Form 6-Re - Application For Renewal Of Broker'S License
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Expiration Date
_______________________ __________________________
License #
Date Processed
_______________________ __________________________
Real Estate Commission
License Dates
Form#
NH OPLC – Technical Division
_______________________ __________________________
FORM 6-RE
Broker Ref #
Firm/Trade Name #
BROKER REN.
121 S Fruit St, Ste 201, Concord NH 03301
REV. 12/15
_________________ ___________________
Tel (603) 271-2701 Fax (603) 271-7928
http://
Check #
Amount
_____________________________________
index.htm
E-mail:
nhrec@nh.gov
Receipt #
APPLICATION FOR RENEWAL OF BROKER’S LICENSE
RENEWAL FEE $110.00
Renewal is permitted up to 6 months after expiration with an additional $60.00 late penalty fee. (Please note: During the 6 month late renewal period
after expiration date you are not permitted to practice real estate.)
Make checks payable to: TREASURER, STATE OF NEW HAMPSHIRE
PRINT OR TYPE. All questions must be answered in full. Do not leave any section of application blank, except where instructed to do so.
MR
MRS
MS
Applicant’s Full Legal Name: ___________________________________________________ Date of Birth: ____________________
Resident Physical Address: _____________________________________________________________________________________
____________________________________________________________________________________________
Resident Mailing Address: ____________________________________________________________________________________
___________________________________________________________________________________________
Resident Tel. #/Cell #: _________________/__________________ Resident E-mail: _______________________________________
Business Name _______________________________________________________________________________________________
Business Physical Address: _____________________________________________________________________________________
Business Mailing Address: _____________________________________________________________________________________
Business Tel: #: ______________________ Business Fax #: ____________________ Business E-mail: _______________________
It is important to keep your e-mail address up to date so the Commission can notify you of any law and/or administrative rule changes by e-mail.
Please check the e-mail address you prefer to have notices sent to
Resident
Business. If you don’t have an e-mail address, the Commission
will send a notification of any changes by postcard.
Which of the following is applicable?
LICENSE STATUS:
Inactive (must submit an affidavit for 3 hours of “core” continuing education; no bond required)
Active (must submit affidavits for 3 hours “core” & 12 hours of “elective” continuing education, and all principal
and managing brokers must submit an original $25,000 bond which runs concurrently with license dates.)
CONTINUING EDUCATION – Lists of approved core and elective courses may be found on the Commission web site at
index.htm
under licensing. Should you wish to have copies faxed or mailed to you, please
contact the Commission office at 603-271-2748. All courses must be completed within your 2 year renewal period.
BROKER TYPE:
“Principal broker” means the individual broker, including the broker designated by a corporation, partnership or
association, whom the New Hampshire Real Estate Commission holds responsible for the actions of licensees
who are assigned to such individual broker.
“Managing broker” means a broker who manages a branch office.
“Associate broker” means a broker who is employed by and operates under the supervision of a principal broker. (An
associate broker must have the Associate Broker Affiliation Form on page 3 of the application completed and signed by
the principal broker under which he/she will operate. The $25,000 bond is not required.) When you change your
employment as an associate broker from one principal broker to another you must promptly notify the Real Estate
Commission by completing a Form 5-RE, Amendment Notification form and submitting your wall certificate, pocket
id and a $20.00 fee.
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