Form Nspo "Nevada Business Registration" - Nevada

Form NSPO or the "Nevada Business Registration" is a form issued by the Nevada Department of Taxation.

The form was last revised in September 1, 2014 and is available for digital filing. Download an up-to-date fillable Form NSPO in PDF-format down below or look it up on the Nevada Department of Taxation Forms website.

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NEVADA BUSINESS REGISTRATION
Please see instructions regarding form detail and online registration options.
1
I Am Applying For:
Sales/Use Tax Permit
Modified Business Tax
Local Business
Unemployment Insurance
* SEND A COPY TO EACH AGENCY
License
*(Department of Taxation)
*(Employment Security Division - ESD)
2
New Business
Change in Ownership/ Business Entity
Change in Location
Other
Change in Corporate Officers
Change in Mailing Address
Change in Name
Add Location
3
Business Entity Type:
Sole Proprietor
Association
LLLP
Limited Liability Partnership
Government Entity
Corporation
Limited Partnership
Partnership
Limited Liability Company
Other
3A
If LLC please check Federal
Corporation
Sole Proprietor
Partnership
tax filing type
4
5
Corporate/Entity Name
Corporate/Entity Telephone
Federal Tax Identification Number
(
)
(as shown on State Business License):
6
Corporate/Entity
State of Incorporation or Formation
Street Number, Direction (N, S, E, W ) and Name Suite, Unit or Apt #
City, State, and Zip Code +4
Address:
7
Nevada Name
Business Telephone
Fax
(DBA):
(
)
(
)
8
9
E-mail Address:
Website Address:
Nevada Business Identification #: (11 digits)
NV
10
Mailing Address:
Street Number, Direction (N, S, E, W ) and Name Suite, Unit or Apt #
City, State, and Zip Code +4
11
Location(s) of Nevada
Street Number, Direction (N, S, E, W ) and Name Suite, Unit or Apt #
City, State, and Zip Code +4
Business Operations:
12
Telephone Number:
Location of
Street Number, Direction (N, S, E, W ) and Name Suite, Unit or Apt #
City, State, and Zip Code +4
Business Records:
(
)
13
List All Owners, Partners, Corporate Officers, Managers, Members, etc. (If individual ownership, list only one owner.) Attach Additional Sheets if Needed.
** The Department of Taxation & Employment Security Division are the only agencies to require a SSN.
Last, First, MI :
Residence Address (Street)
**SSN
Date of Birth
Title
Percent Owned
City, State, Zip +4
Residence Telephone
Last, First, MI :
Residence Address (Street)
**SSN
Date of Birth
Title
Percent Owned
City, State, Zip +4
Residence Telephone
Last, First, MI :
Residence Address (Street)
**SSN
Date of Birth
Title
Percent Owned
City, State, Zip +4
Residence Telephone
Responsible Local Contact ( Last, First, MI & Title ):
Residence Address (Street), City, State, Zip +4
**SSN
Residence Telephone
14
Date Business Started in Nevada Date Nevada Location Opened
Date First Worker Hired in Nevada Date of First Nevada Payroll Amount of First Nevada Payroll Number of Employees
15
PLEASE CHECK ALL THAT APPLY TO YOUR BUSINESS
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 Institutions
Tobacco
Manufacturing
Retail Sales—New
Construction/Erection
Leasing (Other than Employees)
Gaming
Mortgage Brokers
Banker
Delivery
Transportation
Retail Sales—Used
Tire Sales
Supply/Use Temporary Workers
Health Services
Wholesale
Not for Profit
Live Entertainment
Environmental Discharge
Regulated by Federal/State Permit Number
Other
Transportation Connection
Marijuana
Describe in Detail the Nature of Your Business in Nevada. Include Product Sold, Labor Performed and/or Services Rendered.
