Application For Resident Broker'S License Form (Page 3 of 4) in pdf

Application For Resident Broker'S License Form Page 3

RECOMMENDATION OF THREE REAL ESTATE OWNERS

The following recommendations must be signed by three (3) citizens who have been property owners for at least three (3) years and who have

known the applicant for at least three (3) years.

“I certify that I am a citizen of Mississippi, have been a property owner for at least three (3) years, and I am not related to the applicant. The

applicant bears a good reputation for honesty and trustworthiness, therefore, I recommend that a real estate license be granted to the applicant.”

Signature ________________________________________________ Address __________________________________________________

(Street & Number)

(City)

(State) (Zip)

Print Name _______________________________________________

Signature ________________________________________________ Address __________________________________________________

(Street & Number)

(City)

(State) (Zip)

Print Name _______________________________________________

Signature ________________________________________________ Address __________________________________________________

(Street & Number)

(City)

(State) (Zip)

Print Name _______________________________________________

REAL ESTATE EDUCATION

List below courses you have completed to satisfy the education requirements. The original certificate, grade form or transcript, certified copy

thereof, must be attached.

COURSE

PROVIDER/INSTITUTION

NUMBER OF HOURS

Rev. 07/01/2015

Application For Resident Broker'S License Form Page 3