Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Trust Account Application Form. This is a Nevada form and can be use in General Business Secretary Of State.
Loading PDF...
Tags: Trust Account Application, Nevada Secretary Of State, General Business
STATE OF NEVADA
ROSS MILLER
SCOTT W. ANDERSON
Secretary of State
Deputy Secretary
for Commercial Recordings
OFFICE OF THE
SECRETARY OF STATE
Dear Business Customer:
Enclosed is a Trust Account Application and Terms and Conditions. Any business or
individual may open a trust account to be used for processing work in the office or on
the Secretary of State's website. The State Treasurer then holds the money deposited
with the Secretary of State in trust. If you wish to use this service, please complete,
sign and return the Trust Account Application and Terms and Conditions along with
a minimum $200 initial deposit. Please note that a $100 minimum balance must be
maintained at all times.
All fees due to the Secretary of State may be charged against the trust account. When
requesting that fees be charged against trust funds, please indicate the account
number to be charged and the name of the person submitting the request. Requests
cannot be processed without this information. Your account will be charged and a copy
of the invoice will be available via our website.
If the account balance is insufficient to cover a request, the account will automatically
be placed in a "HOLD" status until receipt of sufficient fees. To avoid delays in
processing your documents, please monitor the balance of the account on a regular
basis by logging on to the online trust account feature offered on the Online Services
page, http://www.nvsos.gov/online/, listed under the Commercial Recordings or UCC
sections. The link is called Online Trust Account System.
Statements will be generated monthly and will show monthly activity of invoices,
deposits, credits and your available balance.
If you have any questions concerning the services explained above, please do not
hesitate to contact the Accounting Division at (775) 684-5780.
Sincerely,
Trust Account Management
Accounting Division
Nevada Secretary of State TA Application Page 1
Revised on 4-7-09
American LegalNet, Inc.
www.FormsWorkFlow.com
ROSS MILLER
Secretary of State
204 North Carson Street, Suite 3
Carson City, Nevada 89701-4520
(775) 684 5708
Website: www.nvsos.gov
USE BLACK INK ONLY - DO NOT HIGHLIGHT
Trust Account
Terms and Conditions
PLEASE PRINT OR TYPE INFORMATION - SIGNATURE REQUIRED
TERMS & CONDITIONS
In connection with the application for trust account,
Name of Applicant
agrees to the following terms and conditions:
1. Applicant will be assigned a six digit account number by the Secretary of State, which must
be clearly displayed on every request for service.
2. The Secretary of State and/or the State of Nevada assumes no liability for the unauthorized
use of applicant's account or account number.
3. All deposits to applicant's account are to be accompanied by a letter of transmittal to the
Secretary of State specifically stating the remittance is for applicant's trust account and
citing the account number. Al trust accounts must maintain a positive balance with a
minimum balance of $100.
4. The Secretary of State reserves the right to terminate applicant's account for failure to
comply with any of these terms and conditions. Notice of termination of the account will be
made in writing and will state the effective date of the termination. Any unencumbered
balance will be refunded.
5. Applicant may cancel the trust account by written notice of cancellation to the Secretary of
State setting forth the effective date of the cancellation and requesting a refund of any
unencumbered account balance.
6. Applicant agrees to hold the Secretary of State and/or the State of Nevada harmless and
indemnify the Secretary of State and/or the State of Nevada from any and all liability or
damages resulting from applicant's failure to maintain funds in the trust account sufficient to
cover requested services.
7. Trust Account funds or deposits will not accrue interest on behalf of the applicant.
Nevada Secretary of State TA Application Page 2
Revised on 4-7-09
American LegalNet, Inc.
www.FormsWorkFlow.com
ROSS MILLER
Secretary of State
204 North Carson Street, Suite 3
Carson City, Nevada 89701-4520
(775) 684 5708
Website: www.nvsos.gov
Trust Account
Application
USE BLACK INK ONLY - DO NOT HIGHLIGHT
PLEASE PRINT OR TYPE INFORMATION - SIGNATURE REQUIRED
APPLICATION
Account Name
Name of Applicant
Account Mailing
Address
Address
City
State
Zip Code
Contact Name
Phone Number
Email Address
I hereby authorize the Secretary of State to deposit funds to be held in trust by the State of
Nevada. I further authorize the Secretary of State to charge against these funds fees for
documents or services which I request. I understand that trust accounts are non-interest
bearing and filings/services are provided on a prepaid basis.
X
Signature
Title
Date
FOR SECRETARY OF STATE USE ONLY
Account Number:
Effective Date:
Reviewed By:
Nevada Secretary of State TA Application Page 3
Revised on 4-7-09
American LegalNet, Inc.
www.FormsWorkFlow.com