Real Estate Division Forms

Alternative Dispute Resolution

Number Form Name Revision Date Pages
520 Alternative Dispute Resolution (ADR) Claim Form 07/20/2017 3
520A Alternative Dispute Resolution - Additional Claimant Form 03/13/2012 1
520B Alternative Dispute Resolution - Additional Respondent Form 03/13/2012 1
521 Alternative Dispute Resolution (ADR) Respondent Form 07/06/2016 2
522 Alternative Dispute Resolution - Mediator Application Form 02/21/2014 2
522A Alternative Dispute Resolution - Referee/Arbitrator Application Form 02/21/2014 2
523 Residential Common Interest Alternative Dispute Resolution (ADR) Overview 01/10/2017 6
631 Mediator/Referee Invoice 07/06/2016 1
668 Subsidy Application for Mediation 07/05/2016 2

Appraisers

Number Form Name Revision Date Pages
503A Summary of Appraisal Licensing Requirements  03/20/2017 1
536 Appraisal Change Form - Interns, Appraisers, or Appraisal Management Companies  03/20/2017 2
537 Original Licensing Application for Residential/General Appraiser  03/20/2017 7
537A Appraisal Experience Log  03/20/2017 2
538 Appraiser Temporary Practice Permit Application  03/20/2017 4
539 Real Estate Appraiser Intern Registration Application  03/20/2017 7
540 Appraiser Intern Termination Notice  03/20/2017 1
541 Appraiser Inactive Status  03/20/2017 1
552 Appraisal Experience Certification 03/20/2017 3
553 Application for Appraiser Reinstatement 03/20/2017 5
555 Location of Records - Appraisal 03/20/2017 1
586 Application for Renewal of Appraisal License 03/20/2017 3

Appraisal Management Companies

Number Form Name Revision Date Pages
571 Appraisal Management Company Registration Form 03/20/2017 5
571A Application for the Individual Registration of an Officer, Principal, General Partner, Director or Trustee of an Appraisal Management Company 03/20/2017 6
571B Application for Original or Renewal of Appraisal Management Company Branch Office 03/20/2017 1
572 Appraisal Management Company Renewal Form 06/22/2017 2

Additional Appraisal Forms

Number Form Name Revision Date Pages
599 Original Reciprocal/ Endorsement Licensing Application for Residential Appraiser/ General Appraiser 03/20/2017 6
662 Application for an Appraisal Duplicate License or Certificate 03/20/2017 1

Asset Management

Number Form Name Revision Date Pages
665 Asset Management Company Registration Form 03/20/2017 4
665A Registration of Asset Management Company Principal 03/20/2017 6
666 Application for Asset Manager Permit 03/20/2017 7
760 Application for Renewal of Asset Manager Permit 03/20/2017 2
761 Application for Renewal of Asset Management Company 03/20/2017 2
762 Asset Management Company & Asset Manager Service Report 03/20/2017 2
763 Asset Management Change Form 03/20/2017 2

Common-Interest Communities

Number Form Name Revision Date Pages
562 Annual Association Registration  01/20/2016 4
584 Before You Purchase Property In a Common-Interest Community Did You Know…  07/01/2017 4
584A Before You Purchase Property In a Condominium Hotel Did You Know…  04/18/2008 4
602 Declaration of Certification Common-Interest Community Board Member 08/27/2015 1
603 Initial Association Registration 06/15/2017 3
609 Reserve Study Summary Form 01/20/2016 2
620 Common-Interest Communities Master Roster 11/01/2009 2
623 Registration Filing Addendum 08/13/2015 3
646 Association Name Change Notification  08/13/2015 1
651 Limited Purpose Rural Agricultural Exemption  08/25/2009 2
653 Limited Purpose Association Created as a Rural Agricultural Residential Common-Interest Community Annual Registration  01/06/2010 1
667  Annual Hotel Unit Owner Registration 03/12/2012 1
780  Request for Record of Complaints Against Community Managers    05/15/2017  1
781 Request for Books, Records and Other Documents 08/13/2015 2
850 Candidacy Disclosure 01/26/2017 1

CIC - Intervention Affidavit

Number Form Name Revision Date Pages
514A  Statement of Fact Against Community Managers   08/24/2010 3
514B Complaint Against a Reserve Study Specialist  10/10/2016 3
530  Intervention Affidavit  09/09/2015 2
530A   Intervention Affidavit Instructions 09/09/2015 2
605 Ombudsman Intervention Reopening Affidavit Form and Instruction Page 04/08/2005 3

