STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102
(702) 486-4033 / r[email protected] / http://red.nv.gov/
REAL ESTATE LICENSE
CHECKLIST AND APPLICATION
APPLICATION: Must be 18 years or older to apply with a completed application Form 549.
FINGERPRINT BACKGROUND WAIVER: Your fingerprint background waiver must be completed,
signed and dated prior to obtaining your fingerprints.
FINGERPRINTS: Submit the original fingerprint verification form issued by an approved fingerprint vendor.
(obtain Form 619 for Nevada approved vendors). Fingerprints expire after six (6) months.
NON-RESIDENT: All non-residents must submit the notarized “Consent to service of process” Form 656
PRIOR LICENSE: Obtain a certified license history issued by the state in which you are licensed. The history
must be dated within 90 days of your application submission date.
EDUCATION: Submit proof of course completion by education certificate or certified college transcript.
Specific course requirements are located on Form 501.
EXAM: Submit original passing exam results from Pearson Vue.
A.) Nevada state exam dated within the last 12 months.
B.) General exam dated within the last 12 months. (If applicable)
FEES:
SALESPERSON $140.00
BROKER/SALESPERSON AND BROKER $160.00
Fee payments are accepted in check, cashier’s check, or money order payable to Nevada Real Estate Division or
cash in the exact amount. Credit cards are accepted for in person transaction with a 2% convenience fee. Fees are
non-refundable.
BROKER APPLICANTS ONLY: Review broker checklist, Form 508 and submit all required documents.
Applications for broker and broker/salesperson are accepted from 8 a.m. to 4 p.m. only.
Revised: 04/05/2024 Page 1 of 6 Form 549
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102
(702) 486-4033 / r[email protected] / http://red.nv.gov/
ORIGINAL LICENSING APPLICATION
For Salesman, Broker-Salesman, or Broker License
TYPE OR PRINT CAREFULLY. THIS SECTION IS TO BE COMPLETED PERSONALLY BY THE
CANDIDATE. NAC 645.105 Each application must be completed personally by the applicant. Members of the
Commission or employees of the Division are expressly prohibited from helping a person prepare his license application.
*Only information deemed by law to be confidential shall be confidential (SSN, exam results, background investigati
on
re
sults). Most information provided by an applicant for licensure is public information and must be provided
upon
re
quest. By policy, the Real Estate Division shall post via the web site licensee lists which include the licensee’s name,
business address (even if same as home address), and business telephone number.
License desired. Please check the box of the license type applied for:
SALESPERSON $140.00 BROKER-SALESPERSON $160.00 BROKER $160.00
SECTION I: (Please print clearly)
1. A
pplicant’s Name
:
D
ate of Birth: Last 4 of Social Security Number or Individual Taxpayer ID:
Home Address:
City: State: Zip Code:
Mailing Address (if applicable):
City: State: Zip Code:
Home Phone: Cell Phone: Email:
2. L
ist Names used other than legal name listed on this application and explain. Provide proof that the names are t
he
sa
me person when the name on this application is different from your education transcripts, certificates, examination
s,
etc.
DIVISION USE ONLY:
Receipt Number: Date: Processor Initials:
License Number: License Issue Date: Processor Initials: FP Forwarded Date:
Experience: years months days = college credits.
Credits submitted from education courses: Total Credits (B/BS) or hours (S):
Revised: 04/05/2024 Page 2 of 6 Form 549
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102
(702) 486-4033 / r[email protected] / http://red.nv.gov/
SECTION II. ALL APPLICANTS MUST COMPLETE ITEMS 1 THROUGH 10. Attach additional sheets if more space
is needed.
1. O
CCUPATION: List employment history or unemployment status {i.e.: retired, student, homemaker, etc. for t
he
pr
eceding two years (no gaps please) to date of application. Please attach an additional sheet if necessar
y.
a.
