Fillable APPRAISER TEMPORARY PRACTICE PERMIT APPLICATION (Nevada Real Estate Division)

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APPRAISER TEMPORARY PRACTICE PERMIT APPLICATION (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: 03/20/17 Page 1 of 4 538
APPRAISER TEMPORARY PRACTICE PERMIT APPLICATION
******** Please mail this application to the Las Vegas office address listed above. ************
ATTACHMENTS:
1. A copy of your license or certificate issued by your home state.
2. A cashier’s check or money order for $115.00.
3. Engagement letter content requires all of the following: a) Clients name. b) Address or property description to be
appraised. c) Proposed date of the appraisal completion.
4. Attach 1 photograph written with your name and date on the back of the photograph.
5. If any interns will be assisting you on this project, attach a copy of their intern registration.
Only information deemed by law to be confidential shall be confidential (SSN, exam results, background investigation results). Most information provided by
an applicant for licensure is public information and must be provided upon request. By policy, the Real Estate Division shall post (via the web site) and sell
licensee lists which include the licensee’s name, business address (even if same as home address), and business telephone number.
* (For Division use only) Note: Email address is required. However, will not be publicly available or sold.
LICENSE / CERTIFICATE INFORMATION
Indicate type of temporary practice permit requested. (Must correspond to License or Certificate you currently hold in another state)
Licensed Residential (Residential 1-4 units up to a transaction value of $1,000.00 non-complex)
Certified Residential (Any residential 1-4 units without regard to complexity or transaction value)
Certified General (Any transaction without regard to type, complexity or value)
APPLICANT INFORMATION
Name:
First
Middle
*Home address:
No. & Street
City
State
Zip Code
*SS#
*Date of Birth:
*Email:
*Phone:
( )
*Cell:
( )
BUSINESS INFORMATION:
Company Name:
Company address:
_____________________________________________________________________________
Mailing address:
Business phone Number
Business fax:
Business email:
_____________________________________ @ ________________________________
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 Page 2 of 4 538
CHILD SUPPORT
PURSUANT TO NRS 645C.295, THE FOLLOWING STATEMENT IS AN APPLICATION REQUIREMENT. YOUR
APPLICATION FOR THE ISSUANCE OF THIS LICENSE WILL BE DENIED IF YOU DO NOT INDICATE ON THE
STATEMENT WHICH OF THE PROVISIONS APPLY 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.
AFFIDAVIT OF APPLICANT
I understand and agree to the following:
a) The issuance of the temporary practice permit shall be for the purpose of completing one appraisal assignment
b) I am not allowed to begin the appraisal assignment until my application is approved and I am issued a temporary
practice permit number.
c) All application fees submitted to the Division are non-refundable
I hereby certify that I have read and understand the provisions of Chapter 645C of NRS and the corresponding regulations
pertaining to the licensing and regulation of real estate appraisers in the State of Nevada.
I certify under penalty of perjury that the information provided above, and any additional information submitted as part of this
application, is true and accurate to the best of my knowledge and further acknowledge that falsification of any of the information
submitted as part of this application is grounds for denial of issuance or subsequent revocation and may impact future applications
to NRED.
STATE OF ______________________________________ ss. County of ______________________________
This instrument was acknowledged before me on _____________________ date, in the possession of applicant
__________________________________________________ (print name of person presenting instrument)
X_________________________________________________ (signature of person presenting instrument)
(notary stamp) X______________________________________________
(Signature of Notary)
STATE OF NEVADA
Department of Business and Industry
Nevada Real Estate Division
Revised: 03/20/17 Page 3 of 4 538
CONSENT TO SERVICE OF PROCESS
NEVADA RESIDENTS, PLEASE DO NOT COMPLETE THIS SECTION! (NRS 645.495)
First:
_____________________________
MI
____
Last.
_______________________________
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:
________________________________________________________________________________________________________
Please print the full number, street, city, state, and postal code of your legal residence.
STATE OF __________________________________________ ss. County of _________________________________
This instrument was acknowledged before me on _____________________ date, in the possession of applicant
__________________________________________________ (print name of person presenting instrument)
X_________________________________________________ (signature of person presenting instrument)
(notary stamp) X______________________________________________
(Signature of Notary)
STATE OF NEVADA
Department of Business and Industry
Nevada Real Estate Division
Revised: 03/20/17 Page 4 of 4 538
REPORT OF EXISTENCE OF NEVADA BUSINESS LICENSE
Pursuant to NRS 645
All applicants MUST complete this section. Please select ONE option.
I have a Nevada business license number assigned by the Nevada Secretary of State upon compliance with the
provisions of NRS Chapter 76.
My Nevada business license number is: _______________________________________
I have applied for a Nevada business license with the Nevada Secretary of State upon compliance with the provision
of NRS Chapter 76 and my application is pending.
I do NOT have a Nevada business license number.
The Real Estate Division is not the arbiter of determining whether the applicant needs a business license. Information about
the Nevada business license can be found on the Secretary of State’s website at: http://nvsos.gov/
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APPRAISER TEMPORARY PRACTICE PERMIT APPLICATION (Nevada Real Estate Division)

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Completed 28 December 2021

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