Qualified Association Application Form printable pdf download

03/2017

Phone Number 717-783-3658

STATE REAL ESTATE COMMISSION

Fax Number: 717-787-0250

PO Box 2649

Harrisburg PA 17105-2649

QUALIFIED ASSOCIATION APPLICATION

Make sure this is the most recent application by checking our website. Failure to submit a current

application could result in delays while processing your application.

PLEASE READ THE FOLLOWING BEFORE PROCEEDING WITH THE APPLICATION PROCESS

If a pending application is older than one year from the date submitted and the applicant wishes to

continue the application process, the Commission shall require the applicant to submit a new application

including the required fee.

In order to complete the application process, many of the supporting documents associated with the

application cannot be more than six months from the date of issuance.

Failing to answer any questions or providing false answers may delay the issuance of a license or result in

disciplinary action once the license is issued.

Qualified Associations are corporations, limited liability partnerships (LLP), limited partnerships (LP), or

limited liability companies (LLC) registered with the Pennsylvania Corporations Bureau or the Corporation

Bureau of another state that:

1. DO NOT Possess any real estate licenses;

2. DO NOT hold themselves out to the public as providing real estate or real estate related

services.

3. ARE solely owned by licensees who are affiliated with the same broker.

INSTRUCTIONS

1. The application responses must be typed or printed in blue or black ink.

2. ATTACH TO THIS APPLICATION documentation verifying that you are incorporated or otherwise

organized under the laws of the Pennsylvania Corporations Bureau or the Corporations Bureau in

another state. This documentation must list the owners of the company, all of which must be

licensees who are affiliated with the same broker. Questions about corporate filings in Pennsylvania

should be directed to the Pennsylvania Corporation Bureau online at

If approved, a letter noting the establishment of a qualified association will be mailed directly to the

address that is provided on this application.

Licenses are not forwarded. Provide your current address to receive correspondence from the

Commission. It is the applicant’s responsibility to inform the Commission of an address or name change

within ten (10) days of the change. Refer to the “Name/Address Change” form located on our website.

PROCESSING INFORMATION

You should maintain a copy of this application until an approval letter has been issued.

Please see the Commission’s website

for additional information about licensure and

application requirements.

Qualified Association Application Form