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DEPARTMENT OF BUSINESS AND INDUSTRY REAL ESTATE DIVISION (Nevada Real Estate Division)

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STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
3300 W. Sahara Avenue, Suite 350
Las Vegas, Nevada 89102
(702) 486-4036 Fax: (702) 486-4067
Email: teralyn.lewis@red.nv.gov
http://red.nv.gov/
Nevada Real Estate Division PR Request
Page 1 of 2 Revised: 1/8/19
PRINT LEGIBLY OR TYPE ALL INFORMATION
Instructions:
All requests must be made in writing and signed.
Section A-Requester Information
Your Name
Phone Fax Email
Mailing Address
City State Zip Code
Section B-Record(s) Requested
Describe the record(s) you are requesting. Please be as specific as possible and include enough detail to assist
Division staff in locating the record(s). Include relevant dates or date range. For multiple records, you may attach
additional pages.
Section C-Receiving Record(s)
Please specify the preferred method of receiving the requested record(s).
By postal mail at the mailing address above
Electronic format: By email at the email address above or a flash drive/CD mailed to requestor’s mailing address.
Please note: If you choose to receive the records by electronic format there will be a per page cost if the document is
not available electronically.
Will pick up in person from Division office
Public Record Request Pursuant to NRS 239
Nevada Real Estate Division PR Request
Page 2 of 2
Revised: 1/9/19
I understand that copying and other associated fees may apply and that records will not be released until
payment is received. You will be given an estimate of the charges prior to copying.
_______________________________________________________________ Date ______________________________
Requester Signature-Required
__________________________________________________________________________________________________
DIVISION STAFF USE ONLY
Date Received: _______________
Estimate
An estimate of $ ______________
Amount
provided on ______________
Date
by _________________________
Division Staff
Request Status:
Information provided and
request completed ____________
Date
Information not provided
Request withdrawn
____________
Date
Payment Received: ____________
Amount Paid: ________________
____________________________________________________________________________________________________
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DEPARTMENT OF BUSINESS AND INDUSTRY REAL ESTATE DIVISION (Nevada Real Estate Division)

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Completed 28 December 2021

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