Form BET-03 Fillable An excise tax on each bank at the rate of $1,750 for each branch office in excess of one maintained by the bank in each county in this state on the first day of each calendar quarter.

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Please print clearly use black or blue ink only (Account No:) (Date Branch closed) (Date Branch closed) (Date Branch closed) (Date Branch closed) (Date branch opened) (Date branch opened) (Date branch opened) (Date branch opened) (Date) (Federal Identification Number) (Name of Bank:) (Name Of Preparer) (or 0075) To calculate interest for each month late from 7/1/1999 through 6/30/2011 multiply Line 4 1% (or 01) (Phone Number) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (Title) *NOTE: PLEASE READ INSTRUCTIONS ON REVERSE SIDE BEFORE COMPLETING RETURN 1 10 2% 0 02 1 Enter the total number of qualifying branches maintained on the first day of the calendar quarter (See above example on how 11 15 4% 0 04 1550 College Parkway #115 1550 College Parkway Suite 115 16 20 6% 0 06 2 Multiply Line 1 by $1750 This is the total calculated tax due 21 30 8% 0 08 3 Enter amount due to you for overpayments made in prior periods for which you have received a credit notice Do not take the 31 + 10% 0 10 4 Subtract Line 3 from Line 2; this is the total net bank excise tax due 5 If this return will not be submitted/postmarked and the taxes paid on or before the due date as shown on the face of this return the amount of penalty A bank branch includes the main branch and is defined as any location or facility of a bank where deposit accounts are opened A RETURN MUST BE FILED EVEN IF NO TAX IS DUE* Account No: Add lines 4 through 7 this is the total amount due and payable after 7/1/2011 multiply Line 4 0 75% (or 0075) To calculate interest for each month late amount of penalty that should be entered For example the taxes were due January 31 but not paid until February 15 The number of days late is 15 Amount: Check #: Attach additional sheets if needed attached drive in facility a seasonal office an office on a military base or government installation a station or unit for paying and BANK EXCISE TAX BANK EXCISE TAX LIST ALL OF BRANCHES IN NEVADA BANK EXCISE TAX RETURN best of my knowledge and belief is a true correct and complete return BET 02 BET 03 Carson City NV 89706 communication terminals electronic fund transfer units and loan production offices Complete all line items on the return Returns must be filed even if no tax is due County The total number of branches is 11 The first branch in Clark & Washoe Counties is not subject to the bank excise tax nor is credit if you have asked for a refund NOTE: Only credits established by the Department may be used Date Branch closed Date Branch closed Date Branch closed Date Branch closed Date branch opened Date branch opened Date branch opened Date branch opened deposits are accepted checks are paid and loans are granted including but not limited to a brick and mortar location a detached or Determine the number of days late the payment is and multiply the net tax owed by the appropriate rate based on the table above The result is the due is based on the number of days late the payment is made per NAC 360 395 The maximum penalty amount is 10% Due on or before: Enter the total amount remitted with this return Example of Qualifying branches: A bank has 5 branches in Clark County 5 branches in Washoe County and 1 branch in Nye Federal Identification Number FOR DEPARTMENT USE ONLY For quarter: for the bank from 7/1/1999 through 6/30/2011 multiply Line 4 1% (or 01) GENERAL INFORMATION Held the branch office open for business to the public at any time during the immediately preceding 5 regular banking days for Holds the branch office open for business to the public at any time during the immediately succeeding 5 regular banking days I hereby certify that this return including any accompanying schedules and statements has been examined by me and to the If a bank ceases the operation or other maintenance of any of its branch offices during the calendar quarter the excise tax is still due if If postmarked after due date If the operation or other maintenance of a branch office commences after the first day of the calendar quarter no excise tax is due If you have any questions concerning this return please contact the Carson City office at 775 684 2117 II INSTRUCTIONS FOR BANK EXCISE TAX RETURN INTEREST (Note: 7/1/2011 interest rate change: To calculate interest for each month late Internet The term does not include any automated teller machines consumer credit offices contractual offices customer bank LESS CREDITS APPROVED BY THE DEPARTMENT Mail to: Name of Bank: Nevada Department of Taxation NEVADA DEPT OF TAXATION NEVADA DEPT OF TAXATION NEVADA DEPT OF TAXATION Nevada Revised Statute (NRS) 363A 120 imposed an excise tax on each bank at the rate of $1 750 for each branch office in excess of Note: 7/1/2011 interest rate change: To calculate interest for each month late after 7/1/2011 multiply Line 4 0 75% Number of days late Penalty Percentage Multiply by: one maintained by the bank in each county in this state on the first day of each calendar quarter or otherwise maintain a branch office on that date if the bank: PENALTY (For periods prior to April 1 2007 the penalty is 10%) penalty and interest will apply Phone Number PLUS LIABILITIES ESTABLISHED BY THE DEPARTMENT Postmark Date: quarter is $14 000 ($1 750 x 8) receiving and a location where a customer can open accounts make deposits and borrow money by telephone or through the use of the REV 07/01/11 REV 07/01/11 Send to: Nevada Department of Taxation Signature Name Of Preparer so the penalty is 4% TAX DUE (MULTIPLY LINE 1 BY $1750) The bank excise tax is due on or before the last day of the first month of the quarter THE BANK EXCISE TAX LIST OF ALL BRANCHES IN NEVADA (BET 02) MUST BE SUBMITTED WITH THIS RETURN THE BANK EXCISE TAX LIST OF ALL BRANCHES IN NEVADA (FORM BET 02) MUST BE FILED the bank; and the branch in Nye County since there is only one branch Therefore the total qualifying branches equals 8 The tax due for the the branch was open for business to the public on the first day of the calendar quarter The operation or other maintenance of a branch shall be deemed to commence on the date the branch office first opens for business to the public If the first day of a calendar quarter does not occur on a regular banking day for a bank the bank shall be deemed to operate TID No: Title to calculate the number of qualifying branches ) TOTAL AMOUNT DUE AND PAYABLE (ADD LINES 4 THROUGH 7) TOTAL AMOUNT REMITTED WITH RETURN TOTAL BANK EXCISE TAX DUE (LINE 2 MINUS LINE 3) TOTAL NUMBER OF QUALIFYING BRANCHES IN NEVADA (See Information on Reverse) WITH RETURN

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