Affidavit Of New Employees Veteran Status For Modified Business Tax Form
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1STATE OF NEVADA
DEPARTMENT OF TAXATION
RENO OFFICE
4600 Kietzke Lane
Web Site:
Building L, Suite 235
Reno, Nevada 89502
1550 College Parkway, Suite 115
Phone: (775) 687-9999
Carson City, Nevada 89706-7937
Fax: (775) 688-1303
Phone: (775) 684-2000
Fax: (775) 684-2020
BRIAN SANDOVAL
LAS VEGAS OFFICE
HENDERSON OFFICE
Governor
Grant Sawyer Office Building, Suite1300
2550 Paseo Verde Parkway, Suite 180
JAMES DEVOLLD
555 E. Washington Avenue
Henderson, Nevada 89074
Chair, Nevada Tax Commission
Las Vegas, Nevada 89101
Phone: (702) 486-2300
DEONNE E. CONTINE
Phone: (702) 486-2300
Fax: (702) 486-2373
Fax: (702) 486-3377
Executive Director
Affidavit of New Employees Veteran Status for Modified Business Tax
During Nevada’s 2015 Legislative Session, Assembly Bill No. 71 (AB 71) was passed and signed into law by
Governor Sandoval. This bill amended Chapters 363A and 363B of NRS, Modified Business Tax, adding new
sections that allows a deduction of wages paid to certain veterans as explained below. The employer may deduct
the veteran employees’ wages from the total amount of wages paid by the employer, during the first four calendar
quarters following the hiring of the veteran employee, and 50 percent of the wages paid by the employer to the
th
th
veteran employee during the 5
through 12
calendar quarters following the hiring of the employee, providing
that the following conditions have been met.
1. The employee is a veteran as defined in NRS 417.005.
2. The employee is first hired by the employer on or after July 1, 2015, and on or before June 30, 2019.
3. The employee has been unemployed for a continuous period of not less than 3 months immediately
preceding the date of hire and has been receiving unemployment compensation continuously for that
period.
4. The employee is employed in a full-time position throughout the entire calendar quarter for which the
deduction is claimed.
If you hire a new employee who meets the required conditions and you intend to deduct his or her wages from the
total wages reported for Modified Business Tax, please provide the following information and complete
the following Certification. This certificate must also be accompanied by documentation from the employee
verifying the unemployment compensation. This documentation can be a copy of the new employee's "Claimant
Home Page" which the employee can download from the ESD web site.
Please mail this Certification to the Carson City address, as shown above, ATTN: Ray Lummus
Employee Name: ____________________________________ Date of Hire: ___________________________
I, __________________________, certify under penalty of perjury that the above named employee meets the
requirements specified in paragraphs 1, 2, 3 and 4 above and that this employee meets all qualifications for the
position of employment for which he or she is hired and that the employee was not hired to replace another
employee or, if so, the replaced employee left voluntarily or was terminated for cause.
Signature: _____________________________________ Date of Signature: ____________________________
Company: __________________________________________________________________________________
Employer Taxpayer Identification Number: _____________________ Phone Number: ___________________
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