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Asset Managers or Asset Management Companies. ASSET MANAGEMENT (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/
03/20/2017 1 of 2 763
ASSET MANAGEMENT CHANGE FORM
Asset Managers or Asset Management Companies.
INSTRUCTIONS:
The Division must receive the original registration or permit and pocket card.
Complete only the areas that are specific to this transaction and a fee of $20.00 per section per registration or permit are required.
Payments are accepted in the form of check, cashier’s check, money order (made payable to NRED) or exact cash.
Incomplete paperwork will not be processed and will be returned to you for completion.
Permit or Registration Number:
Date:
Name (please print):
[First Middle Last (name on license)]
*Home address:
Mailing address:
*Email address: :
*Phone:
*Required - For division use only. Not sold publically
[Area code & number]
$20
BUSINESS ADDRESS CHANGE: Complete this section even if the business location is the same as your home address.
Business name:
Current business address:
[Street, City, State, & Postal code]
New Business address:
Mailing address:
[Street, City, State, & Postal code]
Phone
:
Fax:
Email:
$20
BUSINESS NAME CHANGE:
List current business name:
List new business name:
$20
PERSONAL NAME CHANGE: List the name on your current certificate at the top and list your new name here. Proof is
required in the form of a Divorce decree, Marriage Certificate, or a Judgment issued by the court.
New name:
(List your full name as you wish it to appear on your certificate, license, permit, or registration.)
Division: Date: ____________ Receipt: _________________ Initials: ____________________
03/20/2017 2 of 2 763
APPLICANT SIGNATURE:
NO YES Have you had any disciplinary sanctions imposed by any regulatory agency or commission
within the past 5 years?
If Yes, applicants are required to attach a written explanation and the final disposition document.
Original Signature:
Date:
REPORT OF EXISTENCE OF NEVADA BUSINESS LICENSE
Pursuant to NRS 645C
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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Asset Managers or Asset Management Companies. ASSET MANAGEMENT (Nevada Real Estate Division)

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Completed 28 December 2021

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