Community Managers

Number Form Name Revision Date Pages
559 Community Manager Application  03/20/2017 8
616 Community Manager or Supevisory CAM Change Form  03/20/2017 2
616A Provisional Community Manager Change Form  03/20/2017 2
617 Supervising Community Manager Form  03/20/2017 2
621 Community Manager Application for Reinstatement  03/20/2017 5
630 Application for Renewal - Community Manager  03/20/2017 2
634 Community Manager Certificate Disassociation Form  06/22/2017 1
659 Community Manager Temporary Certificate & Instructions  03/20/2017 5

Compliance

Number Form Name Revision Date Pages
514 Statement of Fact Against Real Estate Licensees, Appraisers, Inspectors, Energy Auditors, Asset Managers, Timeshare Agents, Timeshare Representatives, and Property Managers 03/20/2017 2
546 Trust Account Reconciliation  03/20/2017 3
546A Affidavit in Lieu of Form 546  03/20/2017 1
636 Waiver Form 03/20/2017 1
637  Authorization to Negotiate Directly With Seller  03/20/2017 1
638 Request for Record of Complaints Against Real Estate Licensees, Appraisers, Inspectors, Energy Auditors, Asset Managers, Timeshare Agents, Timeshare Representatives, and Property Managers 05/15/2017 1
652 Nevada Real Estate Division Affidavit 09/25/2009 2
770 Sworn Declaration 03/20/2017 1

Disclosures

Number Form Name Revision Date Pages
524 Consent to Act  05/01/2005 1
525 Duties Owed by a Nevada Real Estate Licensee 11/07/2016 1
525A Supplemental List of Licensees Party to the Duties Owed By a Nevada Real Estate Licensee 11/07/2016 1
547 Seller's Real Property Disclosure Form  07/25/2017 5
551 Open Range Disclosure  07/01/2010 1
610 Manufactured Home Disclosure   03/20/2017 1
622 Residential Disclosure Guide 07/27/2017 32
654 Declaration of Homestead 10/01/2009 1
655 Abandonment of Homestead 10/01/2009 1

Education - Appraisal

Number Form Name Revision Date Pages
503B  Appraisal Education Providers 02/03/2016 1
535  Appraiser Continuing Education Accreditation Application 06/27/2017 3
597 Independent Appraiser Continuing Education Course Approval 03/20/2017 1
598 Application for Appraiser Prelicensing Education 03/20/2017 13
626 Appraisal Continuing Education Course Renewal Application 06/27/2017 2
627 Appraisal Pre-Licensing Education Course Renewal Application: In-State Providers 06/27/2017 3
628 Appraisal Pre-Licensing Education Course Renewal Application: Out-of-State Providers 06/27/2017 2
633 Appraiser Instructor Application 03/20/2017 1
740-AE Appraisal Education Classroom Attendance Verification Report
(Note: This is an Excel spreadsheet. When prompted, choose SAVE)
09/05/2014 1
785-AE Appraisal Education Instructions for Preparing and Submitting Rosters for Electronic Upload 02/23/2016 1
785A-AE Appraisal Education Roster Upload Template
(Note: This is an Excel spreadsheet. When prompted, choose SAVE)
09/05/2014 1

NOTE: All forms and checks are to be sent to: 3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102

Education - CIC

Number Form Name Revision Date Pages
579  Community Manager Continuing Education Application  03/20/2017 13
579B  Instructions and Applicable NAC for 579  04/05/2016 10
579C  CAM Continuing Education Attendance Verification Report  07/25/2014 1
592A CIC Classroom Content and Instructor Evaluation 03/02/2016  1
592B CIC Classroom Content and Instructor Evaluation Summary  03/02/2016   1
592C CIC Distance Education Content and Instructor Evaluation 03/02/2016  1
592D CIC Distance Education Content and Instructor Evaluation Summary 03/02/2016  1
642 Community Manager Pre-Certification Education for Classroom Offerings  03/20/2017 10
645 Community Manager Continuing Education Renewal Application  03/20/2017 2
740-CAM Community Association Manager Education Classroom Attendance Verification Report
(Note: This is an Excel spreadsheet. When prompted, choose SAVE)
12/14/2014 1
785-CAM Community Association Manager Education Instructions for Preparing and Submitting Rosters for Electronic Upload 02/19/2016 1
785A-CAM Community Association Manager Education Roster Upload Template (Note: This is an Excel spreadsheet. When prompted, choose SAVE) 12/14/2014 1
848 Retention of Community Manager Education Records  03/20/2017 1
905 Community Manager Pre-Certification Education Providers 07/15/2015  1

Education - Energy Auditors

Number Form Name Revision Date Pages
700 Energy Auditors Approved Pre-Licensing Program Providers & Certification Programs 08/07/2017 2
701A Energy Auditors Pre-Licensing Program Application 03/20/2017 16
701B