16
Anyone selling tobacco products (including but not limited to cigarettes, smokeless tobacco and or cigars) as a manufacturer, wholesale or retailer,
must also apply with the Department for that particular tobacco products license type before they can begin purchasing or selling those products. Such
application can be found on our website.
17
If You Have Acquired A Nevada Business, Changed Ownership/Business Entity, or Have a New Federal Tax Number, Complete This Section:
Date Acquired/Changed:
Acquired/Changed by:
Portion Acquired/Changed:
In Whole
In Part
Purchase
Lease
Other
Name(s) of Previous Owner(s)
Previous Owner(s) Business Name
Address (Street)
City
State
Zip Code +4
Enter Your Previous Nevada Sales/Use Tax Permit Number, if applicable:
Enter Previous Owner(s) ESD Account Number:
18
* Signatures 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 of forged instrument for filing.
*Signature Responsible Party / Original
Print Name And Title
Date
*Signature Responsible Party / Original
Print Name And Title
Date
NSPO Rev. 09.14 (O) 4436
APP-01.00
Revised 9-6-17
NEVADA BUSINESS REGISTRATION
Please see instructions regarding form detail and online registration options.
1
I Am Applying For:
Sales/Use Tax Permit
Modified Business Tax
Local Business
Unemployment Insurance
* SEND A COPY TO EACH AGENCY
License
*(Department of Taxation)
*(Employment Security Division - ESD)
2
New Business
Change in Ownership/ Business Entity
Change in Location
Other
Change in Corporate Officers
Change in Mailing Address
Change in Name
Add Location
3
Business Entity Type:
Sole Proprietor
Association
LLLP
Limited Liability Partnership
Government Entity
Corporation
Limited Partnership
Partnership
Limited Liability Company
Other
3A
If LLC please check Federal
Corporation
Sole Proprietor
Partnership
tax filing type
4
5
Corporate/Entity Name
Corporate/Entity Telephone
Federal Tax Identification Number
(
)
(as shown on State Business License):
6
Corporate/Entity
State of Incorporation or Formation
Street Number, Direction (N, S, E, W ) and Name Suite, Unit or Apt #
City, State, and Zip Code +4
Address:
7
Nevada Name
Business Telephone
Fax
(DBA):
(
)
(
)
8
9
E-mail Address:
Website Address:
Nevada Business Identification #: (11 digits)
NV
10
Mailing Address:
Street Number, Direction (N, S, E, W ) and Name Suite, Unit or Apt #
City, State, and Zip Code +4
11
Location(s) of Nevada
Street Number, Direction (N, S, E, W ) and Name Suite, Unit or Apt #
City, State, and Zip Code +4
Business Operations:
12
Telephone Number:
Location of
Street Number, Direction (N, S, E, W ) and Name Suite, Unit or Apt #
City, State, and Zip Code +4
Business Records:
(
)
13
List All Owners, Partners, Corporate Officers, Managers, Members, etc. (If individual ownership, list only one owner.) Attach Additional Sheets if Needed.
** The Department of Taxation & Employment Security Division are the only agencies to require a SSN.
Last, First, MI :
Residence Address (Street)
**SSN
Date of Birth
Title
Percent Owned
City, State, Zip +4
Residence Telephone
Last, First, MI :
Residence Address (Street)
**SSN
Date of Birth
Title
Percent Owned
City, State, Zip +4
Residence Telephone
Last, First, MI :
Residence Address (Street)
**SSN
Date of Birth
Title
Percent Owned
City, State, Zip +4
Residence Telephone
Responsible Local Contact ( Last, First, MI & Title ):
Residence Address (Street), City, State, Zip +4
**SSN
Residence Telephone
14
Date Business Started in Nevada Date Nevada Location Opened
Date First Worker Hired in Nevada Date of First Nevada Payroll Amount of First Nevada Payroll Number of Employees
15
PLEASE CHECK ALL THAT APPLY TO YOUR BUSINESS
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 Institutions
Tobacco
Manufacturing
Retail Sales—New
Construction/Erection
Leasing (Other than Employees)
Gaming
Mortgage Brokers
Banker
Delivery
Transportation
Retail Sales—Used
Tire Sales
Supply/Use Temporary Workers
Health Services
Wholesale
Not for Profit
Live Entertainment
Environmental Discharge
Regulated by Federal/State Permit Number
Other
Transportation Connection
Marijuana
Describe in Detail the Nature of Your Business in Nevada. Include Product Sold, Labor Performed and/or Services Rendered.
