Other Registration | Pdf Fpdf Doc Docx | Nevada

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Other Registration | Pdf Fpdf Doc Docx | Nevada

Other Registration

This is a Nevada form that can be used for State Business License (Non Title 7) within Secretary Of State.

Alternate TextLast updated: 11/30/2016

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BARBARA K. CEGAVSKE Secretary of State 202 North Carson Street Carson City, Nevada 89701-4201 (775) 684-5708 Website: www.nvsos.gov Nevada State Business License Application Renewal PRINT LEGIBLY OR TYPE ALL INFORMATION "Other" Registration 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 the Secretary of State by fax to (775) 684-5725; by email to newfilings@sos.nv.gov; or, by mail to 202 North Carson Street, Carson City, Nevada 89701-4201. 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. I understand that if I close or cease to do business for which this license is issued, that I must cancel this license on or before its expiration date. Failure to do so will result in late fees or penalties which cannot be waived. There is no fee for cancellation. First Name Middle (Optional) Last Name Suffix Title X Signature of Responsible Party Date 2* 3* 4* 5 Entity Name Description of "Other" Type Business NV Business ID # (Required if Renewing - Number on State Business License) 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. 6* Physical Address Physical Street Address City State Zip Code 7 Mailing Address (if different) PO Box or Street Address City State Zip Code 8 9 Entity Phone Email Address ( ) This form must be accompanied by appropriate fees. See instructions. American LegalNet, Inc. www.FormsWorkFlow.com Nevada Secretary of State BL Registration Other Revised: 1-5-16

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