State Form 49384 - Branch Office Registration - Indiana Real Estate Commission
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1INDIANA REAL ESTATE COMMISSION
INDIANA PROFESSIONAL LICENSING AGENCY
BRANCH OFFICE REGISTRATION
INDIANA REAL ESTATE COMMISSION
302 W. WASHINGTON STREET, ROOM E034
State Form 49384 (4-99)
INDIANAPOLIS, IN 46204
TELEPHONE (317) 232-2980
FAX (317) 232-2312
NO FEE
* A BROKER MAY NOT MANAGE MORE THAN ONE OFFICE.
* A PRINCIPAL BROKER MAY NOT MANAGE A BRANCH OFFICE.
* BRANCH MANAGER MUST BE A BROKER-SALESPERSON ASSOCIATED WITH THE PRINCIPAL BROKER.
Name of company
Company license number
Company address (number and street, city, state, ZIP code)
Telephone number
Principal broker
Signature
License number
Telephone number
Branch office location (number and street, city, state, ZIP code)
Branch office managing broker
Signature
License number
INDIANA REAL ESTATE COMMISSION
INDIANA PROFESSIONAL LICENSING AGENCY
BRANCH OFFICE REGISTRATION
INDIANA REAL ESTATE COMMISSION
302 W. WASHINGTON STREET, ROOM E034
State Form 49384 (4-99)
INDIANAPOLIS, IN 46204
TELEPHONE (317) 232-2980
FAX (317) 232-2312
NO FEE
* A BROKER MAY NOT MANAGE MORE THAN ONE OFFICE.
* A PRINCIPAL BROKER MAY NOT MANAGE A BRANCH OFFICE.
* BRANCH MANAGER MUST BE A BROKER-SALESPERSON ASSOCIATED WITH THE PRINCIPAL BROKER.
Name of company
Company license number
Telephone number
Company address (number and street, city, state, ZIP code)
Principal broker
Signature
License number
Telephone number
Branch office location (number and street, city, state, ZIP code)
Branch office managing broker
Signature
License number
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