Form 504 - Real Estate License Or Permit Change Form
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4STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
2501 East Sahara Avenue, Suite 102 Las Vegas, NV 89104-4137 (702) 486-4033
E-mail: realest@red.nv.gov
REAL ESTATE LICENSE or PERMIT CHANGE
FORM 504 INSTRUCTIONS
FORM COMPLETION: Complete only the areas that apply to this change. Completion of this form is required before
presenting to the Division. Incomplete or improper paperwork will be returned for completion.
Applicants are required to answer the questions located in section 8 and original signatures are required from the Nevada
licensee and broker.
REQUIREMENTS: Attach to the Termination Form 505 your real estate license or permit. The termination process
must be complete and received by the Nevada Real Estate Division (NRED) before submitting the Form 504. For the
Nevada real estate license, the Form 504 is accepted within 30 days from disassociation date. Permits must complete this
form for any association with a new Broker any time after the Form 505 has been received.
Submit Form 544 (reinstatement form) when a real estate license has been inactive for more than 30 days.
FEES: Fees are listed for each section, in each section of the form. The payment options are: check, money-order, or a
cashier’s check made payable to NRED; cash in the exact amount; and credit cards for in person counter transactions.
Make copies in advance for your records. Thank you.
Revised 02/01/2015
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Form 504
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