Form Bl Renewal Txr-04 02-Annual State Business License Renewal-Manual Input Only
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TID No:
010-
Nevada Department of Taxation
Annual State Business License Renewal
MANUAL INPUT ONLY
Due By:
06/30/09
Period From ___________ to________
06/01/09
05/31/10
Expiration Date:
________
05/31/10
On July 22, 2003, new legislation went into effect that requires all holders of a State Business License to renew
their business license on an annual basis. According to our records, your State Business License renewal is due on
the date indicated above.
Also effective July 22, 2003, businesses required to have a State Business License must be registered for Use
Tax. If you are not currently registered for Sales/Use Tax or Use Tax or there have been changes to your business,
such as a change of officers, address, etc, please contact the nearest Department of Taxation office to update your
account. You may also download the Nevada Business Registration form from the Department's web site at http://
tax.state.nv.us to register or update your account.
Reno District Office
Carson City District Office
Elko Field Office
Las Vegas District Office
Phone: (702) 486-2300
Phone: (775) 688-1295
Phone: (775) 684-2000
Phone: (775) 753-1115
$100
Please detach and return the coupon portion only of the form along with your payment for
to the Department in the
enclosed envelope. A $100 penalty will be assessed if not paid by the renewal due date [NRS 360.784(3)]. Retain
the top portion for your records. Make checks payable to: Nevada Department of Taxation. Mail your payment to:
State of Nevada - Business License Renewal
P.O. Box 52614
Phoenix AZ 85072-2614
DETACH COUPON BEFORE MAILING
STATE OF NEVADA ANNUAL BUSINESS LICENSE RENEWAL COUPON
TID No:
010-
Due By:
06/30/09
TOTAL AMOUNT DUE
STATE OF NEVADA BUSINESS LICENSE RENEWAL
100.00
P.O. BOX 52614
PHOENIX AZ 85072-2614
Period from:
06/01/09
to
05/31/10
05/31/10
Expiration Date:
________
BL RENEWAL
*0100123456789000053110*
TXR-04.02 Revised
06-01-09
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