DOS 1432-f-a (Rev. 08/19) Page 1 of 18
State Licensed/Certified Real Estate Appraiser Application
Read the instructions carefully before completing the application.
Incomplete applications will be returned, delaying licensure. Any
omission, inaccuracy or failure to make full disclosure in an
application or supporting documentation may be deemed sufficient
reason to deny a license, or, if a license is issued could result in the
suspension or revocation of a license.
A completed application must include the single-sided application
form; the appropriate fee; and the following:
A Education
B Employment
C Experience Report
D Experience Log
E Mass Appraisal Experience Log
F Combination of Traditional and Mass Appraisal Experience
Note: All applicants must complete the single-sided application form
(p.5 and 6) and Attachments A, B, and appropriate experience
attachment(s). If you are applying based on a combination of
traditional and mass appraisal experience, you must also complete
Attachment F.
What are the licensure/certification requirements?
There are three basic requirements for a license/certification.
1. Education is required of all applicants and is based on the
category of license/certification for which you are applying.
2. A written examination. (not available for appraiser assistant)
3. Experience is required of all applicants and is based on the
category of license/certification for which you are applying.
Applicants not meeting the experience requirements may be
eligible for an appraiser assistant license.
What are the categories of licensure/certification,
related fees and terms of licensure?
State Licensed Residential
Real Estate Appraiser $355* 2 years
State Certified Residential
Real Estate Appraiser $355* 2 years
State Certified General
Real Estate Appraiser $355* 2 years
State Licensed
Real Estate Appraiser Assistant $250 2 years
Temporary $125 1 year
Reciprocal $330 2 years
* includes $250 application, $80 federal registration and $25
examination application fees.
Is there an exam fee?
Yes. There is an examination application fee of $25 included in the
original application fee. The fee for the examination itself is
determined by and paid directly to the test provider. Approved test
providers will be listed on your appraiser admission notice or can be
found on our website at www.dos.ny.gov. Please Note: If you are
upgrading your appraiser assistant license and have already taken
and passed the appropriate exam within the preceding 24 months,
you will not have to pay the examination application fee of $25.
Effective January 1, 2015, appraiser assistants are no longer eligible
to take an exam for upgrade until they meet all qualifications and
submit an application for that category.
What forms of payment do you accept?
You may pay by check or money order made payable to the
Department of State or by MasterCard or Visa, using a credit card
authorization form. Do not send cash. Application fees are
nonrefundable. A $20 fee will be charged for any check returned
by your bank.
What are the educational requirements?
Appraiser license/certification applicants must satisfy the education
requirements by completing the prescribed courses indicated for each
classification. In accordance with section 1103.2 of the Department’s
rules and regulations (19NYCRR), the following courses must be
completed for the residential and general appraisal classifications:
Appraiser Assistant (79 hours)
NOTE: Qualifying education for appraiser assistants must be
completed within the five year period prior to the date of application.
Basic Appraisal Principles (R-5) 30 hours
Basic Appraisal Practices (R-6) 30 hours
15 Hour National USPAP 15 hours
Supervisory Appraiser/Trainee Appraiser
Course 4 hours
State Licensed Residential Real Estate Appraiser (150 hours)
Basic Appraisal Principles (R-5) 30 hours
Basic Appraisal Practices (R-6) 30 hours
15 Hour National USPAP 15 hours
Residential Market Analysis and
Highest/best Use (R-7) 15 hours
Residential Appraiser Site Valuation and Cost
Approach (R-8) 15 hours
Residential Sales Comparison and Income
Approach (R-9) 30 hours
Residential Report Writing and Case
Studies (R-10) 15 hours
State Licensed/Certified Real Estate Appraiser Application
State Certified Residential Real Estate Appraiser
(200 hours) + additional qualifying education standards listed in the
FAQ and education sections of our website at
www.dos.ny.gov/licensing
Basic Appraisal Principles (R-5) 30 hours
Basic Appraisal Procedures (R-6) 30 hours
15 Hour National USPAP 15 hours
