Form 49384 - Branch Office Registration
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INDIANA REAL ESTATE COMMISSION
INDIANA PROFESSIONAL LICENSING AGENCY
BRANCH OFFICE REGISTRATION
402 West Washington Street, Room W072
Indianapolis, Indiana 46204
State Form 49384 (R / 8-09)
Telephone: (317) 234-3009
Fax: (317) 233-4236
E-mail: pla9@pla.in.gov
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
License number of company
Telephone number
Address of company (number and street, city, state, and ZIP code)
(
)
Principal broker
Signature
License number
Telephone number
Location of branch office (number and street, city, state, and ZIP code)
(
)
Managing broker of branch office
Signature
License number
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