CARSON CITY BUSINESS LICENSE INSTRUCTION PACKET 2621 Northgate Lane #6 Carson City, NV (775) Fax (775)

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CARSON CITY BUSINESS LICENSE INSTRUCTION PACKET 2621 Northgate Lane #6 Carson City, NV 89706 (775)887-2105 Fax (775)887-2202 STEP 1. You MUST contact Department of Taxation, 1550 E College Parkway #100 (775-684-2000), or go to their web page at www.tax.state.nv.us to obtain a city/county compliance letter confirming registration or exemption of sales/use tax or state business license. STEP 2. Upon completion of the entire package and after applying with the State of Nevada Department of Taxation, you may submit your application by mail or by contacting our office at (775)887-2105 to schedule an appointment. BUSINESS APPLICATION PACKET Carson City Business License Application Complete front & back of form. Call our office for a quote on fees. Nevada Business Registration form Required as a supplement to Carson City Business License Application May also be used for other state and local agencies Rules & Regulations of a home based business OR Sheriff s Information Card If doing business from your home If doing business at a commercial location Fictitious Firm Name If doing business under an assumed business name Better Business Bureau Questionnaire Complete and return with application (optional) Copy of City/County Compliance Letter from Department of Taxation (775-684-2000) Please read these forms to understand the process, rules, and regulations of your business license. Also note that the Carson City Assessor may be contacting you in July regarding personal property taxes. If you have any questions please contact our office. CHECK OFF LIST (You may be required to contact these agencies when applying for your city license) Industrial Insurance Regulation Section 684-7270 NV Dept of Taxation 684-2000 Carson City Community Development 887-2180 Carson City Health Dept 887-2190 Carson City Sheriff s Dept 887-2500 Carson City Fire Dept 887-2220 Carson City Environmental Control 887-2355 x 1048 NV Employment Security Dept 687-4545 OVER H:Bldg.Dept/BLOriginals/BL-Instructions Revised 8/1/07

EXPANDING OR OPENING A NEW BUSINESS? Before selecting the location for your business, check with the Planning Department to determine whether the property has the right zoning for your type of business. When you apply for the business license, the Fire, Health, Planning, and Environment Health departments perform required inspections. If the building has proper zoning, meets current code requirement for the type of use, has the required fire safety features and meets health standards, a business license will be issued. If it does not meet the codes and requirements, you may have to make repairs prior to opening (most interior remodeling requires a building permit). If you are putting up a new sign, you will need to obtain a sign permit and a building permit from the Building and Safety Division. If the business or its proposed location does not meet City code and requirements, you cannot obtain the license to open. It is very important to ensure that when you are ready to open, your business location is safe and legally approved by the City. Most of these requirements are not complex, but it will take a little advance planning on your part to ensure that your business meets all of the City requirements in advance of your opening. Carson City staff is available to help you from 8:00 AM to 5:00 PM every business day. Carson City Planning Department 2621 Northgate Lane, Suite 62, Carson City, NV 89706 (775) 887-2180 Business License Division 2621 Northgate Lane, Suite 6, Carson City, NV 89706 (775) 887-2105 Health Department 900 East Long Street, Carson City, NV 89706 (775) 887-2190 Fire Prevention 777 South Stewart, Carson City, NV 89701 (775) 887-2220 IMPORTANT NOTE: Prior to signing any lease for a new business, check with City staff to make sure that your business location is zoned properly. H:Bldg.Dept/BLOriginals/BL-Instructions Revised 8/1/07

CARSON CITY BUSINESS LICENSE APPLICATION 2621 Northgate Lane, Suite 6 - Carson City, NV 89706 (775) 887-2105 Fax (775) 887-2202 Date Filed Business License # Office use only Applicant Name Business Address Fictitious Firm Name Individual, partners or corporate name Physical location of business Name of business, if applicable Date starting business Are you making changes to an existing Business License? No Yes Business License# Transfer Fees Are you purchasing an existing business? No Yes Business Name Business License # CLASSIFICATION (leave blank) FEE STRUCTURE COLUMN 1 FEES SQUARE FOOTAGE OF BUSINESS (Commercial location in Carson) NUMBER of EMPLOYEES (in Carson) INCLUDING OWNERS NUMBER of COIN OPERATED MACHINES & HONOR BOXES NUMBER of RENTAL UNITS (ex. apartments, motels, etc.) HEALTH APPLICATION & HEALTH PERMIT FEES apply to: (Restaurant, Bar, Grocery, Motel, RV & MH Park, Spa, Pool, Catering Truck, Massage Establishment, Childcare, School) Please list authorized signers on behalf of the business Annual Fee < > Pro-rated Fee Application Fee Fictitious Name Other Total Fees Due $ (Call for a quote on fees) STATE AGENCY (Provide a copy if licensed by a state agency) STATE LICENSE # EXPIRATION DATE Nevada Sales/Use Tax # Nevada State Business License # Office use Only FIRE HEALTH PLANNING ENVIR CNTRL OVER