Residential Market Analysis and Highest/best
Use (R-7) 15 hours
Residential Appraiser Site Valuation and Cost
Approach (R-8) 15 hours
Residential Sales Comparison and Income
Approach (R-9) 30 hours
Res. Report Writing and Case Studies (R-10) 15 hours
Statistics, Modeling and Finance (SMF) 15 hours
Advanced Residential Applications and Case
Studies (R-11) 15 hours
Introduction to Residential Income
Properties (RE-1) 20 hours
OR
Fair Housing, Fair Lending and Environmental
Issues (RE-2) 20 hours
State Certified General Real Estate Appraiser
(300 hours) + Bachelor’s Degree or higher
Basic Appraisal Principles (R-5) 30 hours
Basic Appraisal Procedures (R-6) 30 hours
15 Hour National USPAP 15 hours
Gen. Market Analysis and Highest/best
Use (G-4) 30 hours
Statistics, Modeling and Finance (SMF) 15 hours
General Appraiser Sales comparison
Approach (G-5) 30 hours
General Appraiser Site Valuation and Cost
Approach (G-6) 30 hours
General Appraiser Income Approach (G-7) 60 hours
General Appraiser Report Writing and Case
Studies (G-8) 30 hours
Fair Housing, Fair Lending and Environmental
Issues (GE-1) 15 hours
Specialty Appraisals (GE-2) 15 hours
OR
Using the HP12C Financial Calculator (GE-3) 15 hours
What are the experience requirements?
State Licensed Residential Real Estate Appraiser
1,000 hours of experience over a period of not less than 24 months.
State Certified Residential Real Estate Appraiser
1,500 hours of experience over a period of not less than 24 months.
Residential experience must contain experience in residential single-
family, residential multi-family, vacant lot or farm.
DOS-1432-f-a (Rev. 08/19)
State Certified General Real Estate Appraiser
3,000 hours of experience over a period of not less than 24 months of
which a minimum of 1,500 hours must be in non-residential appraisal
work.
Note: Experience must be obtained within the 5 year period prior to
submission of your application. Experience hours must be satisfied
by time spent on the appraisal process. The appraisal process consists
of: analyzing factors that affect value; defining the problem;
gathering and analyzing data; applying the appropriate analysis and
methodology; and arriving at an opinion and correctly reporting the
opinion in compliance with USPAP. An hour of experience is
defined as verifiable time spent in performing tasks in accordance
with acceptable appraisal practice. Acceptable real property appraisal
practice for experience credit includes appraisal, appraisal review,
appraisal consulting, and mass appraisal. All experience must be
obtained after January 30, 1989, and must be USPAP compliant. An
applicant’s experience must be in appraisal work conforming to
Standards 1, 2, 3, 4, 5, and/or 6, where the appraiser demonstrates
proficiency in appraisal principles, methodology, procedures
(development), and reporting conclusions.
Do I have to provide experience documentation such
as copies of actual appraisal reports, supporting
documentation or other data used to develop the
appraisals (i.e., notes, MLS reports, etc.) at the time
of application?
No. You will only need to complete the “appraisal experience report”
and the “appraiser experience log” at the time of application.
However, you should have all of this type of documentation in your
possession. You may be asked, following initial
licensure/certification, to verify any or all of the experience you have
claimed.
What is considered acceptable experience?
1. Review Appraisals:
If you performed a “review appraisal,” whether defined as a “field
review” or a “documentary review” or a combination of both, you
will receive up to the maximum hours allowed in the appraiser
experience schedule. You must complete Attachments C and D.
Note: Review Appraisals may be used for qualifying experience
credit only up to a maximum of 25% of the required hours.
Maximum Credit
Required Allowed for
Class Experience Appraisal Review
State Licensed Residential
Real Estate Appraiser 1,000 hours 250 hours
State Certified Residential
Real Estate Appraiser 1,500 hours 375 hours
State Certified General
Real Estate Appraiser 3,000 hours 750 hours
Page 2 of 18
State Licensed/Certified Real Estate Appraiser Application
2. Mass Appraisal Experience:
In accordance with regulation 1102.7, applicants for
licensure/certification may receive credit for mass appraisal
experience. Please refer to and complete Attachment E of the
application.
What if I have a combination of traditional and mass
appraisal experience?
If you have combined experience, please refer to and complete
Attachments C, D, E, & F.
