Form BLSPE "Sole Proprietor Notice of Exemption - Application or Renewal (Nrs 76)" - Nevada

What Is Form BLSPE?

This is a legal form that was released by the Nevada Secretary of State - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 7, 2017;
  • The latest edition provided by the Nevada Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form BLSPE by clicking the link below or browse more documents and templates provided by the Nevada Secretary of State.

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Download Form BLSPE "Sole Proprietor Notice of Exemption - Application or Renewal (Nrs 76)" - Nevada

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Nevada State
BARBARA K. CEGAVSKE
Application
Business License
Secretary of State
202 North Carson Street
Sole Proprietor
Carson City, Nevada 89701-4201
Renewal
(775) 684-5708
Website: www.nvsos.gov
Exemption
Online exemption application is also
available at www.nvsilverflume.gov
USE BLACK INK ONLY - DO NOT HIGHLIGHT
PRINT LEGIBLY OR TYPE ALL INFORMATION
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 form is for sole proprietors claiming an exemption pursuant to the State Business License provisions of NRS 76.020.
2.
If you are exempt from the requirements of the State Business License pursuant to NRS 76.020 enter the applicable code in Section 3:
003
- A home-based business whose net earnings are not more than 66 2/3 percent of the average
annual wage and perform all essential business functions exclusively from [a] their person residence
004
- A natural person whose sole business is the rental of four (4) or fewer dwelling units to others
006
- Insurance company doing business pursuant to NRS 680B.020 that does not conduct any business
that is not incidental to Title 57 (Div. of Ins. Authority)
3. File online at www.nvsilverflume.gov or 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.
4. The sole proprietor claiming exemption from the State Business License requirement must sign the application.
FORM WILL BE RETURNED IF UNSIGNED.
1*
Signature must be that of the sole proprietor.
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 declare that I am exempt from the provisions of the State Business
License pursuant to NRS 76.020.
First Name
Middle (Optional)
Last Name
Suffix
X
Signature of Sole Proprietor
Date
2
(Required if you have a current Nevada State Business License or had one issued after
NV Business ID #
October 1, 2009)
3*
I am exempt from the requirements of the State Business License.
Cite exemption code
(See instructions for code)
If claiming 006 exemption provide Nevada Division of Insurance License #
4*
Physical Address
Physical Street Address
City
State
Zip Code
5
Mailing Address
(if different)
PO Box or Street Address
Zip Code
City
State
6
(
)
Entity Phone
7
Email Address
Nevada Secretary of State BL Exemption Sole Proprietor
Reset
FORM: BLSPE
Revised: 7-7-17
Nevada State
BARBARA K. CEGAVSKE
Application
Business License
Secretary of State
202 North Carson Street
Sole Proprietor
Carson City, Nevada 89701-4201
Renewal
(775) 684-5708
Website: www.nvsos.gov
Exemption
Online exemption application is also
available at www.nvsilverflume.gov
USE BLACK INK ONLY - DO NOT HIGHLIGHT
PRINT LEGIBLY OR TYPE ALL INFORMATION
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 form is for sole proprietors claiming an exemption pursuant to the State Business License provisions of NRS 76.020.
2.
If you are exempt from the requirements of the State Business License pursuant to NRS 76.020 enter the applicable code in Section 3:
003
- A home-based business whose net earnings are not more than 66 2/3 percent of the average
annual wage and perform all essential business functions exclusively from [a] their person residence
004
- A natural person whose sole business is the rental of four (4) or fewer dwelling units to others
006
- Insurance company doing business pursuant to NRS 680B.020 that does not conduct any business
that is not incidental to Title 57 (Div. of Ins. Authority)
3. File online at www.nvsilverflume.gov or 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.
4. The sole proprietor claiming exemption from the State Business License requirement must sign the application.
FORM WILL BE RETURNED IF UNSIGNED.
1*
Signature must be that of the sole proprietor.
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 declare that I am exempt from the provisions of the State Business
License pursuant to NRS 76.020.
First Name
Middle (Optional)
Last Name
Suffix
X
Signature of Sole Proprietor
Date
2
(Required if you have a current Nevada State Business License or had one issued after
NV Business ID #
October 1, 2009)
3*
I am exempt from the requirements of the State Business License.
Cite exemption code
(See instructions for code)
If claiming 006 exemption provide Nevada Division of Insurance License #
4*
Physical Address
Physical Street Address
City
State
Zip Code
5
Mailing Address
(if different)
PO Box or Street Address
Zip Code
City
State
6
(
)
Entity Phone
7
Email Address
Nevada Secretary of State BL Exemption Sole Proprietor
Reset
FORM: BLSPE
Revised: 7-7-17