Appraisal Management Company Registration Application (Page 4 of 10) in pdf

Appraisal Management Company Registration Application Page 4

This application must be signed and dated in the presence of a Notary Public.

VERIFICATION

By signing this application, the undersigned attests that all information provided in the application is true, to the best

of the signatory’s knowledge; he/she is authorized to bind the applicant company; the applicant warrants that he/she/it

will provide all benefits required by law to be provided by employers to employees; and shall abide by all laws

applicable to Appraisal Management Companies in the State of New Mexico, including without limitation, the Real

Estate Appraisal Management Registration Act, NMSA 1978, Sections 47-41-1 through 23, and all rules promulgated

pursuant thereto.

Print name:

Title:

Applicant Signature:

Date:

NOTARIZATION

On this ______ day of ____________, 20 ____, _________________________ appeared before me, who is

personally known to me to be the person described in this application and the person whose signature appears on this

application; he/she swore under penalty of perjury that all information provided in this application is true and correct

to the best of his/her knowledge and acknowledged that this instrument was executed as his/her free act and deed.

Notary Public:

My Commission Expires:

Appraisal Management Company Registration Application

(Rev. 07/2015)

Appraisal Management Company Registration Application Page 4