Temporary Permits

Form al1933

Form al1934

Form al1935

APPLICATION FOR RECIPROCAL APPRAISER LICENSE

SECTION I

___yes ___no 1. Have you ever been licensed or certified (or otherwise classified) as an appraiser in Alabama or in another state? (If your answer is yes, obtain from each state a certified history, not more than 30 days old, and attach it to this application.) If yes, what state or states? ______

If yes, under what name(s) and number(s)? __________

___yes ___no 2. Are you a high school graduate or the holder of a General Education Development (G.E.D.) certificate? (If your answer to this question is no, attach proof of education equivalency.)

___yes ___no 3. Have you ever been convicted of any criminal offence (other than minor traffic violations), 2) pled nolo contender to any criminal offence, or 3) been granted first offender treatment upon being charged with any criminal offence? (Attach full explanation if "yes" response)

___yes ___no 4. Have you ever been disciplined by the Alabama Real Estate Appraisers Board or any state or federal licensing agency or authority which regulates any profession? (Disciplinary actions include but are not limited to such actions as a reprimand, a suspension, a revocation, a fine, or any restriction or special requirements placed on your right to operate as a licensee.)

___yes ___no 5. Are there any criminal charges or licensing disciplinary proceeding pending against you at this time?

If you answer "yes" to questions 3, 4, or 5, above, attach details and a certified copy of any criminal conviction or final order. Obtain certified copies from the clerk of court in the county in which the conviction occurred or, if a license disciplinary action, from the agency issuing the license of certification. You should also attach any explanation of the circumstances surrounding the conviction or sanction which you think that the board should consider, and if you like, any letters of recommendation. Your application will not be processed without these documents.

SECTION II

1. 1. I am applying for an Appraiser: Trainee ___; License ___, Residential Certification ___, General

   Certification ___.

2. 2. ___Male ___Female
3. 3. Date of Birth: Month___ Day___ Year___
4. 4. Social Security Number: ______-______-______

5. 5. Name: _____________________________________________________________________

   Last First Middle

6. 6. Home Address: _______________________, ______, _______, ______, _______

   Street Route & Box City County State Zip

7. 7. Home Telephone: ______ Business Name: ______ Business Telephone: __________

8. 8. Business Address: ___________________, ______, _______, ______, _______

   Street Route & Box City County State Zip

9. 9. Preferred Address: __________________, ______, _______, ______, _______

   Street Route & Box City County State Zip

   SECTION III--Consent--Jurisdiction, Investigation and Certification

   I, as a non-resident applicant for an appraisal license and a licensees, agree that the State of Alabama Real Estate Appraisers Board shall have jurisdiction over me in any and all of my real estate related activities the same as if I were an Alabama resident licensee. I agree to be subject to investigations and disciplinary actions the same as Alabama resident licensees. Further, I agree that civil actions may be commenced against me in any court of competent jurisdiction in any court of the State of Alabama.

   I hereby appoint the executive director of the State of Alabama Real Estate Appraisers Board as my agent upon whom all disciplinary, judicial, or other process or legal notices may be served. I agree that such service upon my said agent shall be the same as service upon me and that certified copies of this appointment shall be admitted sufficient evidence thereof and shall be admitted into evidence with the same force and effect as the original might be admitted. I agree that any lawful process against me which is served upon my said agent shall be of the same legal force and validity as if personally served upon me and that this appointment shall continue in effect for as long as I have any liability as an appraiser remaining in the state of Alabama. I understand that my said agent shall, within a reasonable time after service upon him or her, mail a copy of same by certified mail, return receipt requested, to me, at my last known business address.

   I agree that I am bound by all the provisions of the state of Alabama Real Estate Appraisers Act. The undersigned applicant also certifies that all information given on this application is true, correct, and complete.

   Signed ___________________________________
   _______________

   NAME DATE