O
ccupati
on: E
mployer:
Address
:
From to
b. O
ccupati
on: E
mployer:
Address
:
From
to
c. Occupation: Employer:
Address:
From to
d. O
ccupati
on: E
mployer:
Address
:
From to
e. O
ccupati
on: E
mployer:
Address
:
From
to
2. R
ESIDENCES: For preceding 3 years. Include current residence. Please attach an additional sheet if necessar
y.
a. Str
eet Address
:
C
ity and Stat
e:
From to
b. Str
eet Address
:
C
ity and Stat
e:
From to
c. Str
eet Address
:
C
ity and Stat
e:
From
to
3.
PRIOR EXPERIENCE IN REAL ESTATE? Yes
No
If you checked Yes, please list all states in which you hold or have held a Real Estate license. Attach to this form a history
cer
tified by the state in which you were licensed. The history must be dated less than 90 days from the Nevada licens
e
application acceptance date. No documentation required for a license that expired over 10 years ago.
a. State: Type of Credential: Credential Number:
Issuance Date: Expiration Date:
b. Stat
e
: T
ype of Credential: Credential Number:
Issuance Dat
e: E
xpiration Date:
c. Stat
e
: T
ype of Credential: Credential Number:
Issuance Dat
e: E
xpiration Date:
d. Stat
e
: T
ype of Credential: Credential Number:
Issuance Dat
e: E
xpiration Date:
Revised: 04/05/2024 Page 3 of 6 Form 549
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102
(702) 486-4033 / r[email protected] / http://red.nv.gov/
4. PERSONAL HISTORY: If your answer is YES to any of the following questions, attach the order as a result of the
pr
oceedings. On an attached sheet give full details, including the administrative agency, court, and title of th
e
pr
oceeding, disposition and any other pertinent information (see NRS 645.330)
.
a. Have you or any business in which you are or were an owner, partner, officer or director ever been involved Yes No
in an administrative proceeding regarding any professional or occupational licens
e?
b.
Has a
ny license issued to you or any partnership or corporation of which you were a member or officer b
y Yes No
an
y public authority been suspended or revoked
?
c.
Has a surety company declined to be surety on any bond written on you in the two years prior to the date of Yes No
the application
?
d. Hav
e you ever been convicted of a felony, gross misdemeanor, or misdemeanor
? Yes No
e. Hav
e you ever been convicted of, or are you under indictment for, or have you entered a plea of guilty o
r
Yes No
n
olo contendere to forgery, embezzlement, obtaining money under false pretenses, larceny, extortion
,
co
nspiracy to defraud or any crime involving moral turpitud
e?
f.
Ar
e you presently on parole or probation or paying any restitution
? Yes No
g. Hav
e you ever filed bankruptcy or has bankruptcy been filed against you? If yes, please provide the date of
Yes No
dis
charge:
If filed within the past 7 years, please provide a copy of the discharge.
5. CHILD SUPPORT QUESTIONNAIRE: YOU ARE REQUIRED TO CHECK ONE BOX.
I
am not subject to a court order for the support of a child.
I am subject to a court order for the support of one or more children and AM IN COMPLIANCE with that order
or plan approved by the district attorney or other public agency enforcing the order for the repayment of the
amount owed in that order.
I am subject to a court order for the support of one or more children and NOT IN COMPLIANCE with that order
or plan approved by the district attorney or other public agency enforcing the order for the repayment of that
amount owed in that order.
6. N
EVADA RESIDENT? Yes
No
If no, complete and attach a notarized Consent to Service of Process, Form 656.
7. DECLARATION: Signature of Applicant
I
, (print name) , hereby, under penalty of perjury, declare that the answers
contained in this application are true and correct; and I understand:
• That if I am subject to a court order for support of one or more children and I am not in compliance with that order or plan
m
y application for license, certification or renewal of a license or certification will be denied
;
• T
hat I will faithfully comply with all the statutes and regulations of the State of Nevada pertaining to the conduct of rea
l
estate
licensees in the State of Nevad
a;
• That by signing this application I authorize any person or institution to which reference is made by me in connection with the
ap
plication to release or divulge to the Real Estate Division any information in the possession of such person or institutio
n
r
egarding m
e.
