LOUISIANA REAL ESTATE COMMISSION
9071 Interline Avenue
Baton Rouge, LA 70809
(225) 925-1923 or (800) 821-4529 (LA only)
Initial Branch Office License Application
Initial License Fee …………… $45.00
Personal checks, company checks, cashier’s checks, and money orders are accepted. Make fees
payable to the Louisiana Real Estate Commission. Please do not send cash through the mail.
1. LICENSEE REQUESTING A BRANCH OFFICE LICENSE
Provide the name of the individual, corporation, partnership, or limited liability company broker that is requesting
a real estate license for an additional location of the registered main office.
Name: _______________________________________________________________________________
License number: _______________________________________________________________________
Registered main office street address: ______________________________________________________
City, state, zip+4: ______________________________________________________________________
2. PROPOSED BRANCH OFFICE LOCATION
Street address: ________________________________________________________________________
City, state, zip+4: ______________________________________________________________________
Mailing address: _______________________________________________________________________
City, state, zip+4: ______________________________________________________________________
3. DESIGNATION OF BRANCH OFFICE MANAGER
Every branch office shall be under the direct supervision of a licensed individual broker who shall be designated in
writing as the branch office manager. A copy of the designation shall be submitted to the commission within five
days following the date of the original designation or any changes thereto. Nothing shall preclude a sponsoring
broker from acting as the branch office manager for one or more branch offices. A broker designated as a branch
office manager shall be subject to the duties and penalties prescribed for sponsoring brokers in R.S. 37:1430 et
seq.; however, this shall not relieve the sponsoring broker of the ultimate responsibility for the branch office
operation.
Name of designated branch office manager: _________________________________________________
License number: _______________________________________________________________________
ACKNOWLEDGEMENTS
By signature below, I hereby acknowledge that I am the designated branch office manager for the herein
named branch office location.
Signature of designated branch office manager: ____________________________________________
I acknowledge that I am the sponsoring or qualifying broker for the licensee requesting a branch office
license, and by signature below I hereby request that a real estate license be issued to the proposed
branch office location.
Signature of sponsoring or qualifying broker: _______________________________________________
IBO 12/2011
In accordance with Chapter 23 of the LREC Rules and Regulations, an office established for conducting any real
estate license activity at an address other than the registered address of the broker, wherein the name and
telephone number of the broker or agency is advertised in any way, shall be considered a branch office and
shall be licensed as such.
