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NEVADA STATE CONTRACTORS BOARD

NEVADA STATE CONTRACTORS BOARD2310 CORPORATE CIRCLE, SUITE 200, HENDERSON, NEVADA , 89074 (702) 486-1100 FAX (702) 486-1190, INVESTIGATIONS (702) 486-1110 5390 KIETZKE LANE, SUITE 102, RENO, NEVADA , 89511 (775) 688-1141, Fax (775) 688-1271, Investigations (775) 688-1150 NEVADA STATE CONTRACTORS BOARD Rev 11/11 Application for change in business name Page 1 of 2 APPLICATION FOR change IN business name type or print in ink when completing this sure this application is properly the required application fee of $ all instructions carefully. The BOARD desires to provide courteous and timely service to all applicants. Tomaximize its efficiency and the level of service, the BOARD will process complete applications only. A completeapplication includes all applicable supporting documents and fees. The BOARD will not act as your agent ingathering information or supporting documents necessary for the consideration of your license applications will be returned to no space blank.

Nevada State Contractors Board Rev 11/11 pplication for Change in Business Name A Page 2 of 2 . SECTION 3 - SUPPORTING DOCUMENTATION: Attach the applicable supporting documentation required by your business entity type.

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