Fillable APPLICATION FOR RENEWAL OF APPRAISAL LICENSE (Nevada Real Estate Division)

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APPLICATION FOR RENEWAL OF APPRAISAL LICENSE (Nevada Real Estate Division)

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STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102 * (702) 486-4033
e-mail: realest@red.nv.gov * http://red.nv.gov/
Revised: 12/11/18 Page 1 of 3 Form 586
APPLICATION FOR RENEWAL OF APPRAISAL LICENSE
NAME:
Last
First
MI
COMPANY
ADDRESS:
LICENSE or
REGISTRATION
NUMBER:
CURRENT HOME or MAILING ADDRESSS
No.
Street
Apt #
City
State
Zip Code
(
)
Area Code
Phone Number
E-Mail address:____________________________
CONTINUING EDUCATION CERTIFICATES
MUST BE ATTACHED
LICENSE TYPE:
Registered Intern
Licensed Residential
Certified Residential
Certified General
Effective for Applications Submitted January 1, 2012 and after
Your license Expires:
Renewal Fee Due:
Penalty Fee Due:
$190 - Intern
$320 – Licensed or Certified Residential
$420 – Certified General
$160 - Licensed or Certified Residential
$210 - Certified General
Renewal of Appraisal License/Certification
through
*
Includes $40.00 Appraiser Investigative Fee (AIF).
**
Includes $80.00 Federal Financial Institutions Examination Council (FFIEC) fee.
***
Licensees applying for renewal after midnight of the above expiration date must remit, in addition to license renewal fee,
the penalty fee, plus, if applicable, Reinstatement Form and Reinstatement fees.
Yes No
Have you been convicted of a misdemeanor, gross misdemeanor, or felony within your renewal period? If you answered
yes, attach an explanation or appropriate court documents.
Yes No
Are you currently under an administrative investigation in any other state or jurisdiction?
Yes No
Has any disciplinary action been taken on an appraisal license, certification or registration issued to you in any
State/Jurisdiction within the past two years?
If you answered “yes” to either of the above questions, you must submit a written explanation and include official documentation as
attachments to this application
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102 * (702) 486-4033
e-mail: realest@red.nv.gov * http://red.nv.gov/
Revised: 12/11/18 Page 2 of 3 Form 586
IMPORTANT FOR RESIDENTS AND NON-RESIDENTS
PURSUANT TO NRS 645C 295, THE FOLLOWING STATEMENT MUST BE ANSWERED AND SIGNED. YOUR
APPLICATION FOR THE RENEWAL OF THIS LICENSE WILL BE DENIED IF YOU DO NOT INDICATE ON THE
STATEMENT WHICH OF THE PROVISIONS APPLIES TO YOU.
I am NOT subject to a court order for the support of a child.
I am subject to a court order for the support of one or more children and AM IN COMPLIANCE with that order or plan
approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed in that order.
I am subject to a court order for the support of one or more children and NOT IN COMPLIANCE with that order or plan
approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed in that order.
❖ I hereby certify under penalty of perjury that the answers contained in this application are true and correct.
❖ I understand that if I am subject to a court order for support of one or more children and I am not in compliance with that order or
plan, my application for license, certification or renewal of a license or certification will be denied.
I further certify that I have a current copy of Nevada Revised Statutes and the Uniform Standards of Professional Appraisal
Practice in my office, and will faithfully comply with all the statutes and regulations of the State of Nevada pertaining to the
conduct of Real Estate Appraisers in the State of Nevada.
Applicant Name (Print)
Signature
ARE YOU A VETERAN?
Yes
No
NON-RESIDENTS MUST COMPLETE THE CONSENT TO SERVICE OF PROCESS ON FOLLOWING PAGE
Revised: 12/11/18 Page 3 of 3 Form 586
CONSENT TO SERVICE OF PROCESS
FOR NON-RESIDENT USE ONLY
Last
First
M.I.
hereinafter referred to as “Applicant,” hereby irrevocably constitutes and appoints the Administrator of the Division of
Real Estate, Department of Business & Industry, State of Nevada or his/her successor in office, to be his/her true and
lawful attorney within this state, upon whom all legal process in any suit, action or proceeding arising under, or in any
way connected with any provisions of Chapter 645, 645C, 119, 119A, 119B of Nevada Revised Statutes, or any rule or
order pursuant thereto, or based upon any fraud, deceit, breach or contract or other thing connected with the sale or offer
for sale, negotiation or appraisal of any real estate, timeshare or campground membership, may be served upon said
applicant, personally within the State of Nevada. Until the applicant attests by affidavit to the Administrator that he/she
is a bona fide resident of the State of Nevada, this appointment and the authority of said attorney shall continue in force
and effect so long as any such liability remains outstanding, and a copy of any process served hereunder may be sent by
certified mail, return receipt requested, addressed to:
Street Address
City
State
Zip Code
Drivers License Number
State
STATE OF
Ss. County of
I certify that this is a true and correct copy of a document in the possession of
(Name of person who presents the document)
Date
Signature of Notarial Officer
My Commission Expires:
(Seal)
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APPLICATION FOR RENEWAL OF APPRAISAL LICENSE (Nevada Real Estate Division)

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Completed 28 December 2021

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