Signature: Date:
Revised: 04/05/2024 Page 4 of 6 Form 549
NOTE: BROKER applicants are not required to sign “Acknowledgment of Intent to Employ” below.
f. This is to certify that I, (print name) , am a duly licensed broker,
Owner/Developer, Sales Manager, or Office Manager on active status registered with the Nevada Real Estate
Division of the Department of Business and Industry. It is my present intent to employ or associate with me the
within-named salesperson or broker-salesperson, (required). I will exercise careful
supervision over his/her real estate activities while he/she is associated with or employed for me.
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102
(702) 486-4033 / r[email protected] / http://red.nv.gov/
8. COMPANY AFFILIATION:
B
oth physical and mailing address must be located in the State of Nevada
.
a.
Provi
de Company Name: Fictitious name or d.b.a. (if applicable, as registered with the County Clerk’s Office):
b. Name of Corporation, LLC, or Partnership as registered with the Nevada Secretary of State:
c.
Locat
ion Address (provide number and street, state, and zip code)
:
N
V, 89
d. C
ompany Mailing Address (if different from the physical address above)
:
N
V, 89
e. B
usiness Telephone Number
: B
usiness Email Address:
Acknowledgment of Intent to Employ
Required: License Number of Broker, Sales Manager, or Office Manager:
Print name of Broker or Licensed Office Manager with Authority:
Signature of Broker or Office Manager with Authority:
Revised: 04/05/2024 Page 5 of 6 Form 549
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102
(702) 486-4033 / r[email protected] / http://red.nv.gov/
REPORT OF EXISTENCE OF NEVADA BUSINESS LICENSE
Pursuant to NRS 353C.1965
All applicants MUST complete this section. Please select ONE option.
I have a Nevada business license number assigned by the Nevada Secretary of State upon compliance with the
provisions of NRS Chapter 76.
My Nevada business license number is:
I have applied for a Nevada business license with the Nevada Secretary of State upon compliance with the
provision of NRS Chapter 76 and my application is pending.
I do NOT have a Nevada business license number.
The Real Estate Division is not the arbiter of determining whether the applicant needs a business license. Information
about the Nevada business license can be found on the Secretary of State’s website at: http://nvsos.gov
ARE YOU A VETERAN? YES
NO
Revised: 04/05/2024 Page 6 of 6 Form 549
P e 1 of 2
__________________ ___________________
Fingerprint Background Waiver
As an applicant who is the subject of a national fingerprint-based criminal history record check for a
noncriminal justice purpose (such as an application for employment or a license, an immigration or
naturalization matter, security clearance, or adoption), you have certain rights which are discussed below.
All notices must be provided to you in writing. These obligations are pursuant to the Privacy Act of 1974,
Title 5, United States Code (U.S.C.) Section 552a, and Title 28 Code of Federal Regulations (CFR), 50.12,
among other authorities.
1. You must be notified by
Nevada Real Estate Division
(name of requesting agency) that your
fingerprints will be used to check the criminal history records of the FBI and the State of Nevada.
2. Authority: The FBI’s acquisition, preservation, and exchange of fingerprints and associated information
is generally authorized under 28 U.S.C. 534. Depending on the nature of your application, supplemental
authorities include Federal statutes, State statutes pursuant to Pub. L. 92-544, Presidential Executive
Orders, and federal regulations. Providing your fingerprints and associated information is voluntary;
however, failure to do so may affect completion or approval of your application.
3. Principal Purpose: Certain determinations, such as employment, licensing, and security clearances,
may be predicated on fingerprint-based background checks. Your fingerprints and associated
information/biometrics may be provided to the employing, investigating, or otherwise responsible
agency, and/or the FBI for the purpose of comparing your fingerprints to other fingerprints in the FBI’s
Next Generation Identification (NGI) system or its successor systems (including civil, criminal, and
latent fingerprint repositories) or other available records of the employing, investigating, or otherwise
responsible agency. The FBI and/or the Central Repository for Nevada Records of Criminal History
may retain your fingerprints and associated information/biometrics in NGI after the completion of this
application and, while retained, your fingerprints may continue to be compared against other
fingerprints submitted to or retained by NGI.
