New Business & LLC Startup Intake – DPS of Northern Nevada

New Business & LLC Startup Intake – DPS of Northern Nevada

DPS of Northern Nevada – Registered & Bonded Legal Document Preparer, 531 Court Street, Elko NV 89801, (775) 385-2200, www.dpsnnv.com. Please complete this form so we can prepare your Nevada business filings. DPS of Northern Nevada is not a law firm and cannot give legal or tax advice; for advice on entity type or tax elections, please consult an attorney or CPA.
Contact Information
Full Legal Name

First NameMiddle NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Preferred Contact Method
Services Requested
Services Requested

Other
If Other, please describe
Business Name
First Choice LLC Name
Second Choice LLC Name
Third Choice LLC Name
LLC Ending to Use
Will the business use a DBA?
Business Details
Describe what the business will do
Business street address in Nevada

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Business mailing address (if different)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City
County
Expected start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Will the business have employees?
Will the business sell taxable goods?
Will the business need a professional or occupational license?
If yes, describe the professional or occupational license needed
Management & Members
Management structure
Number of members
Nevada lists the names and addresses of managers or managing members publicly on the Initial List.
Person 1 full legal name

First NameMiddle NameLast Name
Person 1 title
Person 1 street address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Person 1 ownership percentage
Person 2 full legal name

First NameMiddle NameLast Name
Person 2 title
Person 2 street address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Person 2 ownership percentage
Person 3 full legal name

First NameMiddle NameLast Name
Person 3 title
Person 3 street address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Person 3 ownership percentage
Person 4 full legal name

First NameMiddle NameLast Name
Person 4 title
Person 4 street address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Person 4 ownership percentage
If ownership is divided unevenly, make sure the total percentage across all listed people equals 100%.
If you are not sure about the best management structure, choose the option that applies most closely and we can review it with you.
List only the people who will be shown on the Initial List for management purposes.
Registered Agent
Who will be the Nevada registered agent?
Registered agent name
Nevada street address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
EIN & Banking
Would you like DPS to obtain the EIN?
Responsible party name

First NameMiddle NameLast Name
Will you open a business bank account?
Organizer
Organizer Name

First NameMiddle NameLast Name
Additional Organizer Information
Acknowledgments & Signature
Acknowledgment of role and limitations
Acknowledgment of state filing fees
Acknowledgment of annual renewal requirements
Electronic signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
NRS 240A Disclosure — Please Read Carefully
Nevada Revised Statutes Chapter 240A requires that this written disclosure be provided to clients before any document preparation services are provided or any contract is signed. Business Entity: D.A. Barnhart Justice Services, LLC, dba DPS of Northern Nevada Registrant: Deborah A. Barnhart Mailing and Street Address: 531 Court Street, Elko, Nevada 89801 Email: dbarnhart@dpsnnv.com Telephone / Fax: (775) 385-2200 / Fax (775) 389-5558 Nevada State License No. (D.A. Barnhart Justice Services, LLC): NV20253379470 — Exp. 6/30/27 Document Preparation Service Registration No.: NVDP2016923991 — Exp. 9/28/27 Elko City License No.: 10699 — Exp. 10/31/27 Public Notary License No.: 16-3690-6 — Exp. 9/21/28 **I AM NOT AN ATTORNEY IN THE STATE OF NEVADA.** **I AM NOT AUTHORIZED TO GIVE LEGAL ADVICE OR LEGAL REPRESENTATION.** **I MAY NOT ACCEPT FEES FOR GIVING LEGAL ADVICE OR LEGAL REPRESENTATION.** Please be advised that any communication between you and me (Deborah A. Barnhart) is not protected by any legal privilege. I operate as DPS of Northern Nevada through D.A. Barnhart Justice Services, LLC, and I have a $25,000.00 Legal Document Assistant Bond on file with the Nevada Secretary of State through Allegheny Casualty Company (Bond No. ACC006006394).
I confirm that I have read and fully understood the disclosure above.
Type your full legal name to acknowledge this disclosure
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

New Business & LLC Startup Intake – DPS of Northern Nevada

Contact Information

Services Requested

Business Name

Business Details

Management & Members

Registered Agent

EIN & Banking

Organizer

Acknowledgments & Signature

NRS 240A Disclosure — Please Read Carefully