CHILD SUPPORT DATA: If you have any questions with this section, please contact the Child Support Division at 887-2098. Failure to check one of these three will result in denial of the application, per Nevada Revised Statutes. (Corporation or Limited Liability companies are exempt from this question) I am not subject to a court order for the support of a child. I am subject to a court order for the support of one or more children and am in compliance with a plan approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed pursuant to order; or I am subject to a court order for the support of one or more children and am not in compliance with the order of a plan approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed pursuant to the order. Please answer this section if your business is located in Carson City. If you are unsure of your answer we recommend you contact Planning & Community Development at 887-2180. 1. Is your business location zoned for this type of business? Yes No 2. Has a special use permit been obtained for this business location? Yes No 3. Will you be installing any outdoor signs? Yes No Are there any existing signs on the property? Yes No If you answered yes to either question above, you MUST contact Planning & Community Development 887-2180 ext 1005 4. Will there be any outside storage? Yes No If yes, please explain (type of items being stored, is there proper screening?) 5. Will any commercial vehicles be used for this business? Yes No If yes, please describe (size, type, location of storage) 6. Please list the quantities, types and storage location of any chemicals or hazardous materials that will be used for this business. RULES & REGULATIONS AFFIDAVIT: I, the undersigned understand that I cannot operate my until my license is actually issued by this office indicating approval by all necessary city departments. If any changes are made after completing said business license application (ie: change of business name, location, nature of business, partner or corporate officer change, etc.) this office MUST be notified immediately and a new business license application completed. A business license is issued to a given owner at a SPECIFIC LOCATION and is NON-TRANSFERRABLE to a different owner or different location. A new business license application must be filed for any changes. The fees paid for the original license will be pro-rated for the balance of the calendar year and all future license fees will be for a full calendar year (January 1 through December 31). Bills will be mailed in December and payable on or before January 1, for the next calendar year. Penalties will be applied for late payments and licenses will be revoked for non-payment. The $25.00 processing fee is NON-REFUNDABLE. Any exception to any of the above is considered a violation of the Carson City Municipal Code and is subject to citation. CERTIFICATION: (please sign) I, hereby certify that the above information is correct to the best of my knowledge and belief. I understand that failure to complete this form truthfully is an act of perjury. Revised: 11/2007

