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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