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New version   (30-Jul-2024 15:25:01)	Old version   (30-Jul-2024 14:59:35)
DEPT. OF TAXATION TID# _____________________ REPRESENTATIVE ACCEPTING DLN : _____________________ APPLICATION: ___________________ PROCESS DATE : ______________________
NEVADA BUSINESS REGISTRATION	NEVADA BUSINESS REGISTRATION
Please Print Clearly – Use Black or Blue Ink Only
Please see instructions regarding form detail and online registration options. 1	Please see instructions regarding form detail and online registration options. 1
New Business 2	I Am Applying
	For: Unemployment Insurance
Sales/Use Tax Permit	Sales/Use Tax Permit
3	Modified
	Business Tax Local Business * SEND A COPY TO EACH AGENCY *( Employment Security Division - ESD) *( Department of Taxation) License New Business Change in Ownership/ Business Entity
Change in	Change in
Ownership/Entity/Officers	Location
	Other 2
Change in	Change in
Entity/DBA Name	Corporate Officers
Update Business Consumer Use Tax Permit
Change in Mailing Address Change in	Change in Mailing Address Change in
Location	Name
Address Certificate of Authority
Add Location	Add Location
Other	3
_______________________ Nevada
Business	Business
ID ( 11	Entity Type:
Digits) Federal Tax ID Number State & Date of Incorporation 4 Business Entity:
Sole Proprietor	Sole Proprietor
	Association LLLP Limited Liability
Partnership	Partnership
5 6	Government Entity
7
Corporation Limited	Corporation Limited
Liability	Partnership
Company Limited
Partnership Limited Liability	Partnership Limited Liability
	Company Other 3A tax filing type If LLC please check Federal Corporation Sole Proprietor
Partnership	Partnership
NV -	4 Corporate/Entity
	Name
Corporate/Entity	Corporate/Entity
Name (	Telephone
	5 Federal Tax Identification Number (
as shown on State Business License)	as shown on State Business License)
: Nevada	: ( ) 6
Name ( DBA) : 8 9
Corporate/Entity	Corporate/Entity
Address :
Street Number,	Street Number,
	Direction ( N, S, E, W ) and
Name	Name
Suite	Suite,
	Unit
or	or
Unit	Apt
	#
City, State,	City, State,
	and
Zip	Zip
Corporate/Entity Telephone: Email	Code +4 State
	of Incorporation or Formation
Address:	Address:
10	7
Location of
Nevada	Nevada
	Name
Business	Business
Operations: Street Number, Name Suite or Unit City, State, Zip Location	Telephone Fax ( DBA) : ( ) ( ) 8 E-mail Address: Website Address: 9 Nevada
Telephone:
Business	Business
Fax:	Identification
	#: (
11	11
Location	digits)
	NV 10
Mailing Address: Street Number,	Mailing Address: Street Number,
	Direction ( N, S, E, W ) and
Name	Name
Suite	Suite,
	Unit
or	or
Unit	Apt
	#
City, State,	City, State,
	and
Zip	Zip
Modified Business Tax Mailing Address:	Code +4 11 Location( s)
	of Nevada
Street Number,	Street Number,
	Direction ( N, S, E, W ) and
Name	Name
Suite	Suite,
	Unit
or	or
Unit	Apt
	#
City, State,	City, State,
	and
Zip	Zip
Commerce Tax Mailing Address:	Code +4 Business Operations:
Street Number,	Street Number,
	Direction ( N, S, E, W ) and
Name	Name
Suite	Suite,
	Unit
or	or
Unit	Apt
	#
City, State,	City, State,
	and
Zip	Zip
	Code +4 Telephone Number:
12	12
13
Location of Business	Location of Business
Records:	Records: ( )
Street Number, Name Suite or Unit City, State, Zip 14
List	List
ALL	All
Owners, Partners, Corporate Officers, Managers, Members,	Owners, Partners, Corporate Officers, Managers, Members,
etc.	etc. (
	If individual ownership, list only one owner.)
Attach Additional Sheets if Needed.	Attach Additional Sheets if Needed.
Please check	13 **
	The Department of Taxation & Employment Security Division are
the	the
box if	only agencies
making changes
to	to
existing	require
officers and the Department will send you
a	a
“Taxpayer	SSN.
