STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102
(702) 486-4033 / realest@red.nv.gov / http://red.nv.gov/
Revised 9/4/2020 Page 1 of 5 572
RENEWAL APPLICATION
APPRAISAL MANAGEMENT COMPANY
PLEASE READ CAREFULLY
The Appraisal Management Company renewal application is for a one (1) year renewal period.
Renewals postmarked up to midnight of the expiration date are accepted. Late renewals must reapply.
Acceptable forms of payment are check, cashier check or money order made payable to the Nevada Real Estate
Division.
Complete a separate 571B Form for each Branch Location.
RENEWAL FEES
PRINCIPAL OFFICE $500.00 BRANCH OFFICE $100.00
REGISTRATION INFORMATION
AMC COMPANY NAME (Please print):
FID (Required):
Registration Number: Expiration Date:
Check one box: Principal Office Branch Office
Qualified Employee (Enter name):
COMPANY LOCATION INFORMATION
Location Address:
City: State: Zip Code:
Mailing Address (if applicable):
City: State: Zip Code:
Phone Number: Email Address:
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Revised 9/4/2020 Page 2 of 5 572
NATIONAL REGISTRY INFORMATION COLLECTION
A. SINGLE STATE AMC Answer the following
Does your AMC oversee a panel of 15 or more certified or licensed appraisers in one state within the year
immediately preceding this application, that have been recruited, selected, and retained to perform appraisals in
connection with a covered transaction? Yes No
B. MULTI-STATE AMC Answer the following
Does your AMC oversee a panel of 25 or more certified or licensed appraisers in more than one state within the year
immediately preceding this application, that have been recruited, selected, and retained to perform appraisals in
connection with a covered transaction? Yes No
If “No,” to A or B above the AMC does not qualify, go to section E.
C. Is this AMC owned and controlled by an insured depository institution regulated by the OCC, the Federal Reserve, or
the FDIC (Federally Regulated)? Yes No
D. AMC REGISTRY FEE CALCULATION Answer the following
During the immediately preceding 12-month time frame, that ends the first day of the month prior to the month your
AMC registration expires, how many appraisers performed appraisals in connection with a covered transaction in the
State of Nevada?
Fee Calculation period to , (12-month period) during the fee calculation
period, how many appraisers performed appraisals in connection with a covered transaction?
X $25.00 = (total amount due)
EXAMPLE OF TIME FRAME FOR REPORTING: If License renewal is due February 15, 2020, the time frame
for reporting to the National Registry for a renewal in February 2020, would be from January 1, 2019 to December
31, 2019. AMC has the month prior to renewal to collect preceding years data.
Covered transactions are any appraisals that were performed for consumer credit transactions secured by the
consumer’s principal dwelling unit.
E. CERTIFICATION
You must maintain the yearly registration of your Nevada AMC license. Your registration will be closed if it is not
renewed before the expiration date. If you do not renew the AMC registration, you may no longer provide services in
the State of Nevada.
F. Does the AMC have an owner, in whole or part, directly or indirectly, that has had an appraiser
credential refused, denied, cancelled, surrendered in lieu of revocation, or revoked in any State for
substantive cause and the credential has not been reinstated?
G. Does the AMC have a person who owns more than 10% of the AMC who is not of good moral
character?
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Revised 9/4/2020 Page 3 of 5 572
ADDITIONAL FORMS: Forms 571A and 571B
571A: Individual Application Form
571B: AMC Branch Office Application
AMC National Registry Calculation Cheat Sheet
Renewal Month
Start Date
End Date
February 2020
1/1/2019
12/31/2019
March 2020
2/1/2019
1/31/2020
April 2020
3/1/2019
2/29/2020
May 2020
4/1/2019
3/31/2020
June 2020
5/1/2019
4/30/2020
July 2020
6/1/2019
5/31/2020
August 2020
7/1/2019
6/30/2020
September 2020
8/1/2019
7/31/2020
October 2020
9/1/2019
8/31/2020
November 2020
10/1/2019
9/30/2020
December 2020
11/1/2019
10/31/2020
This gives AMCs the month prior to the renewal month to collect all the data to be submitted to the Division, by
the assigned renewal date to be entered on the National Registry.
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Revised 9/4/2020 Page 4 of 5 572
APPLICANT SIGNATURE
A Principal, General Partner, Director, Officer, Trustee, Manager or Registered Agent who is designation to
act on behalf of the Appraisal Management Company must print their name, sign, and date the renewal form:
I hereby certify under penalty of perjury that the answers contained in this application are true and
correct.
I further certify that I will faithfully comply with all the statutes and regulations of the State of Nevada
pertaining to the conduct of an Appraisal Management Company registered in the State of Nevada.
Print Name:
Signature: Date:
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Revised 9/4/2020 Page 5 of 5 572
REPORT OF EXISTENCE OF NEVADA BUSINESS LICENSE
Pursuant to NRS 645C
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/.