Form 0501RCCD-015 "Brady Account Application" - Nevada

What Is Form 0501RCCD-015?

This is a legal form that was released by the Nevada Department of Public Safety - 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 June 1, 2019;
  • The latest edition provided by the Nevada Department of Public Safety;
  • 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 printable version of Form 0501RCCD-015 by clicking the link below or browse more documents and templates provided by the Nevada Department of Public Safety.

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Download Form 0501RCCD-015 "Brady Account Application" - Nevada

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Records, Communications and Compliance Division
333 West Nye Lane, Suite 100
Carson City, Nevada 89706
Telephone (775) 684-6262 – Fax (775) 687-3232
ap@dps.state.nv.us
www.rccd.nv.gov
All applications must be completed in full and include a copy of your current FFL (Federal Firearms License), a copy of your
BRADY ACCOUNT APPLICATION
Federal Employer Identification Number (FEIN) issued by the Internal Revenue Service and a copy of your current Nevada State
business license issued by the Secretary of State (if you need to obtain a copy or apply for a Nevada State business license, please
visit www.nvsos.gov) at the time of submission. Incomplete applications will be returned unprocessed. You may fax or email your
completed application. You will be notified in writing when the account has been established.
Company Name:
Company Information
DBA Name:
Estimated number of firearm sales per month:
Federal Firearm License #:
Federal Tax ID # :
Contact Information
Please provide 2 Telephone
Numbers for Primary Contact
Primary Contact Name and Title (printed)
Telephone Number (Required)
Landline
Cell
Telephone Number (Required)
Landline
Cell
Email Address
Fax Number
Physical Address
City, State, Zip
Mailing Address
City, State, Zip
Secondary Contact Name and Title (printed)
Telephone Number
Email Address
Fax Number
Billing Contact Name and Title (printed)
Telephone Number
Terms: An initial credit limit is established based on the “Estimated number of firearm sales per month” indicated on the completed
Email Address
Fax Number
application. Statements will be mailed the first working day of each month. In order to maintain a current account, the balance in full
must be paid within 10 days of the date of the statement. The account may be suspended if the credit limit is exceeded or if the
account is past due. If an account is suspended, background check services will not be provided until the account is brought current.
The account holder agrees to notify RCCD of any and all changes to the business information provided herein within 5 business days.
**Any payment on account returned for Non-Sufficient Funds will be assessed a $25.00 fee.**
I, the undersigned, have the authority and am the responsible party to apply for an account on behalf of the
Company/Organization listed above. I agree to the terms listed above and understand that any credit limit associated with
this account is at the discretion of the Department of Public Safety, Records, Communications and Compliance Division.
Signature
Name (Printed)
Date
For use by DPS Fiscal Staff Only
Account Number:
PEND 3
Date:
Assigned By:
PEND 4
Date:
Date:
Credit Limit: $
Add to New Account Spreadsheet:
Date:
Send Welcome E-Mail
Date:
0501RCCD-015(06/2019rev)
Records, Communications and Compliance Division
333 West Nye Lane, Suite 100
Carson City, Nevada 89706
Telephone (775) 684-6262 – Fax (775) 687-3232
ap@dps.state.nv.us
www.rccd.nv.gov
All applications must be completed in full and include a copy of your current FFL (Federal Firearms License), a copy of your
BRADY ACCOUNT APPLICATION
Federal Employer Identification Number (FEIN) issued by the Internal Revenue Service and a copy of your current Nevada State
business license issued by the Secretary of State (if you need to obtain a copy or apply for a Nevada State business license, please
visit www.nvsos.gov) at the time of submission. Incomplete applications will be returned unprocessed. You may fax or email your
completed application. You will be notified in writing when the account has been established.
Company Name:
Company Information
DBA Name:
Estimated number of firearm sales per month:
Federal Firearm License #:
Federal Tax ID # :
Contact Information
Please provide 2 Telephone
Numbers for Primary Contact
Primary Contact Name and Title (printed)
Telephone Number (Required)
Landline
Cell
Telephone Number (Required)
Landline
Cell
Email Address
Fax Number
Physical Address
City, State, Zip
Mailing Address
City, State, Zip
Secondary Contact Name and Title (printed)
Telephone Number
Email Address
Fax Number
Billing Contact Name and Title (printed)
Telephone Number
Terms: An initial credit limit is established based on the “Estimated number of firearm sales per month” indicated on the completed
Email Address
Fax Number
application. Statements will be mailed the first working day of each month. In order to maintain a current account, the balance in full
must be paid within 10 days of the date of the statement. The account may be suspended if the credit limit is exceeded or if the
account is past due. If an account is suspended, background check services will not be provided until the account is brought current.
The account holder agrees to notify RCCD of any and all changes to the business information provided herein within 5 business days.
**Any payment on account returned for Non-Sufficient Funds will be assessed a $25.00 fee.**
I, the undersigned, have the authority and am the responsible party to apply for an account on behalf of the
Company/Organization listed above. I agree to the terms listed above and understand that any credit limit associated with
this account is at the discretion of the Department of Public Safety, Records, Communications and Compliance Division.
Signature
Name (Printed)
Date
For use by DPS Fiscal Staff Only
Account Number:
PEND 3
Date:
Assigned By:
PEND 4
Date:
Date:
Credit Limit: $
Add to New Account Spreadsheet:
Date:
Send Welcome E-Mail
Date:
0501RCCD-015(06/2019rev)