Private Real Estate School Branch Application


An image of the North Carolin Real Estate Seal.


PLEASE REVIEW THE STATUTE AND RULES PRIOR TO COMPLETING THIS FORM


Character of School Owner(s)/Official(s)

The following questions apply to the school owner, school director, & the following persons involved with a business entity that owns the school: Corporation major officers & corporate shareholders with 10% or more ownership interest in any class of stock; limited liability company members & managers; partnership general partner & limited partners with a 10% or more ownership interest; & for other business entities, the major officers & any person with a 10% or more ownership interest.

If “Yes”, provide a copy of the court judgment, release from parole or probation, and a complete explanation from each affected person. *
*Accepted File Types: .tiff .tif .jpeg .jpg .txt .pdf .docx .doc .png
*Max file upload size 10MBs total.

Person #1* (required)

Total File Upload Size: 0.000*Mb

*Selected file(s) size exceed upload limitations of 10MBs

Person #2

Total File Upload Size: 0.000*Mb

*Selected file(s) size exceed upload limitations of 10MBs

If “Yes”, provide a copy of the licensing agency’s order and a complete explanation from each affected person. *
*Accepted File Types: .tiff .tif .jpeg .jpg .txt .pdf .docx .doc .png
*Max file upload size 10MBs total.

Person #1* (required)

Total File Upload Size: 0.000*Mb

*Selected file(s) size exceed upload limitations of 10MBs

Person #2

Total File Upload Size: 0.000*Mb

*Selected file(s) size exceed upload limitations of 10MBs


Signature & Certification

The undersigned declares that he/she has read the foregoing application and that the information provided therein, including any attachments, is true and correct to the best of his/her knowledge and belief, and that, if other than the sole owner, he/she is duly authorized by the applying business entity to file this application.

(Type your name)

Date Signed

8/23/2019

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34.236.190.216

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