Form Amc-1 - Application For Registering An Appraisal Management Company

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F
B
U
O
OR
OARD
SE
NLY
A
#:
D
A
:
PPLICATION
ATE
PPROVED
A
F
: $
 C
/C
 C
PPLICATION
EE
ASH
HECK
HARGE
D
D
:
P
B
:
EPOSIT
ATE
ROCESSED
Y
K
R
E
A
B
ANSAS
EAL
STATE
PPRAISAL
OARD
AMC-1
A
R
A
M
C
PPLICATION FOR
EGISTRATION OF AN
PPRAISAL
ANAGEMENT
OMPANY
(P
)
LEASE PRINT OR TYPE
G
I
ENERAL
NSTRUCTIONS
All questions must be answered.
Submit the completed application (editable .pdf format), all supporting documentation, and the applicable fee (see page 3) to: Kansas Real
Estate Appraisal Board, 700 SW Jackson, Ste. 804, Topeka, KS 66603.
A properly completed AMC-2 form and fingerprint card for the controlling person and each (individual) owner of more than 10% of the
AMC.
Questions regarding the application should be directed to the Board office at (785) 296-6736 or via e-mail to
cheryl.magathan@kreab.ks.gov.
P
I – A
M
C
ART
PPRAISAL
ANAGEMENT
OMPANY
1. L
N
:
FEIN #:
EGAL
AME
2. A
O
T
B
N
:
LL
THER
RADE OR
USINESS
AMES
3. B
A
:
USINESS
DDRESS
T
S
C
S
Z
C
HIS MUST BE THE BUSINESSES PHYSICAL ADDRESS
TREET
ITY
TATE
IP
ODE
4. M
A
AILING
DDRESS [
]
IF DIFFERENT FROM THE ABOVE
S
PO B
C
S
Z
C
TREET OR
OX
ITY
TATE
IP
ODE
5. B
P
:
F
:
W
:
USINESS
HONE
AX
EBSITE
P
II – C
P
ART
ONTROLLING
ERSON
6. N
:
T
:
AME
ITLE
7. M
A
:
AILING
DDRESS
S
PO B
C
S
Z
C
TREET OR
OX
ITY
TATE
IP
ODE
8. R
A
:
ESIDENCE
DDRESS
T
A
P
A
:
S
C
S
Z
C
HIS MUST BE THE
GENTS
HYSICAL
DDRESS
TREET
ITY
TATE
IP
ODE
9. B
P
:
F
:
E-
:
USINESS
HONE
AX
MAIL
P
III – D
E
ART
ESCRIPTION OF
NTITY
10. L
S
:
 D
C
 F
C
 P
 L
P
EGAL
TRUCTURE
OMESTIC
ORPORATION
OREIGN
ORPORATION
ARTNERSHIP
IMITED
ARTNERSHIP
 D
LLC
 F
LLC
 S
P
 O
OMESTIC
OREIGN
OLE
ROPRIETOR
THER
I
“O
”,
:
F
THER
DESCRIBE
D
K
:
 Y
 N
If the applicant is not domiciled in Kansas, attach proof that the applicant is properly and
OMICILED IN
ANSAS
ES
O
currently registered with the Kansas Office of the Secretary of State.
AMC-1 [01.27.2015]
P
1
3
AGE
OF

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