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: 03/20/17 540
APPRAISER INTERN TERMINATION NOTICE
To be completed by licensed Appraiser and acknowledged by subject Intern.
 NOTE: INTERN IS NOT ALLOWED TO HAND CARRY HIS/HER REGISTRATION CARD 
This is to notify you that the below named Intern(s) has been terminated from my association.
Termination Date:
Registration Card Number:
Name of Intern:
Residence:
City
State
Zip
Mailing Address:
No. & Street / P.O. Box
City
State
Zip
Employment was considered:
Full-Time Part-Time
Impression of his / her character:
Circumstances surrounding termination of employment:
I hereby acknowledge that I have notified the terminated
Intern of this action pursuant to the provisions of NRS
645C.410.
Print Name of Licensed Appraiser
License Number
Signature of Licensed Appraiser
Firm Name
[ATTACH INTERN REGISTRATION]
Signature of Terminated Intern