Form 45666 - Application For Approval Of Real Estate Appraiser School Or Course Page 2
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3Attach: Textbooks, workbooks and instructional materials which will be returned upon review.
I (we) the undersigned, submit this application in conformance with IC 25-34.1-8-13, IC 25-34.1-8-14 and the rules of the Indiana Real Estate Commission
pertaining thereto for real estate appraiser course approval. I (we) understand that any violation of the license law or rules on my (our) part will subject me
(us) to loss of approval.
I (we) further certify that to the best of my (our) knowledge, the information given in this application is true and correct.
STA TE OF
}
SS:
COUNTY OF
Signa ture of principal, office r or dir ector of school or co urse p rovider
Si gnature of Notary P ublic
Printed name and title of p rincipal, o ffi cer or dire ctor of sch ool or co urse p rovi der
Pr inte d o r typed name of Notary Pu blic
Da te subscr ibed and swo rn to Nota ry Pub lic
Date commissio n e xpir es
Coun ty o f residence
SUMMARY OF DOCUMENTS TO BE ATTACHED BEFORE RETURNING THIS COMPLETED APPLICATION
1.
Copy of the certificate of incorporation.
2.
Certificate of good standing of the corporation issued by the Secretary of State of Indiana.
3.
Proof of surety bond in the amount of $10,000.
4.
Copy of accreditation certificate, if any.
5.
Detailed teaching syllabus.
6.
Certificate to be issued to students successfully completing course.
7.
Textbooks, workbooks, and instructional materials.
Return to: Indiana Professional Licensing Agency
REAL ESTATE APPRAISER LICENSURE AND CERTIFICATION BOARD
302 West Washington Street, Room E034
Indianapolis, Indiana 46204-2700
Date
Ap plicatio n a pproved
Date
Ap plicatio n d enied
Date
Ap plicatio n table d
Page 2 of 3 pages
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