Fillable OPEN COMPANY OR BRANCH OFFICE FORM | REC-430 (Kansas Real Estate Commission)

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OPEN COMPANY OR BRANCH OFFICE FORM | REC-430 (Kansas Real Estate Commission)

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The OPEN COMPANY OR BRANCH OFFICE FORM | REC-430 (Kansas Real Estate Commission) form is 4 pages long and contains:

  • 4 signatures
  • 28 check-boxes
  • 74 other fields

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File type: PDF

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Kansas Real Estate Commission
Jayhawk Tower
700 SW Jackson St Ste 404
Topeka, KS 66603-3785
krec@ks.gov (785) 296-3411
Fax: (785) 296-1771 www.krec.ks.gov
Public access is available by appointment only
Revised Oct-19
OPEN COMPANY OR BRANCH OFFICE FORM | REC-430
BEFORE FILING A BUSINESS NAME, CONTACT KREC TO ENSURE THE NAME IS NOT SIMILAR TO AN EXISTING BUSINESS
FEES - $100 This is a fillable form
Complete the attached payment form or submit a $100 check or money order payable to KREC.
AFFILIATED LICENSEES
To move a license into this new company/branch office OR to affiliate a license with this new company/branch office in addition to the
current affiliations, licensees and brokers must complete the License Change Form (REL-300).
TRUST ACCOUNT
Will you maintain a trust account? YES* NO * If yes, complete and return the attached Trust Account Form (REC-500).
NEW INFORMATION
COMPANY NAME TRADE NAME
ADDRESS
CITY STATE ZIP COUNTY
PHONE FAX EMAIL
IF A NEW BRANCH OFFICE, WILL THE BRANCH OFFICE MAINTAIN TRANSACTION RECORDS? YES NO, THEY WILL BE KEPT AT MAIN OFFICE
SUPERVISING/BRANCH BROKER CERTIFICATION
I declare under penalty of perjury under the laws of the State of Kansas that I have read and understand this form and that the information provided
is true, correct and complete to t
he best of my knowledge.
PRINTED NAME OF SUPERVISING/BRANCH BROKER LICENSE NUMBER
SIGNATURE OF SUPERVISING/BRANCH BROKER
DATE SIGNED
BRANCH CERTIFICATION - Complete the following information only if you are submitting this form to add a branch office.
PRINTED NAME OF MAIN OFFICE SUPERVISING BROKER LICENSE NUMBER
SIGNATURE OF MAIN OFFICE SUPERVISING BROKER DATE SIGNED
COMMISSION USE ONLY
Company Number: _____________
COMMISSION USE ONLY
Date Entered: Fee: $100.00
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Kansas Real Estate Commission
Jayhawk Tower
700 SW Jackson St Ste 404
Topeka, KS 66603-3785
krec@ks.gov (785) 296-3411
Fax: (785) 296-1771 www.krec.ks.gov
Public access is available by appointment only
Revised Oct-19
OPEN COMPANY OR BRANCH OFFICE FORM | REC-430
for $100 Open Office Fee
Option1: CREDIT CARD PAYMENT INFORMATION
Licensee Name: Card Holder:
(if different than licensee)
Email Address:
(optional/for electronic receipt)
Card Number: Expiration Date: Zip Code:
Card Type:
Visa MasterCard
A
merican Express Discover
Option 2: ELECTRONIC CHECK PAYMENT INFORMATION
Account Holder Name: Email Address:
(optional for electronic receipt)
Transaction Type:
Personal
Business
Account Type:
Checking Savings
Check Number:
Account Number: Routing Number:
Submit to the Kansas Real Estate Commission b
y:
Email: krec@ks.gov
Fax: 785-296-1771
After processing your payment, this document will be shredded.
If you prefer to p
rovide your credit card or electronic check information by phone, call 785-296-3411.
Kansas Real Estate Commission
Jayhawk Tower
700 SW Jackson St Ste 404
Topeka, KS 66603-3785
krec@ks.gov (785) 296-3411
Fax: (785) 296-1771 www.krec.ks.gov
Public access is available by appointment only
Revised Oct-19
(Omit this page if the new company or branch will not maintain a trust account.)
TRUST ACCOUNT FORM | REC-500
Consent to Audit Trust Account
INSTRUCTIONS
Complete this form if you are currently maintaining a Trust Account or for approval to maintain an account. Each new form submitted
replaces all others on file with KREC. A separate form must be completed for each account maintained. This is a fillable form.
COMPANY INFORMATION
Broker Name
Broker License
Number
Company Name Company Number Franchise Name
Address line 1
Address line 2
City State Zip County
IS YOUR COMPANY A CORPORATION, PARTNERSHIP, LLC, LLP, OR PA? NO YES, I HAVE COMPLETED PAGE 2
ACCOUNT INFORMATION
Account Name
(ACCOUNT MUST INCLUDE THE WORDS “TRUST ACCOUNT”)
Account Number
Bank, Saving and Loan Association, or Credit Union Name
Street Address
City State Zip County
SUPERVISING/BRANCH BROKER CERTIFICATION
I hereby authorize the aforementioned bank, savings and loan association or credit union to allow
any representative of the Kansas Real Estate
Commission to examine the aforementioned account at any time and to obtain any copies of any records or information therefrom.
SIGNATURE DATE SIGNED
COMMISSION USE ONLY
APPROVED DENIED DATE: _______________ INITIALS:_________
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Kansas Real Estate Commission
Jayhawk Tower
700 SW Jackson St Ste 404
Topeka, KS 66603-3785
krec@ks.gov (785) 296-3411
Fax: (785) 296-1771 www.krec.ks.gov
Public access is available by appointment only
Revised Oct-19
(Omit this page if the new company or branch will not maintain a trust account.)
TRUST ACCOUNT FORM | REC-500
Business Entity Addendum
INSTRUCTIONS
Complete and attach this Report if your company is a Corporation, Partnership, LLC, LLP, or PA. This is a fillable form.
In the area provided, give a complete list of all officers of the corporation or members of the partnership, LLC or professional
association, the office held by each (or designate as partner/member), and their Kansas real estate license number, if licensed.
If the officer/partner/member is not licensed in Kansas, check “Unlicensed.”
If additional space if required, attach a separate copy of this page.
CORPORATION PARTNERSHIP LLC LLP PA
N
AME:
Name of Officer/Partner/Member Title KREC License # Unlicensed
SUPERVISING/BRANCH BROKER CERTIFICATION
I declare under penalty of perjury under the laws of the State of Kansas that I have read and understand this form and that the information I have
provided is true, correct and complete to the best
of my knowledge.
SIGNATURE DATE SIGNED
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OPEN COMPANY OR BRANCH OFFICE FORM REC-430 (Kansas Real Estate Commission)

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Completed 28 December 2021

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