Application For License For Real Estate Salesman Form 2000 (Page 3 of 4) in pdf

Reason for leaving

14.

List of addresses where you have resided or been engaged in business during the last five (5) years. Account

for the entire 5 year period.

Address

Length of Stay

___________________________________________

__________________________________________

___________________________________________

__________________________________________

___________________________________________

__________________________________________

___________________________________________

__________________________________________

15.

Following are the names and addresses of two owners of real estate in each of the cities listed in #14, other

than yourself.

________________________________________________________________________________________________

16.

STATE OF _________________________

County of _________________________

________________________________________, of lawful age, being by me duly sworn, on his/her oath states:

that he/she is the applicant named; that he/she has read the above application and knows the contents thereof

and that the same is true of his/her own knowledge.

Signed_____________________________________________

Applicant

Subscribed and sworn to before me this _____________day of ___________________________, ____________

My commission expires______________________________________

______________________________________________

Notary Public

17.

STATE OF _________________________

County of _________________________

_____________________________________________, responsible real estate broker, certify that the above

named applicant is in my opinion, honest, truthful and of a good reputation and that he/she is competent to

transact the business of a real estate salesman in such a manner as to safeguard the interest of the public; and

I therefore recommend that a salesman’s license be granted said applicant. I further certify that I will actively

supervise and train the applicant during the period the applicant is associated with me and requested license

remains in effect.

Application For License For Real Estate Salesman Form 2000 Page 3