Form Re-620-121 - Real Estate School Application - 2011
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Real Estate School Application
For validation only
You can use this form to apply for or renew approval to operate as a
real estate school. Approved schools can also use this form to report a
change of administrator, to add a co-administrator, or to report a change of
address or school name. Allow 45 days for processing original applications
and applications with changes. Approval is made upon receipt to renewal
applications with no changes. Approval is good for two years.
Send this completed form with a check or money order payable to the Department of Licensing to:
Real Estate
Department of Licensing
PO Box 9021
Olympia, WA 98507
Select one:
Original application – $250 non-refundable fee and all attachments listed on the next page
Renewal application for school ID number _____________ – $250 non-refundable fee
Change of administrator – no fee
Add co-administrator – no fee
Change of address – no fee
Change of school name – no fee
School information
FULL LEGAL NAME of school
School ID number (if applicable)
Physical address
City
State
ZIP code
Mailing address (if different)
City
State
ZIP code
(Area code) Telephone number
(Area code) Fax number
Email address
Contact person
(Area code) Telephone number (if different)
Form of ownership
Sole proprietorship
Partnership
Corporation
Limited partnership
Limited liability partnership
Limited liability company
Answer the following
Is this a subsidiary of another corporation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “Yes,” attach proof of current registration with the Washington Secretary of State’s office and the name, address,
and telephone number of the agent.
Administrator information
FULL LEGAL NAME
Experience as administrator (attach additional pages if necessary)
Educational institutions (describe)
Course or program delivery (describe)
Business activities related to real estate (describe)
Administrative experience in the field of real estate (describe)
RE-620-121 (R/4/11)W Page 1 of 2
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Parent category: Legal