthly Income C. Other Sources of Income Source of Income Frequency Amount 12 Month Average Annuity or Trust Income Bonuses Car, Housing, or other allowance: Commissions or Tips: Net Rental Income: Overtime Pay Pension/Retirement: Social Security Income (SSI): Social Security Disability (SSD): Spousal Support Child Support Workman’s Compensation -2 GENERAL FINANCIAL DISCLOSURE FORM -REVISED 6/25/2025 1 Other: Total Average Other Income Received 2 3 Total Average Gross Monthly Income (Add totals from B and C above) 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 D. Monthly Deductions Type of Deduction 1 Court Ordered Child Support (automatically deducted from paycheck) 2 Federal Health Savings Plan 3 Federal Income Tax 4 Amount for you:_______________ Health Insurance For opposing party: ____________ For your Child(ren): ____________ 5 Life, Disability, or Other Insurance Premiums 6 Medicare 7 Retirement, Pension, IRA, or 401(k) 8 Savings 9 Social Security 10 Union Dues 11 Other: (Type of Deduction) Amount Total Monthly Deductions (Lines 1 – 11) BUSINESS/SELF-EMPLOYMENT INCOME & EXPENSE SCHEDULE A. Business Income: What is your average gross (pre-tax) monthly income/revenue from self-employment or business? $___________________. 21 22 23 24 25 26 27 28 B. Business Expenses: (Attach an additional page if needed.) Type of Business Expense Frequency Amount Advertising Car and truck used for business Commissions, wages or fees Business Entertainment/Travel Insurance Legal and professional Mortgage or Rent Pension and profit-sharing plans Repairs and maintenance 12 Month Average -3 GENERAL FINANCIAL DISCLOSURE FORM -REVISED 6/25/2025 1 2 3 Supplies Taxes and licenses (include est. tax payments) Other: Total Average Business Expenses 4 5 PERSONAL EXPENSE SCHEDULE (MONTHLY) 6 7 A. Fill in the table with the amount of money you spend each month on the following expenses and check whether you pay the expense for you, for the other party, or for both of you. 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Expense Monthly Amount I Pay For ME Other Party For Both Alimony/Spousal Support Auto Insurance Car Loan/Lease Payment Cell Phone Child Support (not deducted from pay) Clothing, Shoes, Etc… Credit Card Payments (minimum due) Dry Cleaning Electric Food (groceries & restaurants) Fuel Gas (for home) Health Insurance (not deducted from pay) HOA Home Insurance (if not included in mortgage) Home Phone Internet/Cable Lawn Care Membership Fees Mortgage/Rent/Lease Pest Control Pets Pool Service -4 GENERAL FINANCIAL DISCLOSURE FORM -REVISED 6/25/2025 Property Taxes (if not included in mortgage) Security Sewer Student Loans Unreimbursed Medical Expense Water Other: 1 2 3 4 5 6 Total Monthly Expenses 7 8 HOUSEHOLD INFORMATION A. Fill in the table on the next page with the name and date of birth of each child, the person the child is living with, and whether the child is from this relationship. Attached a separate sheet if needed. 9 10 Childs Name 11 12 Childs DOB 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Whom is this child living with? Is this child Has this child from this been certified relationship as special needs/disabled? 