Appraisal Management Company Registration Application Page 3
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10E. CONTROLLING PERSON (CP)
Designate one person who will submit to service of process. Please mail a completed, signed and notarized
Authorization for Release of Information form for this individual with a fee in the amount of $15.00 made payable to
the New Mexico Department of Public Safety for state criminal history background check.
Name:
Title or Position:
Street Address:
City:
State:
Zip:
Address of Business:
Business Phone:
Fax:
(Required)E-Mail:
F. EMPLOYEE IN CHARGE (EIC)
Check if this individual is also the designated CP.
Designate main contact for all communication between AMC and the Board. Please mail a completed, signed and
notarized Authorization for Release of Information form for this individual with a fee in the amount of $15.00 made
payable to the New Mexico Department of Public Safety for state criminal history background check.
Name:
Title or Position:
Street Address:
City:
State:
Zip:
Address of Business:
Business Phone:
Fax:
(Required)E-Mail:
G. CERTIFICATION OF REGISTRATION REQUIREMENTS
Please answer the following questions by choosing the respective answers:
Yes
No
The Controlling Person certifies that the Appraisal Management Company (AMC) has a system and
process in place to verify that an appraiser selected and retained for the network or panel of the AMC
holds a state license or certification in good standing in New Mexico pursuant to the requirements of
the Real Estate Appraisers Act.
Yes
No
The Controlling Person certifies that the AMC has a system and process in place to verify that only
licensed or certified appraisers are used for federally related transactions.
Yes
No
The Controlling Person certifies that the AMC has a system in place to review on a periodic basis, the
work of all appraisers performing real property appraisals or appraisal reviews for the AMC to ensure
that the real property appraisals and appraisal reviews are conducted in accordance with uniform
standards of professional appraisal practice.
Yes
No
The Controlling Person certifies that the AMC maintains a detailed record of each service request that
the AMC receives and the appraiser that performs the real property appraisal or appraisal review for the
AMC.
Yes
No
The Controlling Person certifies that the owner(s) of the AMC applying for registration has not had a
license or certificate to act as an appraiser refused, denied, canceled, surrendered in lieu of revocation,
or revoked in New Mexico or any other state.
Yes
No
The Controlling Person certifies that the owner(s) of the AMC applying for registration has not had any
disciplinary that affects their legal ability to act as an appraisal management company in New Mexico
or any other state.
Yes
No
The Controlling Person certifies that all principals of the AMC applying for registration has not had a
license or certificate to act as an appraiser refused, denied, canceled, surrendered in lieu of revocation,
or revoked in New Mexico or any other state.
Yes
No
The Controlling Person certifies that all principals of the AMC applying for registration have not had
any disciplinary action that affects their legal ability to act as an appraisal management company in
New Mexico or any other state.
Appraisal Management Company Registration Application
(Rev. 07/2015)
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