Fillable Application for Arkansas Brokers License Experience Requirement (Arkansas Real Estate Commission)

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Application for Arkansas Brokers License Experience Requirement (Arkansas Real Estate Commission)

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ADDRESS
YOUR ROLE IN THE
TRANSACTION
PERSONAL
INTEREST
DATE OF
CLOSING
PRICE RANGE TYPE
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Name:
Application for Arkansas Broker’s License
Experience Requirement
“…documentation as the Commission deems satisfactory to demonstrate that the applicant has gained
experience in the real estate business equal to that which would be gained by a person engaged in the real
estate business on a full time basis during a minimum two year period of time; Listings, sales or other licensed
activities may be considered by the commission in determining whether the applicant meets this qualification;
Consideration shall be given to the broker applicant’s local real estate market and/or specialized area of real
estate practice. Any person whose application for broker license is denied by the executive director may appeal
such denial to the Commission provided the request for appeal is in writing and received in the office of the
Commission not later than sixty (60) days following the date of denial by the executive director.”
Please note that your application will not be considered complete until all required forms, documents and fees
are received. Please provide complete and detailed information.
EXPERIENCE SECTION I
COMPLETED TRANSACTIONS
INSTRUCTIONS
List all of your real estate activity for a period of at least two years during the last four
years. In Section I, include only real estate transactions that have closed. Use additional
sheets if necessary.
ADDRESS: List the property address.
YOUR ROLE IN THE TRANSACTION: Select the role you played in the transaction, either as representing
the seller, the buyer, or both. In some cases, you may have played another role for which you will select
“Other” and provide an explanation.
PERSONAL INTEREST: State whether or not you had a personal interest in the property, i.e., you owned the
property, a family member owned the property, etc.
DATE OF CLOSING: State the month and year when the transaction was closed.
PRICE RANGE: Select the corresponding price range for the property in question.
TYPE: Select the property type for the property in question.
As an applicant for original licensure as a broker, you must demonstrate that you have met the experience
requirements set forth in Commission Regulation 4.1(3). The guidelines for submitting said demonstration are
provided for in Regulation 4.1(a)(3)(A) and are as follows:
License Number:
Print Form
ADDRESS
YOUR ROLE IN THE
TRANSACTION
PERSONAL
INTEREST
DATE OF
CLOSING
PRICE RANGE TYPE
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
/
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
SECTION I – COMPLETED TRANSACTIONS
ADDRESS
YOUR ROLE IN THE
TRANSACTION
PERSONAL
INTEREST
STATUS PRICE RANGE TYPE
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
Pending
Unclosed
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
Pending
Unclosed
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
Pending
Unclosed
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
Pending
Unclosed
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
Pending
Unclosed
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
Seller’s Agent Buyer’s agent
Dual Agent
Other (describe duties):
No Yes
If “yes”, explain:
Pending
Unclosed
< $100,000
$100-$200,000
$200-$300,000
>$300,000
Residential
Commercial
Agricultural
Industrial
IF YOU HAVE 12 OR MORE COMPLETED TRANSACTIONS FOR ANY 2 YEAR PERIOD OF
THE PREVIOUS 4 YEARS, SKIP TO SECTION V. IF NOT, COMPLETE SECTIONS II, III AND IV.
EXPERIENCE SECTION II
UNCLOSED TRANSACTIONS
INSTRUCTIONS
Include only real estate transactions where the transaction is pending or did not close.
ADDRESS: List the property address.
YOUR ROLE IN THE TRANSACTION: Select the role you played in the transaction, either as representing
the seller, the buyer, or both. In some cases, you may have played another role for which you will select