NEVADA BUSINESS REGISTRATION FORM INSTRUCTIONS Completion of this form will provide the common information needed and/or required by participating state and local government agencies. 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). Also, most local governments accept the form. WHAT OTHER INFORMATION MUST I PROVIDE? When applying to Department of Taxation: All businesses must complete a Supplemental Application (APP-01.01) to determine correct fees. When applying to Employment Security Division: If you employ agricultural or domestic workers, or are a non-profit agency you must complete a Supplemental Registration (NUCS-4058). WHO MAY USE THIS FORM? Any person or corporation who is: opening a new business; opening additional locations; changing locations; changing owners, corporate officers or members; or changing a mailing address. WHERE IS THIS FORM AVAILABLE? This form is available at the participating state and local agencies or by visiting the agency websites listed below. Forms may also be available at Chambers of Commerce and state and local economic development agencies. LINE-BY-LINE INSTRUCTIONS FOR COMPLETING THE NEVADA BUSINESS REGISTRATION - PLEASE COMPLETE IN ENGLISH. 1. I Am Applying For: Check the boxes that apply. Nevada has no central database for business registration. 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 the structure and type of ownership of your business. 4. Corporate/Entity Name: If incorporated, enter the name as registered with the Secretary of State. 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 1-800-829-1040. 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 and Website Address: Enter your business e-mail and website addresses if appropriate. 9. Mailing Address: This address will be used to mail any licenses, reports, tax returns, and correspondence. 10. Location(s) of Nevada Business Operations: Enter the complete 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. 11. Location of Business Records: Enter the complete address where business records are maintained during normal working hours. Include the telephone number of this location, if different from the business telephone number. 12. 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. 13. 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. 14. 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. 15. 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%. 16. 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. 17. Signature Instructions: Make copies first and then sign each copy. Original signatures are required by each state and local agency. Legal signatures include: sole proprietor-owner, corporate officer, and managing member. Toll Free (In State) for All State of Nevada Agencies. 800-992-0900 Nevada Department of Taxation: Website: www.tax.state.nv.us Las Vegas.. 555 E. Washington Avenue, Suite 1300 Las Vegas, Nevada 89101...... (702) 486-2300 Reno... 4600 Kietzke Lane, Building L, Suite 235 Reno, Nevada 89502... (775) 688-1295 Carson City 1550 E. College Parkway, Suite 115 Carson City, Nevada 89706. (775) 684-2000 Nevada Employment Security Division (ESD): Website: www.nvdetr.org Las Vegas... (702) 486-0250 Reno. (775) 688-2663 Statewide (Mailing).. 500 E. Third Street Carson City, Nevada 89713-0030.. (775) 687-4545 If your business has or may have a discharge to the environment or needs a water appropriation permit, the following telephone numbers should be used for information concerning exemptions and to acquire applications: Nevada Department of Conservation and Natural Resources: Website: www.dcnr.nv.gov Environmental Protection Division. (775) 687-4670 Water Resources Division (Water Appropriation).. (775) 687-4380 Nevada Department of Wildlife: (Industrial Artificial Pond Permit) Website: www.ndow.org... (775) 688-1500 Local Business License Departments: To obtain the telephone numbers for local license departments check the white pages of the telephone directory under the government name, i.e., Clark County, Reno.

NEVADA BUSINESS REGISTRATION Important details are included in the instructions. Please type or print in black ink. Each agency may request additional information depending on your type of business. Completing this form does not relieve you of any statutory or regulatory requirements relating to your business. 1 I Am Applying For: 2 New Business 3 4 Business Entity Type: Unemployment Insurance (Employment Security Division - ESD) Change in Ownership/ Business Entity Sole S Corp. Proprietor Change in Location Publicly Traded Corp. State Business License, Sales/Use Tax Permit, Modified Business Tax (Department of Taxation) Privately Held Corp. Change in Name Change in Corporate Officers Association Partnership Limited Liability Partnership Local Business License Change in Mailing Address Corporate/Entity Name: Corporate/Entity Telephone 6 Corporate/Entity Address: 7 Nevada Name (DBA): ( ) Other SEND A COPY TO EACH AGENCY Limited Liability Company Government Entity Other 5 Federal Tax Identification Number Street Number, Direction (N, S, E, W ) and Name Suite, Unit or Apt # City, State, and Zip Code +4 State of Incorporation or Formation 8 E-mail Address: Website Address: Business Telephone ( ) Fax ( ) 9 Mailing Address: Street Number, Direction (N, S, E, W ) and Name Suite, Unit or Apt # City, State, and Zip Code +4 10 Location(s) of Nevada Business Operations: Street Number, Direction (N, S, E, W ) and Name Suite, Unit or Apt # City, State, and Zip Code +4 11 Location of Street Number, Direction (N, S, E, W ) and Name Suite, Unit or Apt # City, State, and Zip Code +4 Telephone Number: Business Records: ( ) 12 List All Owners, Partners, Corporate Officers, Managers, Members, etc. (If individual ownership, list only one owner.) Attach Additional Sheets if Needed. 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 13 Date Business Started in Nevada Date Business Location Opened Date First Worker Hired in Nevada Date of First Nevada Payroll Amount of First Nevada Payroll Number of Employees 14 PLEASE CHECK ALL THAT APPLY TO YOUR BUSINESS Mining Domestics Outside Dining Water Appropriation Adult Materials/Activity Amusement Machines Resident 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 Delivery Transportation Retail Sales Used Telephone Solicitation Supply/Use Temporary Workers Health Services Banker Wholesale Not for Profit Live Entertainment Environmental Discharge Regulated by Federal/State Permit Number Other 15 Describe in Detail the Nature of Your Business in Nevada. Include Product Sold, Labor Performed and/or Services Rendered. State the approximate percentage of sales or revenues resulting from each item. Example: Retail sale of major appliances to public 60%; repair 40%. 16 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: Purchase Lease Other Portion Acquired/Changed: In Whole In Part 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: 17 I CERTIFY THE INFORMATION PROVIDED IS TRUE, CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. **Signatures must be original and that of a responsible party. If a general partnership or joint venture, more than one signature is required. Legal signatures include: sole proprietor-owner, corporate officer, and managing member. **Signature Responsible Party / Original Print Name And Title Date **Signature Responsible Party / Original Print Name And Title Date ORIGINAL SIGNATURES REQUIRED BY AGENCIES-KEEP COPY FOR YOUR RECORDS APP-01.00 Rev 02-17-05

