Form Il 505-0659 - Leasing Agent Duplicate Renewal Form

ILLINOIS DEPARTMENT OF FINANCIAL AND

PROFESSIONAL REGULATION

DIVISION OF REAL ESTATE

320 WEST WASHINGTON STREET

SPRINGFIELD, IL 62786

REAL ESTATE LEASING AGENT REINSTATEMENT

2014 REAL ESTATE LEASING AGENT REINSTATEMENT APPLICATION AND INSTRUCTIONS

READ INSTRUCTIONS BEFORE COMPLETING THIS FORM

1. Complete and print page 2 of this document and MAIL with correct fee to the above address. THIS FORM

CANNOT BE SUBMITTED ELECTRONICALLY.

License fee on or before:

07/31/2014

$100.00

License fee on or after:

08/01/2014

$150.00

*You must reinstate your license within two years of the expiration date, or you will have to meet the

licensing requirements of a new applicant.

2. Payment must be in the form of a check or money order made payable to the Illinois Department of

Financial and Professional Regulation. FEES ARE NOT REFUNDABLE. After reading the following

instructions, if you have any questions call 800/560-6420.

3. Please make any name and/or address changes for your license in the area provided. A P.O. Box must be

accompanied by a street address. CHANGE OF NAME MUST BE ACCOMPANIED BY

DOCUMENTARY PROOF (ie., certified or photocopy of a marriage certificate, divorce decree, or court

order). A COPY OF YOUR SOCIAL SECURITY CARD OR DRIVER’S LICENSE IS NOT

ACCEPTABLE.

4. If you are changing sponsors, or the sponsor number is incorrect, or no number is indicated, your sponsor

must complete a 45-DAY-PERMIT SPONSOR CARD. This requires a $25 fee in addition to the

reinstatement fee.

5. Licensees are required to complete 6 hours of continuing education (CE). However, if this is your first

reinstatement, you are exempt from the continuing education requirements for this reinstatement only. Only

CE earned between 8/1/2012 and 7/31/2014 satisfies the CE requirements for this renewal period. Do not

submit CE documentation with the reinstatement application. Retain all of your original CE

certificates of completion.

6. This form must be signed by the licensee. The managing broker only needs to sign this form if you are

changing your sponsoring broker at this reinstatement.

7. Disclosure of applicant's Social Security Number is mandatory pursuant to 42 U.S.C. 666(a)(13) and 5 ILCS

100/10-65(c) for use under the State's child support enforcement program.

***Check out our WEB SITE - information regarding IDFPR updates and on-line renewals.***

Practice as a leasing agent after the expiration of your license shall constitute unlicensed

practice which may result in civil/criminal penalties and discipline of your license.

IL 505- 0659 (Rev 9/14) This form has been approved by the Agency Forms Coordinator.

Form Il 505-0659 - Leasing Agent Duplicate Renewal Form - 2014