What is considered unacceptable experience?
1. Market value estimates as a real estate licensee in connection
with the listing and/or sale of real estate; i.e., “comparative
market analysis.”
2. Business appraisals. (Credit will be given for appraisals of
Individual parcels of commercial real estate.)
3. Personal property appraisals.
4. Feasibility or market analysis, except to the extent that the
“market value” of a proposed real estate project is being
estimated.
What if I don’t meet the necessary experience
qualifications?
If you do not meet the experience qualifications, you may apply for
an Appraiser Assistant license.
How do I qualify as a State Licensed Real Estate
Appraiser Assistant?
State Licensed Real Estate Appraiser Assistant applicants must:
file an appraiser application with the $250 fee;
meet the minimum education requirements;
be supervised in the conduct of their services by a New York
State certified appraiser registered with the
Department of State as a supervisory appraiser who must co-sign
the appraisal reports;
utilize the same Uniform Standards of Professional Appraisal
Practice as a state licensed or certified appraiser.
Upon satisfaction of the application requirements of the Department
of State, the Department will issue a renewable 2 year State Licensed
Real Estate Appraiser Assistant license.
Should an Appraiser Assistant acquire experience for licensed or
certified appraiser, his or her application must comply with whatever
examination and education requirements exist for that category at
that time.
Can an Appraiser Assistant qualify to take the
appraiser examination?
No. Appraiser Assistants who have met the experience requirements
for the appraiser classification they wish to upgrade to must submit a
“new” appraiser application for this appraiser classification. Upon
review and acceptance of this application, the applicant will receive
an exam admission notice for this exam.
Education and experience must be completed prior to taking the
AQB-approved National Uniform Licensing and Certification
Examination.
Once I have completed the experience requirements,
how do I upgrade from an appraiser assistant to the
licensed or certified classification?
If you are upgrading to the licensed or certified classifications, you
must submit a “new” completed appraiser application meeting the
upgrade education and experience requirements and a $355
application fee. Upon review and acceptance of the upgrade
application, you will receive an admission notice to the appraiser
exam.
Is there reciprocity with other states?
Yes, with the exception of Appraiser Assistants. An applicant may
be certified/licensed in New York State without examination and
further qualification if the applicant provides proof and is
certified/licensed in another state or territory:
Whose licensing program is in compliance with the provisions of
Title XI of The Financial Institutions Reform, Recovery and
Enforcement Act of 1989.
Whose examination has been approved by the Appraiser
Qualification Board of the Appraisal Foundation.
Who has licensing and certification qualification requirements
that meet or exceed those of New York State.
Reciprocity applicants must submit the following:
A completed appraiser application (p.5 and 6) with $330
(application and federal registration fee)
The term for a reciprocal license/certification is 2 years.
How do I apply for a temporary license/certification?
On occasion, a nonresident appraiser may wish to conduct business
of a temporary nature in New York State. The applicant may be
issued a temporary license/certificate to perform appraisals in New
York State if the applicant is certified/licensed in another state or
territory:
whose program has been officially endorsed by the Federal
Appraisal Subcommittee.
whose examination has been approved by the Appraiser
Qualifications Board of the Appraisal Foundation.
Nonresident temporary applicants must submit:
a completed appraiser application (p.5 and 6) with $125
application fee.
NOTE: TEMPORARY
APPLICANTS MAY NOT
MAINTAIN AN OFFICE WHICH PROVIDES APPRAISAL
SERVICES TO CLIENTS IN NEW YORK STATE.
The term of a temporary license/certification is one year and
cannot be renewed. A second application for an additional
temporary license/certification can be submitted for approval.
However, once the second temporary license/certification expires,
no additional approvals will be granted. If an additional
license/certification is needed, an appraiser will be required to
submit an application for a full reciprocal license/certification.
Page 3 of 18
DOS 1432-f-a (Rev. 08/19)
State Licensed/Certified Real Estate Appraiser Application
What are the requirements for a Supervisory
Appraiser Applicant?
Supervisory Appraiser applications must:
Complete the Supervisory Appraiser/Trainee Appraiser 4 hour
course;
Meet the requirements outlined on the Real Estate Instructor and
Supervisory Appraiser application;
Submit a completed application for review and approval
Are there any continuing education requirements to
renew my license/certification?