CERTIFICATE OF BUSINESS: FICTITIOUS FIRM NAME Carson City Business License, 2621 Northgate Lane, Suite 6 Carson City, NV 89706 (775) 887-2105 Fax (775) 887-2202 The Undersigned do hereby certify that (name of person, partners or corporate name) is/are conducting a (physical business location) (nature of business) business at Nevada, under the fictitious firm name of and that said firm is composed of (business name) the following person(s) whose name(s) and address(s) as follows, to wit:. WITNESS this hand on the day of, State of County of Signature(s) of: owners, partners or authorized officers On this Day of A.D.,, before me, a Notary Public in and for the said county and State, residing therein, duly commissioned and sworn, personally appeared: known to me to be the person(s) whose name subscribed to the within instrument, and acknowledged to me that he (she) (they) has (have) executed the same freely and voluntarily and for the uses and purposes therein mentioned. In Witness whereof, I have hereunto set my hand and affixed my official seal the day and year in this certificate first above written. Notary Public in and for said County & State Expiration date $20.00 filing fee Return Original

NOTE: Use standard Carson City Business License Application CARSON CITY PROVISIONS REGULATING HOME OCCUPATION (FOR ADDRESSES LOCATED IN RESIDENTIAL ZONES) The Home Occupation Provision is included in recognition of the needs of many people who are engaged in small business ventures which could not be sustained if it were necessary to lease commercial quarters for them, or which in the nature of the home occupation could not be expanded to full scale enterprise. It is the intent of the ordinance that full scale commercial or professional operations which would ordinarily be conducted in a commercial or industrial district continue to be conducted in such districts and not in residential districts. In granting a business license, it is necessary to verify that the subject property will be used in conformance with the City s Zoning Ordinance. Please read the following information and complete the form as indicated. If you have any questions or require further information, call (775) 887 2180 or stop by the Planning and Community Development Department at 2621 Northgate Ln #62. Once this statement is signed, it will be come a part of your business license record with the City. ----------------------------------------------------------------------------------------------------------------------------------- 18.03.010 Home Occupation means a use customarily carried on by a dwelling occupant and incidental to the primary residential use, providing such residential character of the property is not changed and is operated in compliance with 18.05 (Home Occupation). 18.05.045 Home Occupation: Uses which shall not be permitted as home occupations include barber and beauty shops, food processing or packaging, real estate and law offices, restaurants, cabinet shops, adult entertainment businesses, kennels (except for certified training of three or fewer service animals), vehicle repair or similar uses. ALL HOME OCCUPATIONS SHALL BE SUBJECT TO AND MUST COMPLY WITH SECTION 18.03.010 AND ALL THE FOLLOWING PROVISIONS OF THIS SECTION: 1. Business license requirements. All home occupations must obtain a Carson City business license and meet the requirements of this Section. 2. Sale of merchandise. Sale of goods, samples, materials, equipment or other objects on the premises is not permitted. Home occupations shall not conduct business in person with clients at the home address, with the exception of federally licensed gun dealers, required by federal regulations to conduct firearm sales at their home location. 3. Size limits. No more than 20% of the total ground floor area of the dwelling and accessory structure may be used for home occupation. 4. Employees. No on-site office staff or business personnel shall be permitted in any home occupation unless the employees are members of the resident family and reside on the premises. 5. Character. The characteristics of the structure shall not be altered, nor shall the occupation

