DEPARTMENT OF BUSINESS & INDUSTRY
NEVADA HOUSING DIVISION
MANUFACTURED HOUSING
1830 E College Parkway, Suite 120
Carson City, Nevada 89706
Phone: (775) 684-2940 Fax: (775) 684-2949
Application for Initial Limited Lien Resale License
City/ County business license for the mobile home park
General Power of Attorney if the applicant is not the owner of the mobile home park
Payment Information: Make all checks payable to Nevada Housing Division or use the credit card/eCheck
payment portal under the Manufactured Housing tab.
Mail items of license you are applying for to the address above.
Working without a license is unlawful and may subject you, your business, and each individual licensee to
disciplinary action.
Manufactured home to be sold information: (Please Print)
_________ ____________________ _________________ __________________________
Year Make Model Serial Number
_
Applicant Information
Na
me of Applicant: ______________________________________________ Date: ____________________
Contact Number: _________________________ Email Address: ___________________________________
Mobil
e Home Park Information
Name of Mobile Home Park: ________________________________________________________________
Address: ________________________________________________________________________________
(where LLR License is to be mailed to) City/State/Zip
By signature below I authorize release of information to the Department of Business and Industry,
Manufactured Housing Division. I hereby declare that the details furnished above are true and correct to
the best of my knowledge and belief. I undertake to inform you of any changes therein, immediately. If any
of the above information is found to be false, untrue, misleading or misrepresenting, I acknowledge that I
may be held personally liable for it
.
Signature (Park Owner or Manager): __________________________________________________________
click to sign
signature
click to edit
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