229 Peachtree Street NE
Suite 1000 - International Tower
Georgia Real Estate Commission
Atlanta, GA 30303-1605
Phone: 404-656-3916
Georgia Real Estate Appraisers Board
Fax: 404-656-6650
Email: grecmail@grec.state.ga.us
Appraisal Management Company Registration Application
This form can be filled out on-line. Print TWO copies: one to sign and submit for processing and one for your records. Attach the fee and
supporting documentation to the application and mail to the address above. The registration is issued for one (1) year. Once the
completed application, including all supporting documents, is received the registration will be issued. An application requiring background
investigation will require additional time to process. Incomplete applications will be returned unprocessed and result in a $25.00 charge.
For the "Controlling Person" for the Appraisal Management Company, attach a notarized Lawful Presence Verification form
as detailed on our web site.
Include a non-refundable, registration fee paid by a cashier's check or money order for $1,000.00 made payable to the Georgia Real
Estate Appraisers Board.
For the "Controlling Person" for the Appraisal Management Company, attach a Georgia Criminal Information Center (GCIC) report if you
are a Georgia Resident. If you are not a resident of Georgia, attach a state wide criminal background report from your state of residency.
This report must not be more than 60 days old. A report from a party other than a law enforcement agency is not acceptable. Any incident
listed on the report must receive clearance. In addition, you must disclose any conviction, nolo contendere plea, or first offender sentence
not reflected on the report.
For an "Individual Owner with a direct ownership interest of more than 50% of an Appraisal Management Company" attach a Georgia
Criminal Information Center (GCIC) report if you are a Georgia Resident. If you are not a resident of Georgia, attach a state wide criminal
background report from your state of residency. This report must not be more than 60 days old. A report from a party other than a law
enforcement agency is not acceptable. Any incident listed on the report must receive clearance. In addition, you must disclose any
conviction, nolo contendere plea, or first offender sentence not reflected on the report.
Company Information
Section A
Company Name:
NOTE: List the Company Name under which you will be conducting business in the state of Georgia.
Business Address:
City:
State:
Zip Code:
County:
Business Phone Number:
Mailing Address:
State:
Zip Code:
City:
County:
Alternate Phone Number:
E-mail:
FOR OFFICE USE ONLY
Fee
Rec By
PI
Rec Dt
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Proc By & Proc Date
PLS
Codes
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GREAB
(11-2014)