INSTRUCTIONS: NEVADA APPLICATION FOR VOLUNTARY DISCLOSURE OF FAILURE TO FILE RETURN

Nevada businesses who fail to file their state income tax return can voluntarily file this document to disclose this. This document can be obtained from the website of the Nevada Department of Taxation.

Nevada Application For Voluntary Disclosure Of Failure To File Return Step 1: Enter the name of the owner or the entity in the first blank box.

Nevada Application For Voluntary Disclosure Of Failure To File Return Step 2: Enter the "doing business as" (dba) name of the entity in the second blank box.

Nevada Application For Voluntary Disclosure Of Failure To File Return Step 3: Enter the business address in the third blank box.

Nevada Application For Voluntary Disclosure Of Failure To File Return Step 4: Enter the business mailing address in the fourth blank box.

Nevada Application For Voluntary Disclosure Of Failure To File Return Step 5: Enter the nature of the business in the fifth blank box.

Nevada Application For Voluntary Disclosure Of Failure To File Return Step 6: Where indicated, state the reason you failed to file. Attach a separate sheet if you require more space for your explanation.

Nevada Application For Voluntary Disclosure Of Failure To File Return Step 7: In the table provided, enter all reporting periods for which you failed to file. Enter the date for either monthly or quarterly filing deadlines.

Nevada Application For Voluntary Disclosure Of Failure To File Return Step 8: Enter your name and title on the next blank line.

Nevada Application For Voluntary Disclosure Of Failure To File Return Step 9: Enter the date on the next blank line.

Nevada Application For Voluntary Disclosure Of Failure To File Return Step 10: Submit the form in conjunction with your Nevada Business Registration Form to the appropriate office building listed at the top of the form.

Nevada Application For Voluntary Disclosure Of Failure To File Return Step 11: This form must be submitted before an audit or investigation of the taxpayer has been initiated to be accepted as a voluntary disclosure. If approved by the director of taxation, you will receive a copy of the form with their signature, title and the date. The Department of Taxation retains the right to audit a taxpayer for the period being disclosed.