Information Update Form”.
Last, First,	Last, First,
MI: If owned by another entity(	MI : Residence Address ( Street) **SSN
s), then enter the owning entity( s) name and FID( s) Percent Owned SSN or ITIN
Date of Birth Title	Date of Birth Title
Residence Address:	Percent Owned
Street Number, Name Suite or Unit
City, State, Zip	City, State, Zip
	+4
Residence	Residence
Telephone:	Telephone
Last, First,	Last, First,
MI: Percent Owned SSN or ITIN	MI : Residence Address ( Street) **SSN
Date of Birth Title	Date of Birth Title
Residence Address:	Percent Owned
Street Number, Name Suite or Unit
City, State, Zip	City, State, Zip
	+4
Residence	Residence
Telephone:	Telephone
Last, First,	Last, First,
MI: Percent Owned SSN or ITIN	MI : Residence Address ( Street) **SSN
Date of Birth Title	Date of Birth Title
	Percent Owned City, State, Zip +4 Residence Telephone Responsible Local Contact ( Last, First, MI & Title ) :
Residence	Residence
Address: Street	Address ( Street),
Number, Name Suite or Unit
City, State, Zip	City, State, Zip
	+4 **SSN
Residence	Residence
Telephone:	Telephone
Date Business Started in	Date Business Started in
	Nevada Date Nevada Location Opened
Date	Date
location opened	First Worker
	Hired
in	in
Do you have employees in Nevada, if so how many? Unemployment Insurance # ( ESD/UI) :	Nevada Date of First Nevada Payroll Amount of First Nevada Payroll Number of Employees 14
15	15
NV: NV: 16 17 Service Retail Sales – New
PLEASE CHECK ALL THAT APPLY TO YOUR BUSINESS	PLEASE CHECK ALL THAT APPLY TO YOUR BUSINESS
Independent Cannabis Consumption Lounge * 18 Tobacco/OTP*	Mining Domestics Outside Dining Water Appropriation Adult
	Materials/Activity Amusement Machines Registered Agent Service Agriculture Home Occupation Hazardous Material Leased or Leasing Employees Alcohol
Financial	Financial
Institution Retail	Institutions Tobacco
Sales – Used
Manufacturing	Manufacturing
Wholesale
Retail	Retail
Cannabis Consumption	Sales—New Construction/Erection
Lounge* MarketplaceFacilitator Cannabis Retail *
Leasing (	Leasing (
other	Other
than	than
employees) Live Entertainment	Employees) Gaming Mortgage
	Brokers Delivery Transportation Retail Sales—Used
Tire Sales	Tire Sales
Retail Liquor* Marketplace Seller Cannabis	Supply/Use Temporary Workers Health Services
	Banker
Wholesale	Wholesale
* Peer to Peer Car Sharing Construction/Erection Other: Nevada Transportation Authority # &/or Nevada Taxi Cab Authority #:	Not for Profit Live Entertainment Environmental Discharge Regulated by Federal/State Permit Number Other ____ Medical Marijuana 16 16
______________________ * Additional application required. See instruction page
Describe in	Describe in
detail	Detail
the	the
nature	Nature
of	of
your business	Your Business
in Nevada. Include	in Nevada. Include
product sold, labor performed	Product Sold, Labor Performed
and/or	and/or
services rendered. 19 NAICS Code:___________ Don’t Know? Click Here https://www. census. gov/naics/ Preferred Language: 20	Services Rendered. State the approximate percentage of sales or revenues resulting from each item. Example:
	Retail sale of major appliances to public 60%; repair 40%. 17
If	If
you have acquired a	You Have Acquired A
Nevada Business, Changed Ownership/Business Entity, or	Nevada Business, Changed Ownership/Business Entity, or
have	Have
a	a
new	New
Federal Tax	Federal Tax
Identification number, complete this	Number, Complete This Section:
section:
Date Acquired/Changed: Acquired/Changed	Date Acquired/Changed: Acquired/Changed
by ( Check all that	by: Purchase Lease Other
apply) :
Portion Acquired/Changed:	Portion Acquired/Changed:
Are	In
you keeping the Federal Tax Purchase $______________ Lease $______________MO Assets Only Property Only Identification number ( Y/N) : Escrow Company Other: _________________ Property and Assets
Whole	Whole
Business and	In Part
Assets Yes No
Name( s) of Previous Owner( s)	Name( s) of Previous Owner( s)
