ADRE Lic Form LI-220 Broker to Salesperson rev 07.12.2012
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IZONA DEPARTMENT OF REAL ESTATE (ADRE)
100 North 15th Avenue, Suite 201, Phoenix, Arizona 85007
DOUGLAS A. DUCEY
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)
Employing Designated Broker Name (print if applicable)
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
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.
Employing Designated Broker Signature (if applicable)