Form Rea-Amc-02 - Biographical Affidavit To Support (Page 4 of 4) in pdf

OATH

I hereby certify under penalty of perjury that I am acting on my own behalf and that the above and foregoing statements to include all

attachments hereto and any other supporting documents are true and correct to the best of my knowledge and belief.

___________________________________________________

(Signature of Affiant)

State of _________________________

County of _______________________

The foregoing instrument was acknowledged before me this ________day of ________, 20________

_______________________________________

[SEAL]

Notary Public

_______________________________________

My Commission Number

My Commission Expires

INSTRUCTIONS

This form must be completed by each Controlling Officer and each individual owning ten percent (10%) or more of any AMC applying for

registration in Oklahoma. Upon completion, a copy of this form shall be attached to the Form REA-AMC-02 and those two forms shall be

attached to the Form REA-AMC-01 for the Applicant Entity.

Oklahoma statutes define “Controlling person” as:

a. an owner, officer, manager, or director of a corporation, partnership, firm, association, limited liability company, or other

business entity seeking to offer appraisal management services in this state,

AND

b. an individual employed, appointed, or authorized by an AMC that has the authority to enter into a contractual relationship

with other persons for the performance of appraisal management services and has the authority to enter into agreements with

appraisers for the performance of appraisals, or

AND

c. an individual who possesses, directly or indirectly, the power to direct or cause the direction of the management or policies

of an AMC;

The Applicant Entity shall forward the original Biographical Affidavit to an acceptable third party vendor of the Applicant Entity's choosing with

instructions to complete the background investigation and forward the original report of the investigation directly to: Oklahoma Real Estate

Appraiser Board, 5 Corporate Plaza, 3625 NW 56th St, Ste 100, Oklahoma City, OK 73112. The Applicant Entity shall be responsible for

payment of the vendor.

Acceptable third party vendors are those listed at the following web address:

The heading of each independent verification report shall contain the name of the background investigation agency, date of report, name of

“Applicant Entity,” name of the individual for whom the report is prepared, and the social security number of the individual. The report shall

disclose all discrepancies and/or inconsistencies noted, if any.

Biographical Affidavit – Supplement to AMC-02 (1301)

Page 4 of 4

Form Rea-Amc-02 - Biographical Affidavit To Support Page 4