within the dwellings be conducted in a manner which would cause the premises to differ from its residential character either by the use of colors, materials, construction, lighting or by signs, or the emission of sounds, noises, dust, odors, fumes, smoke, electrical disturbance or vibrations, or disturbs the peace and general welfare of the area. 6. Traffic. Pedestrian and vehicular traffic shall be limited to that normally associated with residential districts. Deliveries from commercial suppliers may not be made more than once each week and the deliveries shall not restrict traffic circulation. 7. Storage. There shall be no outdoor storage of materials or equipment; no storage of toxic or hazardous materials, including ammunition and gunpowder; nor shall merchandise be visible from outside the dwelling. 8. Location. The home occupation shall be confined within the main building and/or accessory structure as a secondary use of the residential use. When conducted in a garage, the home occupation shall not permanently eliminate the use of the garage as a parking space for a car, nor shall the bay door be open while the home occupation is conducted within the garage. 9. Use of facilities and utilities. The use of utilities and community facilities shall be limited to that normally associated with the use of the property for residential purposes. 10. Advertising. There must not be any public advertising which calls attention to the fact that the dwelling is being used for business purposes. Telephone listings, business cards, or any other advertising of the business, shall not include the dwelling address. The name, telephone, and purpose of the home occupation may be advertised on not more than one vehicle which is operated by the resident or residents of the dwelling in conjunction with the business. The home address may appear on letterhead and invoices when the home address is also the business address. 11. Electromagnetic interference. Electrical or mechanical equipment which creates video or audio interference in customary residential electrical appliances or causes fluctuations in line voltage outside the dwelling unit is prohibited. 12. Fire safety. Activities conducted and equipment or material used or stored shall not adversely change the fire safety of the premises. 13. Parking. No parking or placement of commercial vehicles such as trucks, trailers, equipment or materials except one panel van or pickup truck, when used for personal transportation. I will be conducting business as at my home address located at, I have read the above information and if granted a home occupation business license, I agree to comply with these regulations as set forth above. Signature of Applicant Date

The Carson City Assessor's Office will send you an annual Statement of Personal Property every July 1, for equipment owned as of July 1 of the current year. Per Nevada Revised Statute 361.265, use the statement to report the date and cost of all equipment and assets used to operate/conduct your business. Your original costs also include: O transportation costs 0 installation/set up costs necessary to make the equipment operational Your Statement of Personal Property should include, but is not limited to the following: O assets fully depreciated out for IRS purposes but still in your possession O computers, laptops, printers, software/hardware upgrades, mainframe, plotters, scanners O fax, copiers, postage machines, security equipment, etc. O calculators, safes, cash registers, credit card machines, etc. O telephones/telephone system, music system, public address system, etc. O furnishings & fixtures: furniture, computer furniture, display racks, showcases O signs: indoor, outdoor, ftee standing, wall mounted, etc. O leasehold equipment: modifications made to the building to accommodate your business O machinery or equipment specific to your type of business O items given to you or purchased used ( estimate market value as of date you acquired) O equipment/assets, regardless of age, not previously reported O equipment that is leased, loaned, stored, or held in your possession Do not include: O inventory held for resale O vehicles licensed through the Department ofmotor Vehicles O consumables: pens, paper, cash register tape, cleaning supplies, etc Questions?-contact Kitty at (775) 887-2130 or ernail: KKulikowski@ci.carson-city.nv.us

SPECIAL BUSINESS Q UESTIO NN AIRE For Information Purposes Only Submitting this questionnaire will supply the Better Business Bureau with Background infonnation on your company for reporting purposes only. This is NOT an application for BBB Membership. Better Business Bureaus do not endorse anyone company, product or service..r Please contact me about 888 Membership BUSINESS IDENTITY FIRM NAME TELEPHONE FAX ADDRESS CITY STATE 'l,ip MAIUNGADDRBSS CITY STATI! ZIP WEB SITE ADDRESS B-MAIL ADDRESS DESCRIPTION OF PRODUCTS/SERVICES PERSON RESPONSIBLE FOR CUSTOMER SERVICES POSITION TELEPHONE I NAME TITLE ADDRESS FORMER BUSINESS EMPLOYMENT NAME ntle ADDRESS FORMER BUSINESS EMPLOYMENT NAME nn.e ADDRESS FORMER BUSINESS EMPLOYMENT BANK REFERENCE ADDRESS TELEPHONE CUSTOMER/SUPPLIER REFERENCE ADD~S TELEPHONE Infornlllion ProvKled By Title Dol. BETTER BUSINESS BUREAU 991 Bible Way * Reno, NV 89502 (775) 322-0657 * FAX (775) 322-8163