Energy Auditors Pre-Licensing Program Provider Renewal Application

03/20/2017 2
726 Instructor Evaluation Report  03/20/2017 1

Education - Inspectors of Structures

Number Form Name Revision Date Pages
589A Inspectors of Structures Pre-Certification Education New Course Application  03/20/2017 20
589B Inspectors of Structures Pre-Certification Education Course Renewal Application  03/20/2017 2
590A Inspectors of Structures Continuing Education New Course Application  06/15/2017 21
590B Inspectors of Structures Continuing Education Course Renewal Application  03/20/2017 1
591 Inspectors of Structures/Energy Auditors Instructor Application  03/20/2017 1
725A Approved Inspectors of Structures Continuing Education Providers  08/10/2017 6
725B Approved Inspectors of Structures Pre-Certification Schools  06/13/2017 1
726 Instructor Evaluation Report   03/20/2017 1
740-IOS IOS Classroom Attendance Verification Report
(Note: This is an Excel spreadsheet. When prompted, choose SAVE) 
07/31/2014 1
785-IOS IOS Instructions for Preparing and Submitting Rosters for Electronic Upload  02/04/2016 1
785A-IOS IOS Roster Upload Template
(Note: This is an Excel spreadsheet. When prompted, choose SAVE)
07/31/3014 1

Education - Real Estate

Number Form Name Revision Date Pages
502 Approved Real Estate Pre-Licensing Schools 12/01/2016 2
526 Real Estate Continuing Education Application for Classroom Offerings and Distance Education  03/20/2017 7
560 Real Estate Sales Pre-Licensing Application for Classroom Offerings and Distance Education  03/20/2017 8
560A Real Estate Broker Management Pre-Licensing Application for Classroom Offerings and Distance Education  03/20/2017 8
560B Real Estate Business Broker Permit Pre-Licensing Application for Classroom Offerings and Distance Education  03/20/2017 8
560C Real Estate Property Manager Permit Pre-Licensing Education Application for Classroom Offerings  03/20/2017 4
612A Classroom / Instructor Evaluation Report  07/13/2017 1
612B CE Distance Education Class / Instructor Evaluation Report  07/13/2017 1
612C Classroom Content and Instructor Evaluation Summary 07/13/2017 1
612D Distance Education Content and Instructor Evaluation Summary 07/13/2017 1
613 Real Estate Post Licensing Education Application for Classroom Offerings  03/27/2017 3
635 Real Estate Instructor Application  04/24/2017 2
640 Real Estate Post Licensing Education Renewal Application  03/20/2017 2
641 Real Estate Continuing Education Renewal Application  03/20/2017 2
648 Retention of Real Estate Education Records  03/20/2017 1
740 Real Estate Classroom Attendance Verification Report
(Note: This is an Excel spreadsheet. When prompted, choose SAVE) 
05/02/2014 1
785 Instructions for Preparing and Submitting Real Estate Rosters for Electronic Upload  06/27/2017 1
785A Roster Upload Template for Real Estate
(Note: This is an Excel spreadsheet. When prompted, choose SAVE) 
05/02/2014 1

Education - Timeshare

Number Form Name Revision Date Pages
527  Timeshare Pre-Licensing Course Application  03/20/2017 10
528  Timeshare Continuing Education Course Application  03/20/2017 10
529  Timeshare Continuing Education Renewal Application  03/20/2017 2
740-TS Timeshare Classroom Attendance Verification Report
(Note: This is an Excel spreadsheet. When prompted, choose SAVE) 
08/11/2014 1
748  Retention of Timeshare Education Records   03/20/2017 1
749  Timeshare Instructor Application   03/20/2017 1
785-TS Timeshare Instructions for Preparing and Submitting Rosters for Electronic Upload  02/04/2016 1
785A-TS Timeshare Roster Upload Template
(Note: This is an Excel spreadsheet. When prompted, choose SAVE) 
08/11/2014 1
786  Timeshare Pre-Licensing Education Providers 01/21/2016 1

Energy Auditors

Number Form Name Revision Date Pages
639 IOS / Energy Auditor - Application for Reinstatement 03/20/2017 7
663 Energy Auditor Checklist and Application  03/20/2017 7
664 Energy Auditor Location of Records 03/20/2017 1
703 Energy Auditor Change 03/20/2017 3
705 Application for Renewal of the Energy Auditor License 03/20/2017 2

Inspectors of Structures

Number Form Name Revision Date Pages
573 Inspectors of Structures Original Licensing Application  03/20/2017 7
575 Inspectors of Structures Location of Record  03/20/2017 1
576 Inspectors of Structures Status/Address/Name Change  03/20/2017 2
577 Inspectors of Structures Inactive Status  03/20/2017 1
578 Inspectors of Structures Application for Certificate Renewal  03/20/2017 2
594 Inspectors of Structures Inspection Observation Log  01/20/2006 2
639 IOS / Energy Auditor - Application for Reinstatement  03/20/2017 7