16
Anyone selling tobacco products (including but not limited to cigarettes, smokeless tobacco and or cigars) as a manufacturer, wholesale or retailer,
must also apply with the Department for that particular tobacco products license type before they can begin purchasing or selling those products. Such
application can be found on our website.
17
If You Have Acquired A Nevada Business, Changed Ownership/Business Entity, or Have a New Federal Tax Number, Complete This Section:
Date Acquired/Changed:
Acquired/Changed by:
Portion Acquired/Changed:
In Whole
In Part
Purchase
Lease
Other
Name(s) of Previous Owner(s)
Previous Owner(s) Business Name
Address (Street)
City
State
Zip Code +4
Enter Your Previous Nevada Sales/Use Tax Permit Number, if applicable:
Enter Previous Owner(s) ESD Account Number:
18
* Signatures 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 of forged instrument for filing.
*Signature Responsible Party / Original
Print Name And Title
Date
*Signature Responsible Party / Original
Print Name And Title
Date
NSPO Rev. 09.14 (O) 4436
APP-01.00
Revised 9-6-17
NEVADA BUSINESS REGISTRATION FORM INSTRUCTIONS
Important details are included to help you provide the necessary information. It is important to respond to all items. Any omission could
cause 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-01.00) 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 registration online at https://www.nvsilverflume.gov.
LINE-BY-LINE INSTRUCTIONS FOR COMPLETING THE NEVADA BUSINESS REGISTRATION - PLEASE COMPLETE IN ENGLISH.
1. I Am Applying For: Check the boxes that apply. You are required to submit a copy to each agency that is applicable to your
business. Keep a copy for your records.
2. Check All Box(es) That Apply.
3. Business Entity Type: Indicate entity 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 name as registered with the Secretary of 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 a FEIN,
contact the Internal Revenue Service at 1-800-829-4933 or go to http://IRS.gov/businesses. If you have applied for your number
and have not received it, write “PENDING.” If your FEIN changes, you must complete a new Nevada Business Registration.
6. Corporate/Entity Address: Enter the complete address of the corporation and the state of incorporation.
7. Nevada Name (DBA): Enter the name as it will be known to the public. Include a business telephone and fax number.
8. E-mail Address / Website Address: Enter Email and Website Address information.
9. Nevada Business ID Number: Enter the number as shown on your State Business License or exemption issued by the Secretary
of State.
10. Mailing Address: This address will be used to mail any licenses, reports, tax returns, and correspondence.
11. Location(s) of Nevada Business Operations: Enter the physical location of the business including suite numbers, apartment
numbers, and street direction (N, S, E, and 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 physical address where business records are maintained during normal working hours.
Include the telephone number of this location, if different from the business telephone number.
13. List All Owners, Partners, Corporate Officers, Managers, Members, etc.: Include the full name, home address (street, city,
state, and zip code), Social Security Number, date of birth, title, percentage of business owned, and telephone number. If the
business is incorporated, list all corporate officers. If the business is a partnership, list all partners. If the business is comprised of
two corporations or other entities, list the 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 started or will start Nevada operations. If
adding a location enter the date your additional location will begin Nevada operations. Enter the date the first worker was hired in
Nevada. Enter the date and amount of the first Nevada payroll. If this is a new business, enter the estimated number of employees
you will have. If the business is currently operating, list the number of employees on the payroll.