1st 2nd 3rd 4th B. Fill in the table below with the amount of money you spend each month on the following expenses for each child. Type of Expense 1st Child 2nd Child 3rd Child 4th Child Cellular Phone Child Care Clothing Education Entertainment Extracurricular & Sports Health Insurance (if not deducted from pay) Summer Camp/Programs Transportation Costs for Visitation Unreimbursed Medical Expenses Vehicle Other: Total Monthly Expenses -5 GENERAL FINANCIAL DISCLOSURE FORM -REVISED 6/25/2025 1 2 C. Fill in the table on the next page with the names, ages, and the amount of money contributed by all persons living in the home over the age of eighteen. If more than 4 adult household members attached a separate sheet. 3 4 Name Age Relation to You (i.e. sister, friend, cousin, etc.) Monthly Contribution 5 6 7 8 9 10 11 12 PERSONAL ASSEST AND DEBT CHART A. Complete this chart by listing all of your assets, the value of each, the amount owed on each, and whose name the asset or debt is under. If more than 15 assets, attach a separate sheet. Line 13 Description of Asset and Debt Thereon Gross Value Total Amount Owed Net Value 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ - $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ = = = = = = = = = = = = = = = $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Total Value of Assets (Add lines 1 – 15) $ - $ = $ Whose Name is on the Account? (You, your spouse, or both? -6 GENERAL FINANCIAL DISCLOSURE FORM -REVISED 6/25/2025 1 2 B. Complete this chart by listing all of your unsecured debt, the amount owed on each account, and whose name the debt is under. If more than 5 unsecured debts, attach a separate sheet. 3 4 Line Description of Credit Card or Other Unsecured Debt Total Amount Owed 5 6 10 1 2 3 4 5 6 11 Total Unsecured Debt (add lines 1 – 6) 7 8 9 12 Whose Name is on the Account? (You, your spouse, or both? $ CERTIFICATION 13 14 15 16 17 18 Attorney Information: Complete the following sentences: 1. I (have/have not) __________________________________ retained an attorney for this case. 2. As of the date of today, the attorney has been paid a total of $____________ on my behalf. 3. I have a credit with my attorney in the amount of $___________________________________. 4. I currently owe my attorney at total of $ _____________________________________________. 5. I owe my prior attorney at total of $ _________________________________________________. IMPORTANT: Read the following paragraphs carefully and initial each one if applicable. 19 20 21 22 23 24 25 ____ I swear or affirm under penalty of perjury that I have read and followed all instructions in completing this Financial Disclosure Form. I understand that, by my signature, I guarantee the truthfulness of the information on this Form. I also understand that if I knowingly make false statements I may be subject to punishment, including contempt of court. ____ I have attached a copy of my 3 most recent pay stubs to this form. ____ I have attached a copy of my most recent YTD income statement/P&L statement to this form, if self-employed. ____ I have attached a copy of my pay stubs to this form because I am currently unemployed. 26 27 28 ____________________________________ Signature ___________________________________ Date -7 GENERAL FINANCIAL DISCLOSURE FORM -REVISED 6/25/2025 1 IN THE PYRAMID LAKE TRIBAL COURT IN AND FOR THE 2 PYRAMID LAKE INDIAN RESERVATION 3 WASHOE COUNTY, NEVADA 4 5 6 __________________________________ Plaintiff, vs. 7 8 __________________________________ Respondent. ) Case No. PL.DM-CS-____________________ ) ) SUMMONS ) ) ) 9 10 11 12 13 14 15 NOTICE YOU HAVE BEEN SUED. THE COURT MAY DECIDE AGAINST YOU WITHOUT YOU BEING HEARD UNLESS YOU RESPOND WITHIN 20 CALENDAR DAYS. READ THE INFORMATION BELOW: TO THE RESPONDENT: A Complaint or Petition has been filed by the Applicant against you for the relief set forth in the Complaint/Petition(see attached). When service is by publication, add a brief statement of the object of the action. The object of this action is: _______________________________________________________. 