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Form Il 505-0337 - Application For An Approved Real Estate School Branch Or Extension Location - Illinois Office Of Banks And Real Estate

APPLICATION FOR AN APPROVED REAL ESTATE SCHOOL BRANCH OR

EXTENSION LOCATION

PROFESSION

Office of Banks and Real Estate

CODE

500 East Monroe, Suite 200

Springfield, IL 62701

EDUCATION SECTION 217/782-3338

111

Important Notice: Completion of this form is necessary to accomplish the requirements outlined in The Real Estate Licensing Act of 2000.

Disclosure of this information is REQUIRED. Failure to comply may result in this form not being processed. This form has been approved by the

Forms Management Center.

A SIGNED LEASE, DIAGRAM AND FEE (IF APPLICABLE) MUST ACCOMPANY THIS APPLICATION

1. School Name

2. School Approval Number

110-

3. School Address (include street, city, state and zip code)

4. School Administrator

5. Telephone Number for Main School

(include Area Code)

( _ _ _ ) _ _ _ - _ _ _ _

6. Branch Location Name

What is the Maximum enrollment for any one course

at the branch location?

8. Branch Location Address ( include street, city, state, and zip code)

I hereby certify that all information herein is true and accurate to the best of my knowledge, that I am the person legally

authorized to sign this application, and that the above facilities comply with applicable fire codes.

School Administrator Signature

Date

IL 505-0337

Form Il 505-0337 - Application For An Approved Real Estate School Branch Or Extension Location - Illinois Office Of Banks And Real Estate