application for additional place of business

FORM 20
APPLICATION FOR ADDITIONAL PLACE OF BUSINESS
(Section 27, Real Estate Agents Act 1976)
Please print clearly
Application is made by:
OFFICE USE
RECEIPT
Name of Licence
BM ID:
BM CERT
Street Address of Principal Place of Business
D/R
Licence No
APPROVED
Phone No
1. To carry on business as a real estate agent at the following additional place of business:
BRANCH
CODE
PHYSICAL ADDRESS OF NEW OFFICE
TELEPHONE No
POST CODE
DATE STAMP
ADDITIONAL INFORMATION TO BE PROVIDED
If you are taking over a current operation of an existing licence, please provide, by way of letter, details of that licence name and
address, together with a list of the salespeople to be retained.
2. The additional place of business will be under the effective control of:
Full legal name of
branch manager
Residential
address:
a)
Who is an approved branch manager within the meaning of the Act
□
b)
Application for a branch manager certificate has been lodged
□
OR
Dated at
Day of
this
20
Printed
Name of Signatory
Signature
Licensee or Principal/Director
INSTRUCTIONS
1.
SEND the original form to the Real Estate Agents Licensing Board, PO Box 99-881, Newmarket, Auckland
together with the prescribed fee of $112.50 (GST inclusive).
2.
SEND a copy of the application to the National Office of the Institute. PO Box 5663, Auckland
3.
KEEP a copy of the application for your records.
4.
ENCLOSE your current licence document for amendment.
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