Free SB356 Compliance/Exemption Form - Nevada


File Size: 261.9 kB
Pages: 3
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State: Nevada
Category: Government
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Word Count: 968 Words, 6,252 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.accessclarkcounty.com/depts/business_license/Documents/Child%20Support%20Documents.pdf

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Preview SB356 Compliance/Exemption Form
Department of Business License
JACQUELINE R. HOLLOWAY DIRECTOR 500 SOUTH GRAND CENTRAL PKY, 3RD FLOOR P.O. BOX 551810 LAS VEGAS, NEVADA 89155-1810 (702) 455-4252 (800) 328-4813 FAX (702) 386-2168
http://www.co.clark.nv.us/business_license

Dear Applicant: This letter is to explain to you a requirement to obtaining a business license that has been placed on our Department. The Federal Welfare Reform Act has imposed on all states the requirement that individuals comply with their child support obligations. The 1997 Nevada Legislature passed Senate Bill (SB) 356, enacting requirements set forth by the Federal Welfare Reform Act with respect to child support. SB356 directly affects the manner in which a governing entity may license a business within their jurisdiction. The following is a summary of the requirements levied on the Clark County Department of Business License: · All applicants desiring to do business in the unincorporated area of Clark County must file, along with their business license application, a statement covering child support obligations as prescribed by the Nevada Welfare Division, Department of Human Resources (NRS 425.520). The statement must be fully completed and signed by the owner(s). Failure to submit the statement will result in the application for licensing being denied and returned to the applicant. NRS 244.33507 states that an application for the issuance of a license, permit, or certificate to practice a profession or occupation must include the social security number of the owner(s). Should the owner(s) be delinquent in payment of child support, Business License cannot issue a business license until notification is received from the District Attorney's office that the applicant is in compliance. Exempted from this law are: multiple shareholder corporations, multiple member limited liability companies, and partnerships registered with the Nevada Secretary of State's office. For those businesses exempted, the compliance exemption form must be completed. In all cases Nevada law prohibits the Department of Business License from issuing a business license, permit, or certificate unless the owner(s) fully complete(s) the required child support statement and is in compliance with child support laws.

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Your cooperation in complying with this requirement is greatly appreciated. Should you have any questions concerning this issue contact our Licensing Division at (702) 455-0174.

12/28/04 Child Support Lettter.rtf

Department of Business License
JACQUELINE R. HOLLOWAY DIRECTOR 500 SOUTH GRAND CENTRAL PKY, 3RD FLOOR P.O. BOX 551810 LAS VEGAS, NEVADA 89155-1810 (702) 455-4252 (800) 328-4813 FAX (702) 386-2168

CHILD SUPPORT COMPLIANCE STATEMENT - NEW BUSINESS LICENSE APPLICATION
The Federal Welfare Reform Act, as implemented by the 1997 session of the Nevada Legislature by SB 356, requires that professional and occupational licensing agencies add certain questions regarding child support to all applications for new licenses and renewals. Pursuant to this legislation, you are required to complete this Statement and return it with your application. Failure to complete and return this Statement will be cause to deny your business license application. Please note that a complete Statement includes a response, and the signature and social security number of the individual completing the form. Please mark the appropriate response (failure to mark one of the three will result in the denial of your business license application). ____ 1. I am not subject to a court order for the support of a child. ____ 2. I am subject to a court order for the support of one or more children and am in compliance with the order or 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 the order. ____ 3. I am subject to a court order for the support of one or more children and am NOT in compliance with the order or 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 provide the following information: Business Name: Business Address: Business License Number: Owner Name: Social Security Number:

(Authorized Signature)

(Date)

12/28/04 Child Support Compliance.rft

Department of Business License
JACQUELINE R. HOLLOWAY DIRECTOR 500 SOUTH GRAND CENTRAL PKY, 3RD FLOOR P.O. BOX 551810 LAS VEGAS, NEVADA 89155-1810 (702) 455-4252 (800) 328-4813 FAX (702) 386-2168

CHILD SUPPORT COMPLIANCE EXEMPTION FORM - NEW BUSINESS LICENSE APPLICATION
The Federal Welfare Reform Act, as implemented by the 1997 session of the Nevada Legislature by SB 356, requires that professional and occupational licensing agencies add certain questions regarding child support to all applications for new licenses and renewals. Pursuant to this legislation, all owners of this business (business license number to be assigned after your application package is complete) are required to complete a Child Support Compliance Statement, unless the business organization structure has been determined to be exempt from such legislation as listed below. EITHER an Exemption Form from each business OR a Child Support Compliance Statement from EACH owner of the business is required to process your business license application. Failure to complete and return the appropriate form(s) will be cause to deny your business license application. Multiple shareholder corporations, limited liability companies, and partnerships registered with the State of Nevada are exempted from the reporting requirements of the above legislation. If your business organization structure is exempt, please mark the appropriate exemption type, sign and date this form and return it to the Department of Business License with your application. Please indicate the organization structure exemption applicable to your business: ____ 1. Multiple shareholder corporation ____ 2. Limited liability company ____ 3. Partnership registered with the State of Nevada Please provide the following information: Business Name: Business Address: Business License Number:

(Authorized Signature)

(Date)

12/28/04 Child Support Exemption.rft