Projects

Number Form Name Revision Date Pages
563 Nevada Statement of Record  03/20/2017 29
564 Property Report 03/20/2017 12
565 Owner-Developer Application 06/05/2017 10
569 Nevada Campground Registration Statement  03/20/2017 23
570 Campground Public Offering Statement  03/20/2017 10
582 Preliminary Permit - Exempt Project 06/01/2005 1
583 Preliminary Permit - Non-Exempt Project 06/30/2003 1
587 Exemption Determination Requirements NRS 119.122 (3) 06/05/2017 4
588 Exemption Determination Requirements NRS 119.120 (4)    06/05/2017  2 
649  Statement of Project Broker  03/20/2017 1
650 Exemption Request Form (NRS 119) 07/13/2009 2

Real Estate Licensing Forms

Number Form Name Revision Date Pages
501 Summary of Real Estate Licensing Requirements 03/20/2017 3
504 Real Estate License or Permit Change
(For Broker Salesperson, Salesperson, Property Manager or Business Broker) 
03/20/2017 4
505 Real Estate Salesperson or Broker-Salesperson License, or Business Broker or Property Manager Permit Termination  03/20/2017 2
506 Inactive Notice 03/20/2017 1
507 Real Estate License Change (For Brokers Only)  03/20/2017 2
508 Instructions for Broker License/All Broker Applicants  03/20/2017 2
509 Experience Verification for a Nevada Real Estate License  03/20/2017 1
509A Experience Verification for a Property Manager  03/20/2017 1
509B Experience Verification for a Business Broker  03/20/2017 1
510 Application for Branch Office 03/20/2017 1
512 Location of Records & Broker Disassociation Form 03/20/2017 1
513 Authorization to Inspect Records 03/20/2017 1
533 Dual License Application  03/20/2017 3
542 

542A
Application for Out-of-State Cooperative Certificate 

Instructions and Guidelines for the Applicant of a Nevada Cooperative Broker Certification 
07/18/2017

07/18/2017

9

3

544 Application for Reinstatement  03/20/2017 7
545 Property Management Permit Application 03/20/2017 4
549 Original Licensing Application and Checklist for Salesperson, Broker/Salesperson or Broker  03/20/2017 9
557 Business Name Request  03/20/2017 1
558 Confidential Financial Statement  03/20/2017 2
580 Application for Renewal of Real Estate License  03/20/2017 3
581 Application for Renewal of Real Estate Branch Office 03/20/2017 1
624 Business Broker Permit Application  03/20/2017 6
656 Consent to Service of Process  03/20/2017 1
775 Reinstatement for Mid-Point Education  03/20/2017 3

Reserve Study Specialist

Number Form Name Revision Date Pages
644 Reserve Study Specialist Application  03/20/2017 6
661 Reserve Study Specialist Renewal 03/20/2017  2

Timeshare

Number Form Name Revision Date Pages
511 Timeshare License Checklist and Application for Reinstatement 03/20/2017 7
515 Timeshare Sales Agent Termination Notice  03/20/2017 1
516 Timeshare Sales Agent License Change 03/20/2017 2
517 Timeshare Representative Termination Notice  03/20/2017 1
518 Timeshare Representative Change  03/20/2017 1
519 Original Timeshare Sales Agent Application  03/20/2017 8
531 Timeshare Registered Representative Original Application  03/20/2017 4
566   Timeshare Statement of Record   06/14/2017  25
567   Timeshare Public Offering Statement (Note: This is Word document.)   03/20/2017  13
567A   Disclosures of Alternative Media Delivery of POS and other Documents (Note: This is Word document.)   03/20/2017  5
567B  Abbreviated Registration (Note: This is Word document.)   03/20/2017 7
568   Timeshare Resale Broker Initial Registration 03/20/2017  11
568A   Timeshare Resale Disclosure Form 03/20/2017  4
595 Timeshare Registered Representative Application for Renewal  03/20/2017 1
606   Manager Registration Form 03/20/2017 2
607  Disclosure Statement Required by NRS 119A.534 03/20/2017 1
643 Timeshare Agent Application for Renewal  03/20/2017 1
750   Notice of Sale Declaration   03/20/2017 1
751 Timeshare Permit Processing Form 03/20/2017 3
752  Timeshare Company Change Form 03/20/2017 2
753  Application for Conversion to Abbreviated Registration 03/20/2017  4
754  Exchange Company Registration Form 03/20/2017   6

Miscellaneous

Number Form Name Revision Date Pages
619 Fingerprinting Vendors  08/17/2017 2
619A Civil Applicant Waiver 11/03/2012 2
619B Nevada Criminal History Record Request 06/22/2015 3
632 License History Request 03/20/2017 1
900 Public Record Request Pursuant to NRS 239 02/12/2016 2