15. Please Check All That Apply to Your Business: If you check the box marked “Regulated by Federal/State Permit Number,”
attach a list that identifies the issuing entity and permit number.
16. Nature of Your Business: Describe your business activities, goods, products, or services in Nevada. State the approximate
percentage of sales or revenues resulting from each item. Example: Retail sale of major appliances to public 60%; repair 40%.
17. Acquired, Changed, or Have a New Federal Tax Number: On the first line, enter the date the business was acquired; check the
boxes that apply to how the business was acquired; and the portion of the business you acquired. On the second line, list the
name of the previous owner and the business name of the previous owner. On the third line, indicate the physical address of the
business you acquired. On the fourth line, list your previous Nevada Sales/Use Tax Permit Number and the Employment Security
Division (ESD) Account Number of the previous owner. If there is more than one previous owner, attach an additional sheet.
18. Signature Required: Legal signatures include: sole proprietor-owner, corporate officer, managing member and partners.
800-992-0900
Toll Free (In State) for All State of Nevada………………………………………………………………………………...
Nevada Department of Taxation: Online Registration:
https://www.nevadatax.nv.gov
– Website: http://www.tax.nv.gov
Call Center
Toll Free Taxation Help Desk …………..……………………………………………………..
(866) 962-3707
Las Vegas….. 555 E Washington Avenue • Suite 1300 • Las Vegas, • Nevada • 89101………………..... (702) 486-2300
Reno………… 4600 Kietzke Lane • Building L, Suite 235 • Reno, NV • 89502……………………………..
(775) 687-9999
Carson City…. 1550 College Parkway • Suite 115 • Carson City, NV • 89706…………………………......
(775) 684-2000
Henderson.... 2550 Paseo Verde • Suite 180 • Henderson, NV • 89074....................................
(702) 486-2300
Nevada Employment Security Division (ESD): Online Registration:
https://uitax.nvdetr.org
– Website: www.nvdetr.org
Las Vegas …………………………………………………………………………………………………………..
(702) 486-0250
Reno ………………………………………………………………………………………………………………..
(775) 823-6680
Statewide (Mailing)….. 500 E Third Street • Carson City, NV • 89713-0030 .. …………………………..
(775) 684-6300
Nevada Department of Wildlife:
(Industrial Artificial Pond Permit) – Website: www.ndow.org..........................
(775) 688-1500
Nevada Secretary of 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.
NSPO Rev. 09.14 (O) 4436
APP-01.00
Revised 9-6-17
For Department Use Only
TID:
NEVADA DEPARTMENT OF TAXATION
SUPPLEMENTAL REGISTRATION
:
Dept. of Taxation Representative accepting application
Please print clearly — Use black or blue ink only
Please mark applicable type(s) (See Instructions)
Sales/Use Permit
Consumer Use Tax Permit
Certificate of Authority
Live Entertainment Tax
DBA (as shown on the Nevada Business Registration Form):
1.
Business telephone number:
List STATE of incorporation or formation if applicable:
2.
3.
FEES AND SECURITY DEPOSIT
4.
Estimated total monthly receipts:
Estimated total Nevada monthly TAXABLE receipts:
5.
6.
Reporting cycle (Please indicate filing frequency desired)
7.
Sales or purchases exceeding $10,000 per month in TAXABLE sales must report monthly.
Monthly
Quarterly
Annual
Sales/Use Tax
Use Tax
Live Entertainment Tax
Security (See Instructions)
8.
$ 0
Cash
Surety #
Total Nevada Business Locations:
9.
10.
Sales Tax Fee (See instructions):
OTHER INFORMATION
11.