:
Previous Owner( s)	Previous Owner( s)
Business Name:
Business	Business
Address: Street Number,
Name	Name
Suite or Unit City,	Address ( Street) City State
State,
Zip	Zip
	Code +4 Enter Your
Previous	Previous
Business	Nevada
Sales/Use Tax	Sales/Use Tax
	Permit Number, if applicable: Enter
Previous Owner( s)	Previous Owner( s)
ESD/UI	ESD
Account	Account
Permit
Number:	Number:
Number: FEES AND	18 * Signatures
SECURITY DEPOSIT Estimated total Nevada monthly receipts: Estimated total Nevada monthly TAXABLE receipts: 21 22 Reporting cycle ( Please indicate filing frequency desired) Taxable sales or purchases exceeding $10, 000 per month or $30, 000 per quarter
must	must
report monthly. 23 Monthly Quarterly Annual Sales/Use Tax Consumer Use Tax Certificate	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	of
Authority Security ( See Instructions) 24 Cash $__________________________ Surety # ______________________________________________ Sales Tax Fee ( See Instructions) Total Nevada Business Locations: 25 26 Page 1	my knowledge and belief and acknowledge that pursuant to NRS 239. 330, it is a category C felony to knowingly offer any false
of	of
4 TAX-F006 V2023. 1 Nevada Business Registration Form Instructions	forged instrument for filing. *Signature Responsible Party / Original
	Print Name And Title Date *Signature Responsible Party / Original Print Name And Title Date ORIGINAL SIGNATURES REQUIRED BY AGENCIES – KEEP A COPY FOR YOUR RECORDS NSPO Rev. 09. 14 ( O) 4436 APP-01. 00 Revised 09-23 -14 NEVADA BUSINESS REGISTRATION FORM INSTRUCTIONS
Important details are	Important details are
requested	included
on the Nevada Business Registration
to	to
aid in	help you
	provide
the	the
registration process.	necessary information.
It is important to respond to all items. Any omission could	It is important to respond to all items. Any omission could
result	cause
in
a delay in processing	a delay in processing
	your registration. WHO ACCEPTS THIS FORM? The Nevada Department of Taxation and the Nevada Employment Security Division ( ESD). Some local governments may accept this form. WHAT OTHER INFORMATION MUST I PROVIDE? When applying with the Department of Taxation: All businesses must complete a Supplemental Application ( APP-01. 01) to determine correct fees. When applying with the Employment Security Division: If you employ agricultural or domestic workers or are a non-profit agency, you must complete a Supplemental Registration with ESD. If you haven’t yet received or applied for a Nevada State Business License, please contact the Nevada Secretary of State at ( 775) 684- 5708 or complete
your	your
application. LINE BY LINE	registration online at https://www.
	nvsilverflume. gov . LINE-BY-LINE
INSTRUCTIONS FOR COMPLETING THE NEVADA BUSINESS	INSTRUCTIONS FOR COMPLETING THE NEVADA BUSINESS
REGISTRATION.	REGISTRATION
	- PLEASE COMPLETE IN ENGLISH.
1.	1.
	I Am Applying For:
Check	Check
New Business if
the	the
application is being used	boxes that apply. You
	are required
to	to
start	submit
a	a
new business or if you are making	copy to each agency that is applicable
changes
to	to
an existing entity (	your business. Keep
adding
a	a
location, changing name or	copy for your records.
address, etc.) please Check Update Business.
2. Check	2. Check
whether you are applying for a Sales/Use Tax Permit, Consumer Use Tax Permit or a Certificate of Authority. 3. Check
All	All
Boxes that	Box( es)
	That
Apply.	Apply.
4.	3.
Business Entity Type: Indicate entity	Business Entity Type: Indicate entity
type. 5. Nevada Business ID Number:	type as filed with the Secretary
	of State. 3A. If LLC: Indicate type of entity as filed with the IRS. 4. Corporate/Entity Name:
Enter the	Enter the
number shown on your	name as registered with
State Business License or exemption issued by
the Secretary of	the Secretary of
State. 6.	State for
	the State Business License. Include a telephone number. 5.