4. Routine Uses: During the processing of this application and for as long thereafter as your fingerprints
and associated information/biometrics are retained in NGI
and/or Central Repository for Nevada
Records of Criminal History, your information may be disclosed pursuant to your consent, and may be
disclosed without your consent as permitted by the Privacy Act of 1974 and all applicable Routine Uses
as may be published at any time in the Federal Register, including the Routine Uses for the NGI system
and the FBI’s Blanket Routine Uses. Routine uses include, but are not limited to, disclosures to:
employing, governmental or authorized non-governmental agencies responsible for employment,
contracting, licensing, security clearances, and other suitability determinations; local, state, tribal, or
federal law enforcement agencies; criminal justice agencies; and agencies responsible for national
security or public safety.
5. If you have a criminal history record, you should be afforded a reasonable amount to time to correct or
complete the record (or decline to do so) before the officials deny you the employment, license, or
other benefit based on information in the FBI criminal history record. The procedures for obtaining a
change, correction, or update of your FBI criminal history record as set forth at, 28 CFR 16.34 provides
for the proper procedure to do so.
Applicant:
0505RCCD-003(08/2020rev)
Initial
Date
Fingerprint Background Waiver
6. If agency policy permits, the officials may provide you with a copy of your FBI criminal history record
for review and possible challenge. If agency policy does not permit it to provide you a copy of the
record, you may obtain a copy of the record by submitting fingerprints and a fee to the FBI. Information
regarding this process may be obtained at
https://www.fbi.gov/services/cjis/identity-history-
summary-checks and https://www.edo.cjis.gov .
7. If you decide to challenge the accuracy or completeness of your FBI criminal history record, you should
send your challenge to the agency that contributed the questioned information to the FBI.
Alternatively, you may send your challenge directly to the FBI by submitting a request via
https://www.edo.cjis.gov
. The FBI will then forward your challenge to the agency that contributed the
questioned information and request the agency to verify or correct the challenged entry. Upon receipt
of an official communication from that agency, the FBI will make any necessary changes/corrections to
your record in accordance with the information supplied by that agency. (See 28 CFR 16.30 through
16.34.)
8. You have the right to expect that officials receiving the results of the fingerprint-based criminal history
record check will use it only for authorized purposes and will not retain or disseminate it in violation of
federal or state statute, regulation or executive order, or rule, procedure or standard established by the
National Crime Prevention and Privacy Compact Council.
Nevada Real Estate Division
9. I hereby authorize ______________________________________________ (name of requesting agency), to submit a set
of my fingerprints to the Nevada Department Public Safety, Records Bureau for the purpose of
accessing and reviewing State of Nevada and FBI criminal history records that may pertain to me.
10. I hereby release from liability and promise to hold harmless under any and all causes of legal action,
the State of Nevada, its officer(s), agent(s) and/or employee(s) who conducted my criminal history
records search and provided information to the submitting agency for any statement(s), omission(s),
or infringement(s) upon my current legal rights. I further release and promise to hold harmless and
covenant not to sue any persons, firms, institutions or agencies providing such information to the State
of Nevada on the basis of their disclosures. I have signed this release voluntarily and of my own free
will.
A reproduction of this authorization for release of information by photocopy, facsimile or similar process,
shall for all purposes be as valid as the original.
In consideration for processing my application I, the undersigned, whose name and signature voluntarily
appears below; do hereby and irrevocably agree to the above.
Applicant’s Name:
PLEASE PRINT Last Name First Name Middle
Applicant’s Signature:
Date:
Agency Account #:
Agency Representative:
PLEASE PRINT
880131
Last Name First Name Middle
Agency Representative Signature:
Date:
0505RCCD-003(08/2020rev)
Fingerprint Background Waiver Page 2 of 2
