Elephone # Business Federal ID # Business Type Certificate of Liability Insurance expires on: Renewal Fee ND Sales and Use Tax Permit # If expiration date is prior to date of this renewal, please provide a current certificate $ Applicant's name as currently licensed with this office. E-mail Address Web Address ND Workforce Safety & Insurance Account # 1. Do you have a North Dakota Sales and Use Tax permit? Yes No If yes, record the account number in the above box. For information reg.
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How to fill out the Form 12011 Nd online
Filling out the Form 12011 Nd for contractor license renewal can seem daunting, but with clear guidance, you can complete it efficiently. This guide provides step-by-step instructions to help you navigate the form with ease.
Follow the steps to complete the Form 12011 Nd online.
- Click ‘Get Form’ button to obtain the form and open it in your chosen editor.
- Begin by entering your contractor license ID number. This is found at the top of the form.
- Input your business information, including the business telephone number, federal ID number, and type.
- Provide details regarding your certificate of liability insurance, ensuring to include the expiration date.
- Indicate whether you have a North Dakota Sales and Use Tax permit by selecting 'Yes' or 'No'. If 'Yes', enter the account number.
- Answer whether you had any employees during the reporting period, selecting 'Yes' or 'No'. If 'Yes', record the Workforce Safety & Insurance account number.
- Confirm if the information provided is still accurate by answering the question regarding accuracy.
- Designate a contact person for this application, including their name and daytime telephone number.
- Answer the mandatory question regarding work completion in North Dakota over the past year for jobs exceeding $25,000.
- If applicable, provide names and addresses of entities related to projects over $25,000, including details about the work type and dollar value.
- Respond 'Yes' or 'No' to a series of additional questions regarding any license issues, civil lawsuits, bankruptcies, and legal problems.
- If you answered 'Yes' to any extra questions, attach a separate sheet with details.
- Certify that all tax obligations have been met after filling out the provided fields and sign the application.
- Once completed, save your changes, then download or print the form for mailing.
Complete your Form 12011 Nd online today and ensure your contractor license remains valid.
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