Federal Tax Identification Number: Enter your Federal Tax Identification Number ( FEIN). For information regarding	Federal Tax Identification Number: Enter your Federal Tax Identification Number ( FEIN). For information regarding
an	a
FEIN, contact the Internal Revenue	FEIN, contact the Internal Revenue
Service (	Service
IRS)
at 1-800-829-4933 or go to http://IRS.	at 1-800-829-4933 or go to http://IRS.
gov/businesses .	gov/busines
	se s .
If you have applied for your number and have not received it, write	If you have applied for your number and have not received it, write
“PENDING”.	“PENDING.
	”
If your FEIN changes, you must complete a new Nevada Business Registration.	If your FEIN changes, you must complete a new Nevada Business Registration.
7. State & Date	6. Corporate/Entity Address: Enter
	the complete address
of	of
Incorporation: Enter
the	the
date	corporation
and	and
	the
state	state
in which you	of incorporation. 7.
incorporated. 8. Corporate/Entity Name and
Nevada Name ( DBA) : Enter	Nevada Name ( DBA) : Enter
your	the
corporate/entity
name	name
and fictitious firm name that you are doing business
as	as
in Nevada. 9. Corporate/Entity Address,	it will be known to
Corporate/Entity Telephone, Email address: Enter
the	the
complete address of the	public. Include a business
corporation/entity: Corporate/Entity
telephone	telephone
number:Email address. 10. Location of	and fax number. 8. E-mail
	Address / Website Address: Enter Email and Website Address information. 9.
Nevada Business	Nevada Business
Operations,	ID
Location Telephone Number, and Business Fax
Number: Enter the	Number: Enter the
location of	number as
	shown on
your	your
business,	State
Telephone Number associated with this location and
Business	Business
Fax number. 11. Location Mailing Address, Modified Business Tax	License or exemption issued by the Secretary of State.
	10.
Mailing Address:	Mailing Address:
Enter	This
the
address	address
that
will be used to mail any licenses, reports,	will be used to mail any licenses, reports,
	tax returns,
and	and
correspondence relating to your individual location	correspondence. 11. Location( s) of Nevada
and/or Modified
Business	Business
Tax.	Operations:
12. Commerce Tax Mailing Address:
Enter the	Enter the
address that will be used to mail any licenses, reports,	physical location of the business including suite numbers, apartment numbers,
	and street direction ( N, S, E,
and	and
correspondence relating to Commerce Tax. 13.	W). If there are additional locations
	in Nevada, please attach a list of all locations. You may not use a PO Box. 12.
Location of Business Records: Enter the	Location of Business Records: Enter the
	physical
address	address
that	where
your
business records	business records
will be kept for	are maintained during normal
	working hours. Include
the	the
location you are	telephone number of
referring to on
this	this
application. 14.	location, if
	different from the business telephone number. 13.
List All Owners, Partners, Corporate Officers, Managers, Members, etc. : Include the full	List All Owners, Partners, Corporate Officers, Managers, Members, etc. : Include the full
legal
name, home address ( street, city, state, and zip code), Social Security	name, home address ( street, city, state, and zip code), Social Security
Number or	Number, date
Individual Taxpayer Identification Number ( ITIN) if you have not been assigned a social security number in the United States. Date
of birth,	of birth,
title	title,
in the company,
percentage of business owned, and telephone number.	percentage of business owned, and telephone number.
Attach Additional Sheets if needed. *
If	If
you are making changes to
the	the
existing owners/ officers currently on file with	business is incorporated, list all corporate officers.
	If
the	the
D epartment, please check	business is a partnership,
	list all partners. If
the	the
box, the epartment D will mail you a “Taxpayer Information Update Form”. 15. Date
business	business
started in Nevada, Date location opened in Nevada: Enter	is comprised of two corporations or other entities, list
the	the
date that your business started in Nevada:	officers/members/partners, etc. for each entity. Attach additional
	sheets if needed. 14. Dates and Amounts Regarding Your Nevada Business:
Enter the date the business	Enter the date the business
	started or
will	will
begin operations or	start Nevada operations.
did begin operating in Nevada.
