ࡱ> oqn'` bjbjLULU .?.?/ * * * > 84$> ZBL0$!hl#\* W|WWu111WdR* 1W11 "* 16 9͜d1*0Z1##1#* 1Z5@1u4dZWWWW> > > > > > > > >     VOLUNTARY SURRENDER OF LICENSE Licensees may utilize this form to notify the Nevada Division of Insurance (Division) of the licensees intention to voluntary surrender a Nevada license, effective immediately. Pursuant to (NRS) 679A.190, the expiration or voluntary surrender of a license or certificate issued pursuant to the provisions of this Code does not: 1. Prohibit the Commissioner from initiating or continuing a disciplinary proceeding against the holder of the license or certificate; or 2. Prevent the imposition or collection of any fine or penalty authorized pursuant to the provisions of this Code against the holder of the license or certificate. Surplus Lines Brokers must contact the  HYPERLINK "http://www.nsla.org/" Nevada Surplus Lines Association as well as the Divisions Corporate and Financial Affairs Section to determine if there are any deficiencies in the brokers Quarterly or Annual Surplus Lines Broker Statement Filing Reports. Business entities must contact the  HYPERLINK "http://sos.state.nv.us/" Nevada Secretary of States Office to determine the appropriate steps to withdraw the entitys qualification to do business in this state. Name: ________________________________________________________________________ Nevada License Number: ________________________________________________________ FEIN/SSN/NPN: _______________________________________________________________ Upon receipt of the request to voluntarily surrender a license, the Division will inactivate the license, affiliation(s), and all appointments held by a licensee in this state. Pursuant to Nevada Revised Statute NRS 683A.480, the licensee must surrender its license to the Commissioner. Licenses are being returned  FORMCHECKBOX  Licenses are being destroyed  FORMCHECKBOX  Licenses are misplaced and will be destroyed if found  FORMCHECKBOX  Licensees Signature: _____________________________________ Date: _____________ NDOI 237 DOC 323B Voluntary Surrender of License (rev 2.01.12)     Department of Business and Industry Nevada Division of Insurance 1818 E. 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