Yes, all real estate appraisers must complete 28 hours of approved
continuing education within their two-year license term in order to
renew their license/certification. Included within this 28 hour
requirement, an appraiser must successfully complete the 7 hour
National USPAP update course. This course may be applied toward
the 28 hour continuing education requirement.
Please note that in accordance with the Appraisal Foundation
requirements, appraisers must continue to maintain the 14 hour
yearly continuing education requirement even if they do not renew
their license. For example, an appraiser whose license expires
11/07/07 and does not renew until 11/07/08, will be required to
complete the 28 hours for the original term plus an additional 14
hours for the year that the license lapsed.
It is important to note that if the appraiser fails to renew within two
years of the expiration date, the appraiser will be required to resubmit
a new application and meet all of the current qualifications.
Child Support Statement
A Child Support Statement is mandatory in New York State (General
Obligations Law) regardless of whether or not you have children or
any support obligation. Any person who is four months or more in
arrears in child support may be subject to having his or her
business, professional and driver’s license suspended. The
intentional submission of a false written statement for the purpose of
frustrating or defeating the lawful enforcement of support obligations
is punishable under § 175.35 of the Penal Law. It is a class E felony
to offer a false instrument for filing with a state or local government
with the intent to defraud.
PRIVACY NOTIFICATION
Do I need to provide my Social Security and Federal ID numbers
on the application?
Yes, if you have a social security number or Federal ID number, you
are required to provide this number. If you do not have a social
security number or Federal ID number, please provide a written
explanation.
The Department of State is required to collect the federal Social
Security and Employer Identification numbers of all licensees. The
authority to request and maintain such personal information is found
in §5 of the Tax Law and §3-503 of the General Obligations Law.
Disclosure by you is mandatory. The information is collected to
enable the Department of Taxation and Finance to identify
individuals, businesses and others who have been delinquent in filing
tax returns or may have underestimated their tax liabilities and to
generally identify persons affected by the taxes administered by the
Commissioner of Taxation and Finance. It will be used for tax
administration purposes and any other purpose authorized by the Tax
Law and may also be used by child support enforcement agencies or
their authorized representatives of this or other states established
pursuant to Title IV-D of the Social Security Act, to establish,
modify or enforce an order of support, but will not be available to the
public. A written explanation is required where no number is
provided. This information will be maintained in the Licensing
Information System by the Director of Administration and
Management, at One Commerce Plaza, 99 Washington Avenue,
Albany, NY 12231-0001.
DOS 1432-f-a (Rev. 08/19) Page 4 of 18
WOULD YOU LIKE TO REGISTER TO VOTE?
Please visit the NY State Board of Elections at www.elections.ny.gov/votingregister.html
or call 1-800-FOR-VOTE to request a NYS Voter Registration form.
To register online, please visit www.ny.gov/services/register-vote.
DOS 1432-f-a (Rev. 08/19) Page 5 of 18
FOR OFFICE UNIQUE ID CASH NUMBER FEE
USE ONLY
|__
|
__
|
__
|
__
|
__
|
__
|
__
|
__
|
__
|
__
|
__
| $
New York State
Department of State
Division of Licensing Services
P.O. Box 22001
Albany, NY 12201-2001
Customer Service: (518) 474-4429
www.dos.ny.gov
State Li
censed/Certified Real Estate Appraiser Application
I am applying for:
State Licensed Real Estate
Appraiser Assistant ($250)
State Licensed Residential State Certified General
Real Estate Appraiser Real Estate Appraiser
($355) Original ($355) Original
Appraiser Assistant License Appraiser License
Number (if any) Number (if any)
Temp Reciprocal State of
($125)
State Certified Residential
Real Estate Appraiser
($355)
Original
Appraiser License
Number (if any)
Reciprocal State of
($330)
PLEASE PRIN
T OR TYPE
LAST NAME FIRST NAME
MIDDLE INITIAL SUFFIX
APPLICANT’S HOME ADDRESS NUMBER AND STREET (PO BOX MAY BE ADDED TO ENSURE DELIVERY)
CITY STATE ZIP+4 COUNTY
BUSINESS NAME
BUSINESS ADDRESS NUMBER AND STREET (PO BOX MAY BE ADDED TO ENSURE DELIVERY)
CITY STATE
ZIP+4
COUNTY
DAYTIME TELEPHONE NUMBER SOCIAL SECURITY NUMBER (SEE PRIVACY NOTIFICATION)
( )
E-MAIL ADDRESS
BACKGROUND QUESTIONS YES NO
1. Have you ever been convicted in this state or elsewhere of any criminal offense that is a
misdemeanor or a felony? (If YES, submit a written explanation giving the place, court
jurisdiction, nature of the offense, sentence and/or other disposition. You must provide a copy of
the accusatory instrument e.g., indictment, criminal information or complaint and a
Certificate of Disposition. If you possess or have received a Certificate of Relief from Disabilities,
Certificate of Good Conduct or Executive Pardon, you must provide a copy of same.) .................
