DBPR FREAB 2 Appraisal Management Company- Maintenance Effective: 2017 July Incorporated by Rules: 61-35.026, 61-6.043
State of Florida
Department of Business and Professional Regulation
Florida Real Estate Appraisal Board
Appraisal Management Company Maintenance
Form # DBPR FREAB - 2
APPLICATION CHECKLIST - IMPORTANT - Submit all items on the checklist below with your
application to ensure faster processing.
TRANSACTION APPLICATION REQUIREMENTS
Close AMC
Complete Sections I, II and VI
Company Address Change
Complete Sections I, III and VI
Company Name Change
Complete Sections I, IV and VI
Renewal Request
Complete Sections I, V and VI
Submit the required fee. Make check payable to the Florida
Department of Business and Professional Regulation.
Please mail your completed application, documentation and required fee(s) to:
Department of Business and Professional Regulation
2601 Blair Stone Road
Tallahassee, FL 32399-0790
Instructions
If you have any questions or need assistance in completing this application, please contact the
Department of Business and Professional Regulation, Customer Contact Center, at 850.487.1395.
1. Application Instructions (by section)
a. Section I - Transaction Type
i. Check only the applicable transaction(s) you are seeking.
ii. Contact information is often used to quickly resolve questions with applications by
telephone call or email. If contact information is not provided, questions regarding
applications will be mailed to the address provided and may take longer to resolve.
b
. Section II - Close AMC
i. This transaction allows an Appraisal Management Company to cancel their registration
with the Florida Real Estate Appraisal Board.
ii. The section must be completed by the authorized representative. Mail the completed
application to the address at the top of the form.
iii. There is no fee for this transaction.
c. Section III - Company Address Change
i. This transaction allows an Appraisal Management Company to change their current
mailing and/or physical address.
ii. Choosing this transaction will change the address on file with the Department but it will
not issue an updated license with the new address information. If you wish to have an
updated license issued, you must also complete Section V of this application or use your
online account and select ‘Print License Certificate’ and follow the prompts.
iii. There is no fee for an address change.
d. Section IV - Company Name Change
i. This transaction allows an Appraisal Management Company to change their registered
name with the Department of Business and Professional Regulation.
ii. Prior to applying for a name change with the Department, the name change must be
registered with the Florida Department of State, Division of Corporations.
DBPR FREAB 2 Appraisal Management Company- Maintenance Effective: 2017 July Incorporated by Rules: 61-35.026, 61-6.043
iii. If you wish to have an updated license issued, you must also complete Section V of this
application or use your online account and select ‘Print License Certificate’ and follow the
prompts. There is no fee for a name change.
f. Section V - Company Renewal Request
i. This transaction allows the Appraisal Management Company to renew their license
should they fail to receive a renewal notice or the notice has been lost.
ii. Send your request with a check or money order payable to: Department of Business and
Professional Regulation (DBPR).
iii. To avoid any late fees make sure the renewal is postmarked on or before the expiration
date of the license.
iv. A late fee will be accessed to all renewals postmarked after the expiration date.
v. For questions, you may contact the Customer Contact Center at 850.487.1395.
vi. Please check your renewal notification for current renewal fee.
g. Section VI - Affirmation by Written Declaration
i. The applicant must read and sign the affirmation by written declaration.
ii. If the applicant fails to sign the affirmation statement, the Department will not process the
application.
DBPR FREAB 2 Appraisal Management Company- Maintenance Effective: 2017 July Incorporated by Rules: 61-35.026, 61-6.043
State of Florida
Department of Business and Professional Regulation
Florida Real Estate Appraisal Board
Appraisal Management Company Maintenance
Form # DBPR FREAB - 2
Section I Transaction Types
CHECK ONLY ONE OF THE APPLICATION TYPES
(Use one form per transaction)
Close AMC -
(Complete Section II and VII) [8050]
Company Address Change - (Complete Section III and VII) [9006]
Company Name Change(Complete Section IV, and VII) [8001]
Renewal Request –– (Complete Section VI and VII) [2020]
CHECK YOUR APPRAISAL MANAGEMENT COMPANY TYPE
Corporation/Professional Association/LLC
Partnership
Sole Proprietorship
Other
CONTACT INFORMATION
Contact Person
Name: Phone Number: ( ) -
Contact Person AMC
Email Address: Email Address:
Section II – Close AMC
COMPANY INFORMATION
Name of Appraisal Management Company:
License # of Appraisal Management Company:
Section III – Company Address Change
Appraisal Management Company Name
Appraisal Management Company License #
City
State
Zip Code (+4 optional)
County
Country
City
State
Zip Code (+4 optional)
County
Country
DBPR FREAB 2 Appraisal Management Company- Maintenance Effective: 2017 July Incorporated by Rules: 61-35.026, 61-6.043
Section IV Company Name Change
COMPANY INFORMATION
This transaction is for changing the company’s name. Entities registered with the Division of
Corporation/Department of State must change their name there prior to making this request.
Appraisal Management Company License #:
Appraisal Management Company Name (previous)
Appraisal Management Company Name (new)
Signature of Authorized Representative
(date)
Section VCompany Renewal Request
COMPANY INFORMATION
This transaction is for renewing a license. Entities registered with the Division of Corporation/Department of
State must have a valid registration with them in order to be renewed.
Appraisal Management Company License #:
Appraisal Management Company Name
Signature of Authorized Representative
(date)
Section VI Affirmation By Written Declaration
AFFIRMATION BY WRITTEN DECLARATION
I certify that I am empowered to execute this application as required by Section 559.79, Florida Statutes.
I
understand that my signature on this written declaration has the same legal effect as an oath or
affirmation. Under penalties of perjury, I declare that I have read the foregoing application and the facts
stated in it are true. I understand that falsification of any material information on this application
may result in criminal penalty or administrative action, including a fine, suspension or revocation
of the license.
Signature:
Date:
Print Name: