Fillable Form LI-220 is to be completed by broker (Arizona Department of Real Estate)

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Form LI-220 is to be completed by broker (Arizona Department of Real Estate)

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ADRE Lic Form LI-220 Broker to Salesperson rev 07.12.2012
Page 1 of 1
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
JUDY
LOWE
COMMISSIONER
BROKER TO SALESPERSON (FORM LI-220)
Form LI-220 is to be completed by broker licensees requesting a license renewal as a salesperson licensee. Submit
completed form by email or regular mail for approval and processing.
MARK ALL THAT APPLY
Associate Broker Designated Broker Sole Proprietor Active Inactive Expired
Licensee Name (print as it appears on Real Estate License)
License Number
Expiration Date
Email Address
Phone Number
Employing Designated Broker Name (print if applicable)
ATTESTATION
I fully understand:
I have the right to renew my broker license as a salesperson license per A.R.S. §32-2130 (J).
The approved salesperson license will be considered Inactive until licensee is
hired by an employing
broker.
Should a Brokers License be applied for in the future,
all requirements of Title 32, Chapter 20, Arizona
Revised Statutes, including the requirements prescribed by A.R.S. §32-2124 (C) must be met.
Licensee Signature
X
Date
Employing Designated Broker Signature (if applicable)
X
Date
Date
FOR ADRE USE ONLY
Approval Date
Date Stamp
Receipt
Effective Date
Time Frame
TF-1
TF-2
Processed By
Notice to Applicant Pursuant to A.R.S. § 41-1030
An agency shall not base a licensing decision in whole or in part on a licensing requirement or condition that is not specifically
authorized by statute, rule or state tribal gaming compact. A general grant of authority in statute does not constitute a basis for
imposing a licensing requirement or condition unless a rule is made pursuant to that general grant of authority that specifically
authorizes the requirement or condition.
This section may be enforced in a private civil action and relief may be awarded against the State. The court may award
reasonable attorney fees, damages and all fees associated with the license application to a party that prevails in an action
against the state for a violation of this section.
A State employee may not intentionally or knowingly violate this section. A violation of this section is cause for disciplinary action
or dismissal pursuant to the Agency's adopted personnel policy.
This section does not abrogate the immunity provided by section 12-820.01 or 12-
820.02
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Form LI-220 is to be completed by broker (Arizona Department of Real Estate)

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Completed 20 July 2020

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