ROSS MILLER Secretary of State 202 North Carson Street Carson City, Nevada 89701-4201 (775) 684-5708 Website: www.nvsos.gov *020801* Nevada State Business License *020801* Partnership Exemption Online exemption application is also available at www.nvsos.gov USE BLACK INK ONLY - DO NOT HIGHLIGHT PRINT LEGIBLY OR TYPE ALL INFORMATION ABOVE SPACE IS FOR OFFICE USE ONLY Completing this form DOES NOT relieve you of any statutory or regulatory requirements relating to your business. You may be required to complete a Nevada Business Registration form with the Nevada Department of Taxation and Department of Employment, Training and Rehabilitation. Please check with these and other state/local government agencies for additional licensing requirements. * Asterisks indicate required information. Incomplete forms will be rejected. INSTRUCTIONS: 1. This form is for partnerships claiming an exemption pursuant to the State Business License provisions of NRS 76.020. 2. If you are exempt from the requirements of the State Business License pursuant to NRS 76.020 enter the applicable code in Section 4: 003 - A home-based business whose net earnings are not more than 66 2/3 percent of the average annual wage 005 - A business whose primary purpose is to create or produce motion pictures 006 - Insurance company doing business pursuant to NRS 680B.020 that does not conduct any business that is not incidental to Title 57 (Div. of Ins. Authority). 3. File online at www.nvsos.gov or return the completed form to: Secretary of State, 202 North Carson Street, Carson City, Nevada 89701-4201, (775) 684-5708. 4. A partner of the partnership claiming exemption from the State Business License requirement must sign the application. FORM WILL BE RETURNED IF UNSIGNED. 1* Signature must be that of a partner of the partnership. I declare under penalty of perjury that the information provided is true, correct and complete to the best of my knowledge and belief and acknowledge that pursuant to NRS 239.330, it is a category C felony to knowingly offer any false or forged instrument for filing in the Office of the Secretary of State. I declare we are exempt from the provision of the State Business License pursuant to NRS 76.020. First Name Middle (Optional) Last Name Suffix Title X Signature of Partner 2 Date (Required if you have a current Nevada State Business License or had one issued after October 1, 2009) NV Business ID # 3* Partnership Name 4* I am exempt from the requirements of the State Business License. Cite exemption code (See instructions for code) 5* Physical Address Physical Street Address City State Zip Code PO Box or Street Address City State Zip Code 6 Mailing Address (if different) 7 Entity Phone ( ) 8 Email Address Check here to receive notices electronically Nevada Secretary of State BL Exemption Partnership Revised: 7-30-10 American LegalNet, Inc. www.FormsWorkFlow.com