ࡱ> q bjbjbb efef 8 NNNbbb8<|b.^R(z"E>EF ]]]]]]]$J`c~]N.JWBjE.J.J]"]\M\M\M.J^N]\M.J]\M\MYF5]ĐAJ\L]]0.^\L~cK~c5]~cN5]dFF\MG| H!FFF]]LFFF.^.J.J.J.J~cFFFFFFFFF X d:    Business Entity Name Change Form (Please print or type)  It is the licensees responsibility to file any name change with the Nevada Division of Insurance (Division) and  HYPERLINK "http://sos.state.nv.us/" Nevada Secretary of States Office at (775) 684-5708. Persons with questions regarding name changes, mergers, or dissolutions may contact the Divisions Producer Licensing Section in Carson City at (775) 687-0700, option 1, or in Las Vegas at (702) 486-4595. Nevada domestic entities must provide a filed copy of the Certificate of Amendment to the Articles of Incorporation as filed with the Nevada Secretary of State. Nonresident business entities may provide a letter of certification from the entitys home state insurance regulatory authority, a copy of the entitys current license, or license verification printout from the National Insurance Producer Database. Previous name: FEIN   New Business Entity Name Incorporation/Formation Date (month) ___(day) ___(year)______ __________ FEIN -  DBA (Provide Nevada County Clerk Filing if required by county) State of Domicile Country of Domicile If applicable, NASD Firm Central Registration Depository (CRD) Number Is the business entity affiliated with a financial institution/bank? Yes No Business Address City State Zip or Foreign Country Phone Number ( ) -  Fax Number ( ) - Business Web Site Address Business E-mail Address Mailing Address  P.O. Box City State Zip or Foreign CountryDesignated/Responsible Licensed Producer  If the business entitys name appears on the associated individuals license, a filing fee of $10 per person is required in order to produce a duplicate license referencing the new agency name on the individuals license. Attach a list of the entitys licensed producers or a list provided to the entity by the Division of Insurance. The business entity name change, address update, and duplicate license request may be submitted online utilizing the duplicate licenses, and address changes functionality at  HYPERLINK "http://www.doi.nv.gov" www.doi.nv.gov. Name SSN - - Name SSN - - Name SSN - - ________________________________________________________________________________________________________________________ SIGNATURE OF PERSON REQUESTING NAME CHANGE TITLE  NDOI 209 DOC 326 Business Entity Name Change (Rev 1.17.2020)     PAGE  PAGE 1 Department of Business and Industry Nevada Division of Insurance 1818 E. 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