Occupational and Business Licensing
555 Wright Way
Carson City, NV 89711-0700
(775) 684-4690
www.dmvnv.com
OBL266 (05/2016)
OUT OF BUSINESS NOTIFICATION
NRS Chapters 445B, 482, 483, 487 and 490
Business Name
DMV Business License #
(Attach original business license to this form)
Street Address
City
State
Zip Code
Date of Business Closure
Forwarding Contact Information:
Name
Phone Number
Email
Address
Street Address
City
State
Zip Code
Business License Plates List all plates surrendered. If a plate issued to this license is not surrendered for the reason that it
is Lost or Stolen, please attach a completed Lost Plate Affidavit OBL238 form. (Attach additional sheet if necessary)
Plate Number(s)
Plate Number(s)
Plate Number(s)
Plate Number(s)
Supplies: List all unused secured documents surrendered. (Attach additional sheet if necessary)
Document Name
Control Number(s)
Document Name
Control Number(s)
Dealers/Rebuilders Only:
Salespersons: When a salesperson ceases to be employed by a licensed dealer, the dealer shall notify DMV by
forwarding the salesperson’s license to DMV within 10 days. NRS 482.362
Dealer Report of Sale: Please transmit Electronic DRS transactions prior to submitting this form to DMV.
Once this form is processed by DMV, your login credentials to the EDRS web portal will no longer be valid.
Principal’s Printed Name
Title
Principal’s Signature
Date
Signatures must be originals. Photocopies are not acceptable.
OBL Office Use Only
Date Received
Date Processed
Tech Number