1. 16 17 18 19 2. 20 21 22 23 3. If you intend to defend this lawsuit, within 20 days after this Summons is served on you, exclusive of the day of service, you must do the following: a. File with the Clerk of the Court, whose address is shown below, a formal written response/answer to the Complaint/Petition in accordance with the rules of the Court, and; b. Serve a copy of your answer upon the attorney or plaintiff(s) whose name and address is shown below. Unless you respond, a default will be entered upon application of the Plaintiff/Applicant and this Court may enter a judgment against you for the relief demanded in this Complaint/Petition, which could result in the taking of money or property or other relief requested in the Complaint/Petition. If you intend to seek the advice of an attorney in this matter, you should do so promptly so that your response may be filed on time. Dated this ___________ day of _____________________, 20______. 24 25 26 27 28 Issued on behalf of Paintiff(s): Name: _______________________________ Address: _____________________________ _____________________________________ Phone #: _____________________________ Email: _______________________________ CLERK NAME: ____________________________________ CLERK OF THE COURT BY: ______________________________________________ DEPUTY CLERK SIGNATURE Pyramid Lake Paiute Tribal Court 221 Hwy 447 / P.O. Box 257 Nixon, NV 89424 -1 CIVIL SUMMONS -REVISED 6/25/2025 1 2 IN THE PYRAMID LAKE TRIBAL COURT IN AND FOR THE 3 PYRAMID LAKE INDIAN RESERVATION 4 WASHOE COUNTY, NEVADA 5 6 7 __________________________________ Plaintiff, vs. 8 9 __________________________________ Respondent. ) Case No. PL.DM-CS-____________________ ) ) ) DECLARATION OF PERSONAL SERVICE ) ) 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 (To be filled out and signed by the person who served the Defendant or Respondent.) I, ___________________________________________________________________________, Declare: (Name of person who completed service) 1. I am not a party to this action and am over 18 years of age. 2. I am not a licensed process server; I am a natural person serving legal process without compensation, not more than three times per year, on behalf of a litigant who is a natural person, and therefore I am not required to be licensed. 3. I was able to complete service. 4. I personally delivered and left the document(s) with: ☐ The person to the case (Defendant / Respondent). I served the document(s) on the party at the location below. ______________________________________________________________________________ (Name of person served) ______________________________________________________________________________ (Street Address, City, State, and Zip Code of where served.) ☐ A person who lives with the person to the case. I served the document(s) on a person of suitable age and discretion who lives with the party at the location below. ______________________________________________________________________________ (Name of person served) ______________________________________________________________________________ (Street Address, City, State, and Zip Code of where served.) -1 DECLARATION OF PERSONAL SERVICE -REVISED 6/25/2025 1 2 3 4 5 6 7 8 9 5. I served the following document(s): (check all that apply) ☐ Summons; ☐ Complaint / Petition; ☐ Notice of Case Management Conference ☐ Motion to __________________________________________________________________ ☐ Other: _____________________________________________________________________ 6. Service was completed on ____/____/____, at the hour of _______ ☐ A.M. -OR- ☐ P.M. I declare under penalty of perjury under the law of the Pyramid Lake Paiute Tribe that the foregoing is true and correct. * (The information below is of the person who completes the service) 10 11 Date: ____________________ 12 13 14 Signature: ____________________________________ Printed Name: ________________________________ Address: _____________________________________ _____________________________________________ Telephone #: _________________________________ Email: _______________________________________ 15 16 17 18 19 20 NOTE: The penalty for knowingly and/or willfully making a false statement under penalty of Perjury §3.4.704 is a Class A Offense carrying a Maximum sentence of One (1) year incarceration and/or maximum fine: Five Thousand Dollars ($5,000.00). §3.4.114. 21 22 23 24 25 26 27 28 -2 DECLARATION OF PERSONAL SERVICE -REVISED 6/25/2025 Monthly Income Up To $978 $1,013 $1,048 $1,083 $1,118 $1,153 $1,188 $1,223 $1,258 $1,293 $1,327 $1,362 $1,397 $1,432 $1,467 $1,502 $1,537 $1,572 $1,607 $1,642 $1,677 $1,712 $1,747 $1,782 $1,817 $1,851 $1,886 $1,921 $1,956 One Child Child Percent Support Amount 10.56% $103 10.75% $109 10.95% $115 11.14% $121 11.34% $127 11.53% $133 11.73% $139 11.92% $146 12.11% $152 12.31% $159 12.50% $166 12.70% $173 12.89% $180 13.09% $187 13.28% $195 13.47% $202 13.67% $210 13.86% $218 14.06% $226 14.25% $234 14.45% $242 14.64% $251 14.83% $259 15.03% $268 15.22% $277 15.42% $285 15.61% $294 15.81% $304 16.00% $313 Calculations: Two Children Child Percent Support Amount 14.52% $142 14.79% $150 15.05% $158 15.32% $166 15.59% $174 15.86% $183 16.12% $191 16.39% $200 16.66% $209 16.92% $219 17.19% $228 17.46% $238 17.73% $248 17.99% $258 18.26% $268 18.53% $278 18.79% $289 19.06% $300 19.33% $311 19.60% $322 19.86% $333 20.13% $345 20.40% $356 20.66% $368 20.93% $380 21.20% $392 21.47% $405 21.73% $418 22.00% $430 Three Children Child Percent Support Amount 17.16% $168 17.48% $177 17.79% $186 18.11% $196 18.42% $206 18.74% $216 19.05% $226 19.37% $237 19.69% $248 20.00% $259 20.32% $270 20.63% $281 20.95% $293 21.26% $305 21.58% $317 21.90% $329 22.21% $341 22.53% $354 22.84% $367 23.16% $380 23.47% $394 23.79% $407 24.11% $421 24.42% $435 24.74% $449 25.05% $464 25.37% $479 25.68% $493 26.00% $509 Four Children Child Percent Support Amount 18.48% $181 18.82% $191 19.16% $201 19.50% $211 19.84% $222 20.18% $233 20.52% $244 20.86% $255 21.20% $267 21.54% $278 21.88% $290 22.22% $303 22.56% $315 22.90% $328 23.24% $341 23.58% $354 23.92% $368 24.26% $381 $395 24.60% 24.94% $409 25.28% $424 25.62% $439 25.96% $453 26.30% $469 26.64% $484 26.98% $500 27.32% $515 27.66% $531 28.00% $548 Five Children Child Percent Support Amount $194 19.80% 20.16% $204 20.53% $215 20.89% $226 21.26% $238 21.62% $249 21.99% $261 22.35% $273 22.71% $286 23.08% $298 23.44% $311 23.81% $324 24.17% $338 24.54% $351 24.90% $365 25.26% $380 25.63% $394 25.99% $409 26.36% $424 