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
Other employment (If applicable):
Company name:
Company name:
Name of bank/financial institution – location / account number:
Business account:
Personal account:
FOR DEPARTMENT USE ONLY
ST/UT No.:
MBT No.:
Combine Accts:
Yes
No
Previous Acct:
Previous Acct Cancelled:
Yes
No
Comments:
Cash
Check
ABA #:
Bank:
Branch:
**For an introduction to the Department and general information, see our Taxpayer Information Packet Online at
www.tax.nv.gov
**
SUPPLEMENTAL APPLICATION
NSPO Rev. 09.14 (O) 4436
APP-01.00
Revised 9-6-17
SUPPLEMENTAL REGISTRATION INSTRUCTIONS
Sales/Use Tax — A business which sells tangible personal property at retail or wholesale, and has a physical location in Nevada or
enters Nevada to conduct business
Consumer Use Tax — This permit allows a Nevada business, not required to hold a Nevada Sales/Use Tax permit, to pay use tax
directly to the State on tangible personal property purchased from a vendor not registered to collect Nevada sales tax.
Example: Contractors who do not make sales and only purchase building materials for their own use from out of state. All businesses
required to register for the State Business License that purchase tangible personal property for storage, use or other consumption in
Nevada must also register for use tax. Registering for use tax does not require payment of a fee, nor does it require security.
Certificate of Authority — This permit is available to out-of-state businesses having no jurisdiction or nexus in Nevada. The permit
allows an out-of-state business, who is not required to hold a Nevada Sales/Use Tax permit, to voluntarily register in order to collect
and remit use tax as a convenience for its Nevada customers. This permit does not require payment of a fee, nor does it require
security.
Live Entertainment Tax (LET) — Monthly tax is based on admission charges for non-gaming facilities providing live entertainment.
If the maximum occupancy is under 200, no tax liability exists. Maximum occupancy that meets or exceeds 200 must register for the
Live Entertainment Tax. Maximum occupancy means the maximum occupancy of the facility as determined by the State Fire Marshal
or local governmental agency.
1. DBA - Name doing business as
2. Business Telephone Number – please include area code
3. State of Incorporation or Formation – foreign corporations must be registered with the Nevada Secretary of State’s Office to do
business in Nevada
4. Fees and Security Deposit
5. Estimated Total Monthly Receipts – this is the total of all gross receipts including wholesale sales, services necessary to
complete the sale, exempt sales, etc.
6. Estimated total Nevada monthly TAXABLE receipts – this is the total of taxable sales only of tangible personal property. Do not
include wholesale sales, labor, exempt sales, etc.
7. Reporting Cycle – Please indicate filing frequency desired. Sales or purchases exceeding $10,000 require monthly reporting.
Options may not apply to certain tax types.
8. Security — Check off type of security deposited. A Sales/Use Tax permit will not be issued until applicable security is submitted. In
order to determine the security requirement, compute your average monthly taxable sales. Multiply taxable Nevada sales by the
highest tax rate in Nevada, which is 8.265% as of 04-01-17. 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 perfect reporting, you may apply for a waiver of the security requirement.
9. Sales Tax Fee – A $15.00 permit fee for EACH in-state business location is required. If the business does not have a physical
location in Nevada, it must still pay a minimum fee of $15.00. Total number of locations (#10) should be multiplied by the Sales
Tax fee (example: 3 Nevada Business Locations times (x) $15.00 fee = $45.00).
10. Total Nevada Business Locations – number of physical locations in Nevada
11. Other Information – please include other authorized contacts.
Note: Modified Business Tax (MBT) – General Business (MBT GB) / Modified Business Tax - Financial Institutions (MBT FI) /
Modified Business Tax- Mining (MBT MI) is a Quarterly tax based on gross wages reported to the Employment Security
Division. There is an allowable deduction for qualified health insurance plan and wages paid to certain veterans. 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.
ORIGINAL SIGNATURES REQUIR ED BY AGENCIES – KEEP A COPY FOR YOUR RECORDS.
THIS FORM MUST BE SUBMITTED WITH YOUR
NEVADA BUSINESS REGISTRATION FORM
APP-01.00
Revised 9-6-17
NSPO Rev. 09.14 (O) 4436
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