Fillable DELEGATION OF AUTHORITY (FORM LI-204) (Arizona Department of Real Estate)

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DELEGATION OF AUTHORITY (FORM LI-204) (Arizona Department of Real Estate)

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ADRE Lic Form LI-204 DB Delegation rev 09.27.2013
AR
IZONA DEPARTMENT OF REAL ESTATE (ADRE)
Licensing Division
www.azre.gov
100 North 15th Avenue, Suite 201, Phoenix Arizona 85007
DOUGLAS A. DUCEY
GOVERNOR
J
UDY LOWE
COMMISSIONER
DELEGATION OF AUTHORITY (FORM LI-204)
Submit completed Form LI-204 using www.azre.gov Message Center
TYPE OF CHANGE BEING MADE:
ADD
CHANGE
REMOVE
BRANCH MANAGER STATUS (ARS §32-2127 (C))
DELEGATED ASSOCIATE BROKER (ARS §32-2151.01 (G))
30 DAY TEMPORARY ABSENCE DELEGATION (ARS § 32-2127(D))
(The 30 Day Temporary Absence Delegation is optional for
purposes
of submitting this form)
FULL AUTHORITY (ASSOCIATE BROKER ONLY)
LIMITED AUTHORITY (SALESPERSON/ASSOCIATE BROKER)
CONTRACT AUTHORITY ONLY*
EMPLOYMENT ACTION:
HIRE
TRANSFER
SEVER
NO CHANGE
Licensee Name (Print):
License Number:
Expiration Date:
Licensee Signature
X
Date
Entity Legal Name:
Entity License Number (Main or Branch Office):
Entity DBA Name:
Entity Expiration Date:
Entity Physical Address (Main or Branch Office Address of Licensee):
City:
State:
Zip Code:
Entity Phone:
Entity Mailing Address (Main or Branch Office):
Same as Physical Address
City:
State:
Zip Code:
Entity Fax:
1. BRANCH OFFICE MANAGER AUTHORITY
ASSOCIATE BROKER DELEGATION
OR
SALESPERSON DELEGATION
BRANCH OFFICE MANAGER (AND DELEGATED ASSOCIATE BROKER if authorized under A.
below) A.A.C. R4-28-304 (B) (1) may perform the following selected authorizations when dealing
with branch office transactions:
BRANCH OFFICE MANAGER A.A.C. R4-28-304 (B)(2)
may perform the following selected delegations when
dealing with branch office transactions:
A. Review and initial contracts or similar instruments A.R.S. §32-2151.01 (G).
A. Perform office management tasks that are not
statutory duties of the employing broker
B. Supervise the activity of salespersons and associate brokers.
B. Be a signer on the broker's trust account and
property management trust account
C. Hire and Sever a salesperson or associate broker.
D. Sign compensation checks.
E. Signer on branch office trust account and property management trust account.
F. Write checks from broker’s trust account.
G. Responsible for the handling of all trust account funds administered by the branch manager.
2. DELEGATED ASSOCIATE BROKER A.R.S. §32-2151.01(G) TO REVIEW AND INITIAL CONTRACTS OR SIMILAR INSTRUMENTS*
3. NINE (9) HOUR BROKER MANAGEMENT CLINIC (BMC) CONTINUING EDUCATION COURSE INFORMATION
(Required for Associate Broker authorities pursuant to A.R.S. §32-2151.01(G) for (1)(A) and/or (2) above.
BMC #1:
Course No:
Completion Date:
BMC #2:
Course No:
Completion Date:
BMC #3:
Course No:
Completion Date:
4. DESIGNATED BROKER TEMPORARY ABSENCE DELEGATION from ____________ to ____________ (No more than
30 days) A.R.S. § 32-2127(D) to perform any and all duties the designated broker may legally perform, except that a salesperson
may not hire and sever licensees.
AUTHORITY ATTESTATION
As the Designated Broker, I agree to the delegated authority as described above for the applicant and have reviewed the applicable
statutory and rule requirements. A.R.S. Title 32, Chapter 20, and Title 4, Chapter 28, Arizona Administrative Code.
Designated Broker(DB) Name (Print):
DB License Number:
Designated Broker Signature
X
Date:
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DELEGATION OF AUTHORITY (FORM LI-204) (Arizona Department of Real Estate)

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Completed 20 July 2020

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