26.72% $439 27.09% $454 27.45% $470 27.81% $486 28.18% $502 28.54% $518 28.91% $535 29.27% $552 29.64% $569 30.00% $587 Six Children Child Percent Support Amount 21.12% $207 21.51% $218 21.90% $229 22.29% $241 $253 22.67% $266 23.06% 23.45% $279 23.84% $291 24.23% $305 $318 24.62% $332 25.01% 25.39% $346 25.78% $360 26.17% $375 26.56% $390 26.95% $405 27.34% $420 27.73% $436 28.11% $452 28.50% $468 28.89% $484 29.28% $501 29.67% $518 30.06% $535 30.45% $553 30.83% $571 31.22% $589 31.61% $607 32.00% $626 The income in the first row is 75% of the monthly poverty level income for a one person household. Child support amount in the first row is 66% of the amount calculated by applying the Nevada rate to the monthly income. The income amount for the last row is 150% of the monthly poverty level income for a one person household. Nevada Rates 2025 Federal Poverty Guidelines Annual Monthly One Child 16% Household Size Income Income Two Children 22% 1 Three Children 26% $15,650 $1,304 2 Four Children 28% $21,150 $1,763 3 30% Five Children $26,650 $2,221 4 $32,150 $2,679 5 $37,650 $3,138 6 $43,150 $3,596 7 $48,650 $4,054 8 $54,150 $4,513 For families/households with more than 8 persons, add $5,500 for each additional person. Federal Register :: Annual Update of the HHS Poverty Guidelines Seven Children Child Percent Support Amount 22.44% $219 22.85% $232 23.27% $244 23.68% $256 24.09% $269 24.50% $282 24.92% $296 25.33% $310 25.74% $324 26.16% $338 26.57% $353 26.98% $368 27.39% $383 27.81% $398 28.22% $414 28.63% $430 29.05% $446 29.46% $463 29.87% $480 30.28% $497 30.70% $515 31.11% $533 31.52% $551 31.94% $569 32.35% $588 32.76% $607 33.17% $626 33.59% $645 34.00% $665 Eight Children Child Percent Support Amount 23.76% $232 24.20% $245 24.63% $258 25.07% $272 25.51% $285 25.95% $299 26.38% $313 26.82% $328 27.26% $343 $358 27.69% 28.13% $373 28.57% $389 29.01% $405 29.44% $422 $438 29.88% 30.32% $455 30.75% $473 31.19% $490 31.63% $508 32.07% $526 32.50% $545 32.94% $564 33.38% $583 33.81% $602 34.25% $622 34.69% $642 35.13% $663 35.56% $683 36.00% $704 Nine Children Child Percent Support Amount 25.08% $245 25.54% $259 26.00% $273 26.46% $287 26.93% $301 27.39% $316 27.85% $331 28.31% $346 28.77% $362 29.23% $378 29.69% $394 30.16% $411 30.62% $428 31.08% $445 31.54% $463 32.00% $481 32.46% $499 32.92% $518 33.39% $536 33.85% $556 34.31% $575 34.77% $595 35.23% $615 35.69% $636 36.15% $657 36.62% $678 37.08% $699 37.54% $721 38.00% $743 Ten Children Child Percent Support Amount 26.40% $258 26.89% $272 27.37% $287 27.86% $302 28.34% $317 28.83% $332 29.31% $348 29.80% $364 30.29% $381 30.77% $398 31.26% $415 31.74% $432 32.23% $450 32.71% $469 33.20% $487 33.69% $506 34.17% $525 34.66% $545 35.14% $565 35.63% $585 36.11% $606 36.60% $626 37.09% $648 37.57% $669 38.06% $691 38.54% $714 39.03% $736 39.51% $759 40.00% $783 11 Children Child Percent Support Amount 27.72% $271 28.23% $286 28.74% $301 29.25% $317 29.76% $333 30.27% $349 30.78% $366 31.29% $383 31.80% $400 32.31% $418 32.82% $436 33.33% $454 33.84% $473 34.35% $492 34.86% $511 $531 35.37% 35.88% $551 36.39% $572 36.90% $593 37.41% $614 37.92% $636 38.43% $658 38.94% $680 39.45% $703 39.96% $726 40.47% $749 40.98% $773 41.49% $797 42.00% $822 12 Children Child Percent Support Amount 29.04% $284 29.57% $300 30.11% $316 30.64% $332 31.18% $349 31.71% $366 32.25% $383 32.78% $401 33.31% $419 33.85% $438 34.38% $456 34.92% $476 35.45% $495 35.99% $515 