Please complete this form for assistance on obtaining your Nevada business ID number.

1

Submitter Information

 *

Submitter Information

First Name*	Middle Name	Last Name*
Daytime Phone*ext.	E-mail*

2

What is the current expiration date of date of the license?

What is the current expiration date of date of the license?

3

Please provide any transacting business name(s) on the license, if applicable:

Please provide any transacting business name(s) on the license, if applicable:

4

Please provide the address associated with the Business License. 

Please provide the address associated with the Business License.

Street Address	City
State/Province	Zip/Postal Code

5

What type of business license do you have?

What type of business license do you have?(Select an Answer) Sole Proprietor General Partnership

6

Please provide any other information that may assist in researching your request:

Please provide any other information that may assist in researching your request:

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

To prevent spam we utilize a verification code system. Please enter the code as it is shown in the box below:

 

Code:

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