If	If
you are
adding a location	adding a location
please	enter
put
the date	the date
of when	your additional
the new
location will	location will
start	begin
	Nevada
operations.	operations.
16. Do you have employees	Enter the date the first
	worker was hired
in	in
Nevada:	Nevada.
	Enter the date and amount of the first Nevada payroll.
If	If
you have employees that will be	this is a new business, enter
or have been working in Nevada, please put
the	the
approximate amount	estimated number
of employees you will	of employees you will
have or currently
have.	have.
By	If
answering yes to this question you will need to contact
the	the
Employment Security Division ( ESD) at ( 775) 684-0350 ( Northern Nevada), ( 702) 486-0350 ( Southern Nevada), ( 888) 890-8211( Toll-Free Number), if you have not done so already. 17. Unemployment Insurance # ( ESD/ UI) : If you have already established your
business	business
with	is
	currently operating, list
the	the
Employment Security Division place your account
number	number
that you received that is referred to as a UI number, in this box. If you have applied but have not received your number then please put “PENDING”. 18. Check all boxes that apply. If you are applying for retail and or wholesale cannabis tax, you must provide proof
of	of
licensing with	employees on
the	the
Cannabis Control	payroll. 15.
Board. 19. Describe your business, NAICS ( Northern American Industry Classification System) Code:
Please	Please
describe the nature of	Check All That Apply
your business. Enter the 6 digit code that pertains
to	to
what your	Your Business:
business classification is.
If you	If you
are unsure you can visit https://www. census. gov/naics/ for	check the box marked “Regulated by Federal/State Permit Number,
	” attach
a list	a list
	that identifies the issuing entity and permit number. 16. Nature
of	of
classification codes. 20.	Your Business: Describe
Have you A cquired this usiness, B hanged C wnership O or hanged C
your	your
ederal F dentification I umber? N Date Acquired/Changed: Put the exact date in which the
business	business
was acquired	activities, goods,
	products,
or	or
changed. Acquired/Changed By ( Check	services in Nevada. State
all that apply) : Did you purchase or are you leasing
the	the
business? If yes, how	approximate percentage of sales
much did you purchase the business for
or	or
how much are you leasing it for? Please check the Escrow	revenues resulting from each item. Example: Retail sale of major appliances
Company box if your transaction
to	to
obtain the business went through an escrow	public 60%; repair 40%. 17. Acquired, Changed,
company. If other, please specify. Portion Acquired/Changed: Did you purchase
or	or
acquire the assets	Have a New
only, property only, property and assets or the whole business and assets. Are you keeping the
Federal Tax	Federal Tax
Identification
Number:	Number:
Yes/No.	On
Name of Previous Owner( s), Business Name: Please list all previous owners and
the	the
previous business name.	first line, enter
Business Address: Please list
the	the
address	date
where
the business was	the business was
located under	acquired; check
the	the
previous owner.	boxes that
Previous businesses Sales/Use Tax permit number. Previous owners ESD/UI account number. 21. Estimated total Nevada monthly receipts: this is the total of all gross receipts from Nevada including wholesale sales, services necessary to complete the sale, exempt sales, etc. 22. Estimated total Nevada monthly Taxable receipts: this is the total of taxable sales only of tangible personal property. Do not include wholesale sales, exempt sales, etc. 23. Reporting Cycle: Please indicate filing frequency desired. Taxable sales or purchases exceeding $10, 000 per month or $30, 000 per quarter must report monthly. Options may not
apply to	apply to
certain	how
tax types. 24. Security: Check
the	the
type of security deposited.	business was acquired; and
A Sales/Use Tax permit will not be issued until applicable security is submitted. In order to determine
the	the
security	portion
requirement, multiply your estimated total Nevada monthly taxable receipts ( box 22) by the highest tax rate in Nevada, which is 8. 375% as of 01-01-2020. This is your estimated average monthly tax liability. Security is required equal to three times your monthly tax liability for monthly reporting or six times monthly tax liability for quarterly reporting. A security deposit will not be required if the amount calculated does not exceed $1, 000. There is no maximum security. After three full years