“Other” and provide an explanation.
PERSONAL INTEREST: State whether or not you had a personal interest in the property, i.e., you owned the
property, a family member owned the property, etc.
STATUS: For unclosed transactions, select “Pending” or “Unclosed” to indicate the transaction's status.
PRICE RANGE: Select the corresponding price range for the property in question.
TYPE: Select the property type for the property in question.
STOP
ADDRESS
YOUR ROLE IN THE
TRANSACTION
PERSONAL
INTEREST
CONTRACT
DATES
PRICE RANGE TYPE
Seller’s Agent
Buyer’s agent
Dual Agent
No Yes
If “yes”, explain:
Begin Date:
/
< $100k
$100-$200k
$200-$300k
>$300k
Residential
Commercial
Agricultural
Industrial
Seller’s Agent
Buyer’s agent
Dual Agent
No Yes
If “yes”, explain:
Begin Date:
/
< $100k
$100-$200k
$200-$300k
>$300k
Residential
Commercial
Agricultural
Industrial
Seller’s Agent
Buyer’s agent
Dual Agent
No Yes
If “yes”, explain:
Begin Date:
/
< $100k
$100-$200k
$200-$300k
>$300k
Residential
Commercial
Agricultural
Industrial
Seller’s Agent
Buyer’s agent
Dual Agent
No Yes
If “yes”, explain:
Begin Date:
/
< $100k
$100-$200k
$200-$300k
>$300k
Residential
Commercial
Agricultural
Industrial
Seller’s Agent
Buyer’s agent
Dual Agent
No Yes
If “yes”, explain:
Begin Date:
/
< $100k
$100-$200k
$200-$300k
>$300k
Residential
Commercial
Agricultural
Industrial
Seller’s Agent
Buyer’s agent
Dual Agent
No Yes
If “yes”, explain:
Begin Date:
/
< $100k
$100-$200k
$200-$300k
>$300k
Residential
Commercial
Agricultural
Industrial
Seller’s Agent
Buyer’s agent
Dual Agent
No Yes
If “yes”, explain:
Begin Date:
/
< $100k
$100-$200k
$200-$300k
>$300k
Residential
Commercial
Agricultural
Industrial
SECTION III
CURRENT AGENCY AGREEMENTS
INSTRUCTIONS
Include only real estate transactions where an agency agreement is in place but a purchase
contract has not yet been signed.
ADDRESS: List the property address unless operating as buyer's agent only.
YOUR ROLE IN THE TRANSACTION: Select the role you played in the transaction, either as representing
the seller, the buyer, or both.
PERSONAL INTEREST: State whether or not you had a personal interest in the property, i.e., you owned the
property, a family member owned the property, etc.
CONTRACT DATES: List the beginning date by month and year for the contract.
PRICE RANGE: Select the corresponding price range for the property in question.
TYPE: Select the property type for the property in question.
ADDRESS PERSONAL INTEREST MANAGEMENT DATES TYPE
No Yes
If “yes”, explain:
Begin Date: /
End Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
Begin Date: /
End Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
SECTION IV
PROPERTY MANAGEMENT
INSTRUCTIONS
Include real estate transactions where you operated in a property management capacity.
ADDRESS: List the property address.
PERSONAL INTEREST: State whether or not you had a personal interest in the property, i.e., you owned the
property, a family member owned the property, etc.
MANAGEMENT DATES: List the beginning date and ending date for your management of the property in
question.
TYPE: Select the property type for the property in question.
ADDRESS
PERSONAL INTEREST
MANAGEMENT DATES
TYPE
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
No Yes
If “yes”, explain:
End Date: /
Begin Date: /
Residential
Commercial
Industrial
Agricultural
SECTION IV – PROPERTY MANAGEMENT
SECTION V
OPTIONAL NARRATIVE OF EXPERIENCE
Use the space below to provide the Commission with a summary of any other real estate-related
experience you have gained to date. You may include details concerning your role in commercial and/or
residential property management. You may also choose to refer to specific challenges or unique
situations encountered in the transactions disclosed in Sections I – III of this form and expound upon
their relevance in qualifying you for licensure as a broker. Attach additional sheets if necessary.
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Application for Arkansas Brokers License Experience Requirement (Arkansas Real Estate Commission)

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Completed 28 December 2021

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