Nevada > Secretary Of State > State Business License (Non Title 7)
Other Application - Nevada
| Other Application Form. This is a Nevada form and can be used in State Business License (Non Title 7) Secretary Of State . |
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ROSS MILLER Secretary of State 202 North Carson Street Carson City, Nevada 89701-4201 (775) 684-5708 Website: www.nvsos.gov Nevada State Business License "Other" Application PRINT LEGIBLY OR TYPE ALL INFORMATION ABOVE SPACE IS FOR OFFICE USE ONLY USE BLACK INK ONLY - DO NOT HIGHLIGHT Completing this form DOES NOT relieve you of any statutory or regulatory requirements relating to your business. You may be required to complete a Nevada Business Registration form with the Nevada Department of Taxation and Department of Employment, Training and Rehabilitation. Please check with these and other state/local government agencies for additional licensing requirements. * Asterisks indicate required information. Incomplete forms will be rejected. INSTRUCTIONS: 1. This application is for the use of a business that is not a sole proprietor or partnership or that is not required to organize pursuant to Title 7 of NRS. 2. If you are exempt from the requirements of the State Business License pursuant to NRS 76.020 DO NOT use this form. Please submit a State Business License Exemption form. 3. Return the completed application with the $200.00 business license fee. Refunds are not available on improperly filed applications. 4. Return the completed form to: Secretary of State, 202 North Carson Street, Carson City, Nevada 89701-4201, (775) 684-5708. 5. If paying by check, make your check payable to the Secretary of State. If paying by credit card, you must complete and attach an ePayment Checklist available at www.nvsos.gov in the Forms Library under the Resources section of the Business Center. 6. The person applying for the State Business License must sign the application. FORM WILL BE RETURNED IF UNSIGNED. 1* Signature must be that of a responsible party. I declare under penalty of perjury that the information provided is true, correct and complete to the best of my knowledge and belief and acknowledge that pursuant to NRS 239.330, it is a category C felony to knowingly offer any false or forged instrument for filing in the Office of the Secretary of State. First Name Middle (Optional) Last Name Suffix Title X Signature of Responsible Party Date 2* Entity Name 3 You may add up to four businesses associated with this "other" entity. Entries into this section do not relieve you of other business license or DBA filings required by local/county offices. Business Name(s) 1. 3. 2. 4. 4* Physical Address Physical Street Address City State Zip Code 5 Mailing Address (if different) PO Box or Street Address City State Zip Code 6 7 Entity Phone Email Address ( ) Check here to receive notices electronically 8 Taxpayer Identification # (Dept of Taxation Issued TID) (Do Not provide Social Security Number) This form must be accompanied by appropriate fees. See instructions. Nevada Secretary of State BL Application Other Revised: 2-17-11 American LegalNet, Inc. www.FormsWorkFlow.com
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