of	of
perfect reporting, you may apply for a waiver of
the	the
security requirement. 25. Sales Tax Permit Fee: A $15. 00 permit fee for EACH in-state
business	business
location is required.	you acquired. On
If
the	the
business does not	second line, list
have a physical location in Nevada, it must still pay a minimum fee of $15. 00. Total number of locations ( box 26) should be multiplied by
the	the
Sales	name
Tax fee ( example: 3 Nevada Business Locations times ( x) $15. 00 fee = $45. 00). 26. Total Nevada Business Locations: Number
of	of
physical locations in Nevada. Page 2 of 4 TAX-F006 V2023. 1 NEVADA BUSINESS REGISTRATION ( CONTINUED) TID: CONSOLIDATING LOCATIONS Locations can be consolidated if they are
the	the
same tax	previous owner
type
and	and
filing frequency. DEPARTMENT USE ONLY. For SUT accounts –
the	the
security Would you like to consolidate this location? 27 28 demand for the consolidated account: No Yes, effective Date: ________________________ $ 29 OTHER INFORMATION Name of spouse/relative Address of spouse/relative Phone number of spouse/relative Name of other contact Address of other contact Phone number of other contact Accountant/bookkeeper Address of accountant/bookkeeper Phone number of accountant/bookkeeper Responsible local contact Address of responsible local contact Phone number of responsible local contact Credit Card Merchant: Entity Bank Account: Personal Bank Account: 30 __________________________________ _____________________________________ ________________________________________ 31 Will you or your
business	business
sell	name
and/or lease tangible personal property in Nevada? Tangible personal property is property which may be seen, weighed or measured, felt or touched, or perceptible to the senses ( NRS 372. 085)? Yes No If answered yes, you will be registered for Combined Sales/Use Tax. Why? See instruction page. Will you be providing only a service in Nevada? Yes No If answered yes, you will be registered for Consumer Use Tax. Why? See instruction page. Anyone selling tobacco products ( including but not limited to cigarettes, smokeless tobacco, vapor products, alternative nicotine products and/or cigars) as a manufacturer, wholesaler or retailer, must apply for a separatetobacco product( s) license before they can begin purchasing or selling those products. This application can be found on our website at http://tax. nv. gov *Signatures Must be that
of	of
a Responsible Party* I declare under penalty of perjury that
the	the
information provided is	previous owner. On
true, correct and complete to
the	the
best of my	third line, indicate
knowledge and belief and acknowledge that pursuant to NRS 239. 330, it is a category C felony to knowingly offer any false o r forged instrument for filing. *Signature of Responsible Party Print Name and Title Date *Signature of Responsible Party Print Name and Title Date FOR DEPARTMENT USE ONLY Cash Check # _________________ ABA #________________________ Bank: __________________________ Branch: ________________________ Special instruction or additional information: Add COM tax effective: Page 3 of 4 TAX-F006 V2023. 1 Nevada Business Registration Form Instructions Important details are requested on
the	the
Nevada Business	physical address
Registration to aid in the registration process. It is important to respond to all items. Any omission could result in a delay in processing your application. LINE BY LINE INSTRUCTIONS FOR COMPLETING THE NEVADA BUSINESS REGISTRATION. 27. Consolidated? Would you like to have your locations consolidated for filing purposes? * Consolidation is not available on every tax type administered by the Department
of	of
Taxation. Consolidation only means that you consolidate your figures to file a single tax return for your locations rather than individual tax returns. Consolidation with
the	the
D	business
epartment does not require
you	you
to consolidate	acquired. On
any other portion of your business. * *please note: if no box is checked and you have multiple locations with
the	the
same tax	fourth line,
type, it will be consolidated. 28. Department Use Only – Do NOT mark in this box. 29. Other Information: Please
list	list
