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 1 of 2 703
ENERGY AUDITOR CHANGE
COMPANY NAME CHANGE, COMPANY ADDRESS CHANGE, and PERSONAL NAME CHANGE
INSTRUCTIONS and FEE:
a) Fee $20.00 per section required. Cash in exact change; check or certified funds, made payable to the NRED, are accepted.
b) Attach the original certificate to this form.
c) Attach any other proof required noted in a specific section below.
*Only information deemed by law to be confidential shall be confidential (SSN, exam results). Most information provided by an applicant
for licensure is public information and must be provided upon request. By policy, the Real Estate Division shall post (via the web site) and
sell licensee lists which include the licensee’s name, business address (even if same as home address), and business telephone number.
FEE $20.00
_____________________________
EA._______________________
_____________________________________
Phone #: ________________________________
Home address:*_____________________________________________________________________________
Mail address:*______________________________________________________________________________
(Please do not complete this form for personal address updates. Email your personal address and license number to realest@red.nv.gov )
2. COMPANY NAME AND/OR ADDRESS CHANGE: a) Attach the “Location of Records” Form 664. b)
Any change of company name must provide proof of E/O and General liability insurance. The insurance binder must include
the new company and your personal name as the insured.
(No. & Street, City, State, Zip Code)
Mailing Address (if applicable):
(P O Box, City, State, Zip Code)
________________________________
Email address:*____________________________________
3. PERSONAL NAME CHANGE: Provide proof; such as a copy of a marriage certificate; divorce decree; or
court order.
(First and Last)