36.52% $536 37.05% $557 37.59% $578 38.12% $599 $621 38.66% 39.19% $643 39.73% $666 $689 40.26% 40.79% $713 41.33% $736 41.86% $760 42.40% $785 42.93% $810 43.47% $835 44.00% $861 13 Chi Percent 30.36% 30.92% 31.48% 32.04% 32.59% 33.15% 33.71% 34.27% 34.83% 35.39% 35.95% 36.50% 37.06% 37.62% 38.18% 38.74% 39.30% 39.86% 40.41% 40.97% 41.53% 42.09% 42.65% 43.21% 43.77% 44.32% 44.88% 45.44% 46.00% ildren Child Support Amount $297 $313 $330 $347 $364 $382 $400 $419 $438 $457 $477 $497 $518 $539 $560 $582 $604 $627 $649 $673 $696 $720 $745 $770 $795 $821 $847 $873 $900 14 Children Child Percent Support Amount 31.68% $310 32.26% $327 32.85% $344 33.43% $362 34.01% $380 34.59% $399 35.18% $418 35.76% $437 36.34% $457 36.93% $477 37.51% $498 38.09% $519 38.67% $540 39.26% $562 39.84% $585 40.42% $607 41.01% $630 41.59% $654 42.17% $678 42.75% $702 43.34% $727 43.92% $752 44.50% $777 45.09% $803 45.67% $830 46.25% $856 46.83% $883 47.42% $911 48.00% $939 15 Children Child Percent Support Amount 33.00% $323 33.61% $340 34.21% $359 34.82% $377 35.43% $396 36.04% $415 36.64% $435 37.25% $455 37.86% $476 38.46% $497 39.07% $519 39.68% $541 40.29% $563 40.89% $586 41.50% $609 42.11% $633 42.71% $657 43.32% $681 43.93% $706 44.54% $731 45.14% $757 45.75% $783 46.36% $810 46.96% $837 47.57% $864 48.18% $892 48.79% $920 49.39% $949 50.00% $978 16 Children Child Percent Support Amount 34.32% $336 34.95% $354 35.58% $373 36.21% $392 36.85% $412 37.48% $432 38.11% $453 38.74% $474 39.37% $495 40.00% $517 40.63% $539 41.27% $562 41.90% $585 42.53% $609 43.16% $633 43.79% $658 44.42% $683 45.05% $708 45.69% $734 46.32% $760 46.95% $787 47.58% $814 48.21% $842 48.84% $870 49.47% $899 50.11% $928 50.74% $957 51.37% $987 52.00% $1,017 17 Children Child Percent Support Amount 35.64% $349 36.30% $368 36.95% $387 37.61% $407 38.26% $428 38.92% $449 39.57% $470 40.23% $492 40.89% $514 41.54% $537 42.20% $560 42.85% $584 43.51% $608 44.16% $633 44.82% $658 45.48% $683 46.13% $709 46.79% $735 $762 47.44% 48.10% $790 48.75% $818 49.41% $846 50.07% $874 50.72% $904 51.38% $933 52.03% $963 52.69% $994 53.34% $1,025 54.00% $1,056 18 Children Child Percent Support Amount $362 36.96% 37.64% $381 38.32% $402 39.00% $422 39.68% $444 40.36% $465 41.04% $487 41.72% $510 42.40% $533 43.08% $557 43.76% $581 44.44% $605 45.12% $630 45.80% $656 46.48% $682 47.16% $708 47.84% $735 48.52% $763 49.20% $791 49.88% $819 50.56% $848 51.24% $877 51.92% $907 52.60% $937 53.28% $968 53.96% $999 54.64% $1,031 55.32% $1,063 56.00% $1,096 19 Children Child Percent Support Amount 38.28% $374 38.98% $395 39.69% $416 40.39% $437 $459 41.10% $482 41.80% 42.51% $505 43.21% $528 43.91% $552 $577 44.62% $602 45.32% 46.03% $627 46.73% $653 47.44% $679 48.14% $706 48.84% $734 49.55% $762 50.25% $790 50.96% $819 51.66% $848 52.37% $878 53.07% $908 53.77% $939 54.48% $971 55.18% $1,002 55.89% $1,035 56.59% $1,068 57.30% $1,101 58.00% $1,135 20 Children Child Percent Support Amount 39.60% $387 40.33% $409 41.06% $430 41.79% $453 42.51% $475 43.24% $498 43.97% $522 44.70% $547 45.43% $571 46.16% $597 46.89% $622 47.61% $649 48.34% $676 49.07% $703 49.80% $731 50.53% $759 51.26% $788 51.99% $817 52.71% $847 53.44% $877 54.17% $908 54.90% $940 55.63% $972 56.36% $1,004 57.09% $1,037 57.81% $1,070 58.54% $1,104 59.27% $1,139 60.00% $1,174 --- Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/tribal%3Apyramid_lake%3Afaf4967e0faadc6f. Public record. Not legal advice.