Fillable APPLICATION FOR PRIVATE BIDDER IDENTIFICATION CARD (Department of Motor Vehicles )

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APPLICATION FOR PRIVATE BIDDER IDENTIFICATION CARD (Department of Motor Vehicles )

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The APPLICATION FOR PRIVATE BIDDER IDENTIFICATION CARD (Department of Motor Vehicles ) form is 1 page long and contains:

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Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711
(775) 684-4690
www.dmvnv.com
OB 250 (02/2017)
APPLICATION FOR PRIVATE BIDDER IDENTIFICATION CARD
Please type or print in ink. FEES
Original Identification Card New $ ______
Renewal of Identification Card Renew $ ______
Duplicate Identification Card Duplicate $ ______
Address Change on Identification Card Address Change $ ______
Original and duplicate ID cards $51, renewal $26, address change $4.25, which includes a Technology fee.
Applicant’s Full Legal Name __________________________________________________________________________
Physical Address __________________________________________________________________________________
Mailing Address ___________________________________________________________________________________
Date of Birth ________________ DLN___________________ Social Security Number ___________________
Male Height ______ft. ______in. Hair Color ______________
Female Weight ___________lbs. Eye color _______________
_______________________________________________________ ________________________________
Signature of Applicant Date
******************************************************************************************************************************************
Notification of Lost, Stolen or Destroyed Identification Card
I, _______________________________________________________________________________________________
(Name of cardholder)
Physical Address __________________________________________________________________________________
City _________________________________ State __________ Zip _____________ Phone No _________________
do hereby certify that the Nevada Private Bidder identification card issued to me has been lost, stolen or destroyed.
______________________________________________________ ________________________________
Signature of cardholder Date
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APPLICATION FOR PRIVATE BIDDER IDENTIFICATION CARD (Department of Motor Vehicles )

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Completed 24 December 2020

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