COMMISSION USE ONLY
Receipt # ______________
Date Paid ______________
ARKANSAS REAL ESTATE COMMISSION
Phone: (501) 683-8010 Fax: (501) 683-8020
REAL ESTATE ASSOCIATION
LICENSE RENEWAL FORM
AREC 1/2020
Return to: Arkansas Real Estate Commission | 612 South Summit St | Little Rock, AR 72201
FEES: If paid before/on March 31, 2020: aer March 31, 2020:
Association $100 $350
ASSOCIATION INFORMATION:
Association Name: _____________________________________________________________________
Physical Address: ______________________________________________________________________
Mailing Address: ____________________________________________ PO Box: ____________
Administrator: ____________________________ Administrator License Number: _________________
City: __________________________________ State: __________ Zip: _____________
City: __________________________________ State: __________ Zip: _____________
Phone Number: ________________________________ Toll Free Number: ______________________
Email Address: ________________________________ Web Address: ___________________________
Fax Number: ________________________________
Administrator’s Name: ______________________________________
Administrator’s Signature: ______________________________________ Date: ______________
Along with completed form and fee, please attach current roster of approved instructors and guest speakers.
Renewals will not be accepted aer April 30, 2020
