Form Bet-03 - Bank Excise Tax Return Page 3
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3NEVADA DEPT OF TAXATION
BANK EXCISE TAX LIST ALL OF BRANCHES IN NEVADA
Please print clearly – use black or blue ink only.
Attach additional sheets if needed.
Name of Bank:
Account No:
Address
1
Branch Number
Date branch opened
City
State
Zip Code
Branch Name
Date Branch closed
Address
2
Branch Number
Date branch opened
City
State
Zip Code
Branch Name
Date Branch closed
Address
Branch Number
Date branch opened
3
City
State
Zip Code
Branch Name
Date Branch closed
Address
Branch Number
Date branch opened
4
City
State
Zip Code
Branch Name
Date Branch closed
Address
5
Branch Number
Date branch opened
City
State
Zip Code
Branch Name
Date Branch closed
Address
6
Branch Number
Date branch opened
City
State
Zip Code
Branch Name
Date Branch closed
Address
7
Branch Number
Date branch opened
City
State
Zip Code
Branch Name
Date Branch closed
Address
Branch Number
Date branch opened
8
City
State
Zip Code
Branch Name
Date Branch closed
BET- 02
REV 07/01/11
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Parent category: Financial