other authorized contacts. ** Please note: Removal of spouse/relatives, other contacts, accountant/ bookkeepers and/or local contacts must be done in writing and signed by an authorized owner/officer. You may also contact the Department's Call Center for a Taxpayer Update Form to complete these changes. 30. Credit Card Merchant, Entity Bank Account, Personal Bank Account. Please enter the name of
your	your
credit card merchant, your business bank	previous Nevada Sales/Use Tax Permit Number
account number
and	and
your personal bank account number. 31. Questionnaire: Answering these questions will ensure your business is registered for
the	the
proper tax types based on your business factors. Note: Modified Business Tax ( MBT – General Business, Financial Institutions or Mining) is a quarterly tax based on gross wages reported to the
Employment Security Division ( ESD)	Employment Security Division ( ESD)
on form NUCS 4072. There	Account Number of the previous
	owner. If there
is	is
	more than one previous owner, attach
an	an
allowable deduction for qualified health insurance plan s	additional sheet. 18. Signature Required: Legal signatures include:
	sole proprietor-owner, corporate officer, managing member
and	and
wages paid to certain veterans.	partners. Toll Free ( In State)
Exceptions include non-profit 501c organizations, Indian tribes, political subdivisions per NRS 612. 055, and any person who does not supply a product/service but consumes a service. Contact the Employment Security Division to determine if you are required to register with that agency. If you are required to register with ESD
for	for
Unemployment ( UI)	All State
you will be automatically registered with the Department
of	of
Taxation for Modified	Nevada ………………………………………………………………………………... 800-992-0900
Business Tax ( MBT). To send this form via email, put in the subject line 'Nevada Business Registration ' . Departmental email address for forms: nevadaolt@tax. state. nv. us
Nevada Department of Taxation: Online Registration: https://www. nevadatax. nv. gov – Website: http://www. tax. nv.	Nevada Department of Taxation: Online Registration: https://www. nevadatax. nv. gov – Website: http://www. tax. nv.
gov (	gov
866) 962-3707
Call Center Toll Free Taxation Help	Call Center Toll Free Taxation Help
Desk ( 702) 486-2300	Desk ………….. …………………………………………………….. (
	866) 962-3707
Las Vegas…..	Las Vegas…..
700 E. Warm Springs	555 E Washington Avenue
Rd.,
•	•
Suite200	Suite
	1300
• Las	• Las
Vegas, VN •98911 ( 775) 687-9999	Vegas Nevada • 89101………………....... ( 702)
	486-2300
Reno………… 4600 Kietzke Lane •	Reno………… 4600 Kietzke Lane •
	Building L,
Suite	Suite
L235	235
• Reno, NV •	• Reno, NV •
89502 (	89502…………………………….. (
775)	775)
684-2000	687-9999
Carson City….	Carson City….
3850 Arrowhead Dr	1550 College Parkway
•	•
2nd Floor	Suite 115
• Carson City, NV •	• Carson City, NV •
89706	89706…………………………...... (
Carson City Fax#............... (
775)	775)
684-202	684-2000
0
Nevada Employment Security Division ( ESD) : Online Registration: https://uitax. nvdetr. org – Website: www. nvdetr. org Las	Nevada Employment Security Division ( ESD) : Online Registration: https://uitax. nvdetr. org – Website: www. nvdetr. org Las
Vegas (	Vegas
	………………………………………………………………………………………………………….. (
702) 486-0250	702) 486-0250
Reno (	Reno
	……………………………………………………………………………………………………………….. (
775) 823-6680 Statewide ( Mailing) ….. 500 E Third Street • Carson City, NV •	775) 823-6680 Statewide ( Mailing) ….. 500 E Third Street • Carson City, NV •
89713-0030 (	89713-0030 ..
	………………………….. (
775) 684-6300 Nevada Department of Wildlife: ( Industrial Artificial Pond Permit) – Website: www. ndow.	775) 684-6300 Nevada Department of Wildlife: ( Industrial Artificial Pond Permit) – Website: www. ndow.
org . (	org .......................... (
775) 688-1500 Nevada Secretary of	775) 688-1500 Nevada Secretary of
State: (	State:
	……………………………………………………………………….. ………………………… (
775) 684-5708 For more information regarding local and state business licensing please visit Nevada’s online Business Portal at https://www. nvsilverflume. gov .	775) 684-5708 For more information regarding local and state business licensing please visit Nevada’s online Business Portal at https://www. nvsilverflume. gov .
– KEEP A COPY FOR YOUR RECORDS. Page 4 of	NSPO Rev. 09. 14 ( O) 4436 APP-01. 01 Revised 09-23-14
4 TAX-F006 V2023. 1
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1547715513	3885107729