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Interns, Appraisers, or Appraisal Management Companies. APPRAISAL CHANGE (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 03/20/2017 1 of 2 536
APPRAISAL CHANGE FORM
Interns, Appraisers, or Appraisal Management Companies.
INSTRUCTIONS:
The Division must receive the original registration, license, or certificate (license) and pocket card.
Complete only the areas that are specific to this transaction and a fee of $20.00 per section per license are required.
Supervising Appraisers must submit the Intern registrations for a business name or address change.
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.
Submit location of records (Form 555
) for business change.
Certificate, License, 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]
1. $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:
2. $20
BUSINESS NAME CHANGE:
List current business name:
List new business name:
Division: Date: ____________ Receipt: _________________ Initials: ____________________
Revised 03/20/2017 2 of 2 536
3. $20
EMPLOYER CHANGE: Intern registration only.
New Company name:
New Company address:
Supervising Appraiser name:
Certification number:
4. $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.)
5.
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:
6.
SUPERVISING APPRAISER VERIFICATION and SIGNATURE: Nevada Certified Appraisers complete this
section only if a Registered Intern is transferring under your supervision.
This is to verify that I, _________________________________, am a Nevada Certified Appraiser who holds an active
and renewed Nevada Appraisal Certificate #A._______________.C____ and has had 1 year or more Nevada Appraiser
experience as required pursuant to NRS 645C. It is my present intent to employ or associate with me, (print name)
___________________________, a Nevada registered Intern. I will exercise careful supervision over his/her appraisal
activities while he/she is associated with or employed by me.
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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Completed 28 December 2021

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