Initial Real Estate Salesperson License Application – Part A – Page 3 of 3
IRREVOCABLE CONSENT TO SERVICE OF PROCESS AND POWER OF ATTORNEY FOR
RECIPROCAL AND NON-RESIDENT APPLICANTS ONLY: I do hereby irrevocably make, constitute,
and appoint the Executive Director of the Louisiana Real Estate Commission, and any successors
in office, my true and lawful attorney-in-fact, and in the State of Louisiana, upon whom all process of
law concerning me in any legal action or proceeding may be served, subject to and in accordance
with all laws of the State of Louisiana and all amendments thereto, and I do hereby specifically agree that
in any and all such legal processes of law, which may be served upon my attorney-in-fact, shall be
deemed served upon me personally, and that all such processes of law served upon my attorney-in-fact
shall have the same effect as if I were a resident of the State of Louisiana and have been personally
served with such process of law.
CERTIFICATION AND ACKNOWLEDGMENT FOR ALL APPLICANTS: I attest that I have knowledge of
and understand the provisions of the Fair Housing Act of 1968, the Louisiana Equal Housing Opportunity
Act, and any amendments thereto, and that I will neither induce nor attempt to induce any person to sell or
rent any dwelling by representation regarding the entry or prospective entry into an area, subdivision or
neighborhood of a person or persons of a particular race, color, religion or national origin. I
hereby acknowledge the forfeiture of all fees filed with my application for a Louisiana real
estate license in the event that I do not obtain the license for which I have applied. Further, if this
application is acted upon favorably, I agree to comply with all the laws embodied in Title 37,
Chapter 17, Louisiana Revised Statutes of 1950, and amendatory acts, and the Rules and
Regulations of the Louisiana Real Estate Commission. I hereby certify that all the information
provided herein is true and correct and the Louisiana Real Estate Commission may rely on its
truthfulness in considering this application.
Signature of Applicant Date
received and accepted. Background reports expire in 120 days, so make sure to time your submission as
close as possible to taking the exam. The following is an important part of the application process.
Please proceed with care. IMPORTANT: If you do not have a sponsoring broker at the time of
application for testing, only Part A-Initial Real Estate Salesperson License Application should be
submitted. Upon passage of the examination, you will have 90 days to secure a sponsoring broker
and submit Part B-Initial Real Estate Salesperson Sponsorship Affidavit to complete the licensing
process. Upon passage of the examination, but prior to the issuance of a license, you must show proof
of Errors and Omissions insurance coverage. A license will not be issued until such proof is provided.
Please notify the LREC of any disability which may require special accommodations, auxiliary aids, or
services, with regard to the application process.
InitSales Rev. 12.2017
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9LVLW https://lrec.gov/become-licensed/salesperson/background-check/ to begin the process for
ordering your criminal background check. There you will find complete instructions for setting up
a user account and ordering your criminal background check.
InitSales Rev. 07/2020
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Applicant's Full Name: __________________________________________