Appraisal Management Company Registration Application printable pdf download

Appraisal Management Company Registration Application

NM REAL ESTATE APPRAISERS BOARD

New Mexico Regulation and L icensing Department

BO A RD S A ND CO M MI S SIO N S D I VI SI ON

P .O . Box 251 01 ▪ S an ta F e, N ew Mexi co 87504

( 505) 476-4622 ▪ F ax (505) 476- 4665

▪ D.st at e.nm .u s

APPRAISAL MANAGEMENT COMPANY

REGISTRATION APPLICATION

Incomplete application and fee will be returned to applicant.

APPLICATION FEE

The Initial

egistration Fee is $1,000. Please submit payment with this application by check or money order payable to

NM Real Estate Appraisers Board.

Date of Application:

NM State Tax CRS ID Number:

Federal Tax ID Number:

A. TYPE OF ENTITY: check only the box that applies to the business entity type of the applicant.

Domestic Corporation

Foreign Corporation

Partnership

Sole Proprietor

Domestic LLC

Foreign LLC

Limited Partnership

Other:

B. For BUSINESS ENTITY OTHER THAN A SOLE PROPRIETOR, complete this section.

1. Name of Company to be Licensed:

2. Street Address of Principal Place of Business:

City:

County:

State:

Zip:

3. Mailing Address (if different):

Business Phone:

Fax:

E-mail:

Mailing City:

Mailing State:

Mailing Zip:

4. Point of Contact:

Title or Position:

Business Phone:

Fax:

(Required)E-Mail:

C. If applicant is a SOLE PROPRIETOR/INDIVIDUAL, complete this section.

Name:

DBA:

SSN:

D.O.B.

Place of Birth (City/State):

Residence Street Address:

City:

State:

Zip:

Business Street/P.O. Box Address (if different):

Business City:

Business State:

Business Zip:

Business Phone:

Fax:

Residence Phone:

(Required) E-Mail:

Appraisal Management Company Registration Application

(Rev. 03/2015)

Appraisal Management Company Registration Application

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