Fillable Please complete (type or neatly print) and submit (Utah DRE)

Fill Online, Printable, Fillable, Blank Please complete (type or neatly print) and submit (Utah DRE) Form

Use Fill to complete blank online UTAH DRE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Please complete (type or neatly print) and submit (Utah DRE)

On average this form takes 7 minutes to complete

The Please complete (type or neatly print) and submit (Utah DRE) form is 2 pages long and contains:

  • 0 signatures
  • 35 check-boxes
  • 11 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your DRE forms online.

Utah Division of Real Estate (DRE) aims to protect the public and promote responsible business practices through education, licensure, and regulation of real estate, mortgage, and appraisal professionals

BROWSE UTAH DRE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Rev. 07/29/2013
160 East 300 South, PO Box 146711, Salt Lake City, UT 84114-6711
Telephone (801) 530-6747 • Facsimile (801) 526-4387 • Internet: www.realestate.utah.gov
State of Utah
Department of Commerce
Division of Real Estate
PRE-LICENSE SCHOOL APPLICATION
Please complete (type or neatly print) and submit this form, the items listed below, and non-refundable fee ($100)
to the Division by fax, mail, or in person.
**APPLICATIONS MUST BE SUBMITTED NOT LESS THAN 90 DAYS PRIOR TO THE DATE OF THE FIRST CLASS**
Director: ________________________________________________________ Ph: ________________________________________
Address: _____________________________________________________________________________________________________
School name: ____________________________________________________ Fax: ________________________________________
Address: _____________________________________________________________________________________________________
Email: _________________________________________________________
Courses: 15-Hour Mortgage Originator 40-Hour Lending Manager 120-Hour Sales Agent 120-Hour Broker
Appraisal (list courses for Licensed, Certified Residential, and Certified General) ________________________________________
Course Outline with descriptions and time intervals for each subject with at least three learning objectives for every three hours.
List of each instructor and their certification number and a resume for each guest lecturer, if applicable
Itemization of instruction methods (lecture, audio/visual, other) and a list of titles, authors, and publishers of ALL textbooks.
description and, if possible, pictures of the physical facility.
Names and signatures for those authorized by the School Director as “designated signatories” to sign/stamp education certificates.
Note: only those designated on the list provided to the Division may sign or stamp education certificates.
Copy of statement to students outlining days, time and locations of classes; number of quizzes and exams; grading system; attendance
requirements; notice of the Qualifying Questionnaire; re-examination and refund policy; and notice of entity solicitation.
YES NO
1. Are you at least 18 years of age?
2. Do you attest that you have a high school diploma or GED?
3. Have you EVER had a professional or occupation credential (license, registration, certification, or similar
authorization to work in a professional or occupational capacity) denied revoked, or suspended?
4. Have you EVER had a professional or occupational credential (license, registration, certification, or similar
authorization to work in a professional or occupational capacity) sanctioned? Sanctions include, but are not
limited to, having a credential restricted, limited, placed on probation, being required to pay a fine or penalty,
take education or comply with any other condition?
5. Have you EVER been sanctioned or banned from engaging in any activity by Freddie Mac, Fannie Mae,
FHA (HUD), VA, or similar organization for any period of time or for any reason?
6. Have you EVER been ordered to cease and desist from any conduct related to a professional or occupational
credential (license, registration, certification, or similar authorization to work in a professional or
occupational capacity)?
7. Have you EVER allowed a professional or occupational credential (license, registration, certification, or
similar authorization to work in a professional or occupation capacity) to expire or lapse while you were
under investigation by regulatory or licensing body, or while a regulatory action was pending against you?
( ) Check ( ) Visa ( ) MasterCard ( ) American Express
Make checks payable to: Utah Division of Real Estate
Card # ____________________________________ Expires __________
Signature ___________________________________________________
OFFICE USE ONLY
Date Reviewed _______________ By _______
( ) Denied ( ) Approved
Certification _________________ Exp. ______
Rev. 07/29/2013
160 East 300 South, PO Box 146711, Salt Lake City, UT 84114-6711
Telephone (801) 530-6747 • Facsimile (801) 526-4387 • Internet: www.realestate.utah.gov
State of Utah
Department of Commerce
Division of Real Estate
PRE-LICENSE SCHOOL APPLICATION
8. Do you have knowledge of any complaint, investigation, or disciplinary action CURRENTLY ongoing or
pending against you by a regulatory or licensing body?
9. Have you EVER been convicted of, or pled guilty or nolo contendere to a felony, class A misdemeanor,
class B misdemeanor, or comparable criminal offense? A traffic offense can be prosecuted as a felony, class
A misdemeanor, class B misdemeanor, or comparable criminal offense. Where this is the case disclosure is
required.
10. Have you EVER resolved a felony, class A misdemeanor, class B misdemeanor, or comparable criminal
offense through a plea in abeyance, diversion agreement, withheld judgment, or other method whereby a
charge was held in suspense during a period of time in which you were on probation or were obligated to
comply with conditions outlined by a court? A traffic offense can be prosecuted as a felony, class A
misdemeanor, class B misdemeanor, or comparable criminal offense, Where this is the case disclosure is
required.
11. Currently, are you aware of any investigation(s), indictment(s), or criminal charge(s) for any crime in any
jurisdiction which are pending against you?
12. Have you EVER been courts martial or discharged other than honorably from any branch of the armed
services?
13. Have you EVER been required to register as a sex offender?
14. Have you EVER had a judgment entered against you in a civil court or in a bankruptcy court on the basis of
fraud, misrepresentation, or deceit, or in any matter related to the purchase, sale, management, finance, loan
origination, or valuation of real estate?
15. Have you EVER been found in contempt of court?
YES answers require a detailed letter of explanation and copies of all court documents including charging and judgment
documents, court dockets, and proof of completion of probation and restitution orders and payment of fines and judgments.
I hereby certify that I have read each disclosure question stated above, that I understand each question, and that I have answered the
questions truthfully and accurately, I agree to be bound by the answers I have provided, and I understand that I may be sanctioned if any
of my answers are found to be misleading or incorrect.
Signature ___________________________________________________ Date ______________________________
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Please complete (type or neatly print) and submit (Utah DRE)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 22 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document