Fillable REAL ESTATE DIVISION BUSINESS NAME REQUEST FOR BROKERS (Nevada Real Estate Division)

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REAL ESTATE DIVISION BUSINESS NAME REQUEST FOR BROKERS (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: 03/20/17 557
BUSINESS NAME REQUEST FOR BROKERS ONLY
You may return this form via fax to (702) 486-4275.
I WISH TO SUBMIT THE FOLLOWING BUSINESS NAMES FOR APPROVAL:
(Please Print)
1.
2.
Name
Last
First
MI
License #
Phone
e-mail
Fax
Address
Number and Street
City
State
Zip Code
Signature
Date
FOR DIVISION USE ONLY
1
st
Name Approved:
Yes No
2
nd
Name Approved:
Yes No
Approved By:
Date:
Your business name is reserved for 90 days from approval date, shown above.
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REAL ESTATE DIVISION BUSINESS NAME REQUEST FOR BROKERS (Nevada Real Estate Division)

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Completed 28 December 2021

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