Certified Appraiser Testing Application Page 2
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210. Have you even been convicted, pled guilty or nolo contendere, to any felony crime in any court of competent
jurisdiction?
□
□
Yes
No
If “Yes”, include a detailed letter of explanation with this application.
APPLICANT CERTIFICATION
I attest that I am a citizen of the United States or a lawfully admitted alien, that I have received my high school
diploma or certificate of equivalency, and that I am eighteen years of age or older.
I have knowledge and
understanding of the provisions of R.S. 1950, Title 37, Chapter 51 and amendatory acts and the Rules and
Regulations of the Louisiana Real Estate Appraisers Board. I agree to comply with all laws and rules embodied
therein. I hereby acknowledge the forfeiture of all fees filed with this application in the event that I do not obtain
the license for which I am applying. I hereby certify that all information provided herein is true and correct, and
the Board may rely on its truthfulness in considering this application.
______________________________________________
_______________________________
Applicant’s Signature
Date
ACKNOWLEDGEMENT
STATE OF _____________________________________ PARISH/COUNTY _______________________________
BE IT KNOWN, That before me, the undersigned authority, personally appeared __________________________.
well known to me, who did declare and acknowledge that ______ signed the foregoing instrument for the objects
and purposes therein expressed, and said applicant herein being duly sworn by me, Notary, deposed and said that
all and singular the facts set forth in the foregoing application are true and correct.
SWORN TO and subscribed before me, Notary, on this the ________ day of ___________________, 20_____.
________________________________________________
Notary Public
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