2. Are there any criminal charges (misdemeanors or felonies) pending against you in any court in this
state or elsewhere? (If YES, you must provide a copy of the accusatory instrument e.g.,
indictment, criminal information or complaint.) ..............................................................................
3. Has any license or permit issued to you or a company in which you are or were a principal in New
York State or elsewhere ever been revoked, suspended or denied?
(If YES, you must attach an explanation.) ........................................................................................
4. What is yo
ur date of birth?
5. Have you ever applied for or been issued a Real Estate Appraiser License or Certification in New
York State? ………………………………… UID#
DOS 1432-f-a (Rev. 08/19) Page 6 of 18
State Licensed/Certified Real Estate Appraiser Application
CHILD SUPPORT STATEMENT
By signing this application, I certify that as of the date of this application, I am not under an obligation to pay child support OR if I
am under an obligation to pay child support, I am not four or more months in arrears in the payment of child support, or I am making
payments by income execution or by court agreed payment or repayment plan or by plan agreed to by the parties or my child support
obligation is the subject of a pending court proceeding, or I am receiving public assistance or supplemental security income.
Irr
evocable Consent and Designation
I (we) do hereby irrevocably submit to the jurisdiction of the courts of the State of New York and, further, hereby irrevocably
designate the Secretary of State of New York as its agent upon whom may be served any summons, subpoena and other process
naming the entity in any action or special proceeding commenced in the State of New York.
By t
his consent and designation, I (we) agree that service of process upon the Secretary of State shall be, in all respects, as valid and
binding as if personal service had been made upon the entity within the State of New York.
Appli
cant AffirmationI affirm under the penalties of perjury, that the statements made in this application are true and correct. I
certify that the information given in the experience log is true to the best of my knowledge and belief. I understand that any material
misstatement made may result in the revocation or suspension of any license/certification issued. I further affirm that I have read and
understand the provisions of Article 6E of the Executive Law and the rules and regulations promulgated thereunder.
Appli
cant’s Signature Date
A $20 fee will be charged for any check returned by your bank.
It is im
portant that you notify this Division of any changes in your business address so you will receive renewal
notices and any other notifications pertinent to your license/certification.
Please be sure to include the appropriate attachments and all fees (please see instructions)
with your application form.
Enter the requested information for all approved and recognized or equivalent appraiser courses completed; i.e.,
courses in which you received a certificate of completion, where you attended and passed the final
course examination. Include information for at least 79 hours for an Appraiser Assistant, 150 hours for
licensed residential, 200 hours plus additional qualifying education standards as listed in the FAQ and education
sections of our website at www.dos.ny.gov/licensing for certified residential or 300 hours plus a Bachelor’s
degree or higher for the certified general classification. Certificates must be attached for each course. Proof
of college level courses must be a school transcript or a copy of a diploma.
Course
Title
and
Number
Educational
Provider
No. of
Hours
Month/Year
Completed
DOS 1432A-f-a (Rev. 08/19)
Page 7 of 18
State Licensed/Certified Real Estate Appraiser Application
Real Estate Appraiser Education
A
Start with your most recent employment. You must indicate all employment which is equal to the experience
claimed in Attachment C.
Name of
C
o
m
pan
y
:
Employment Status: [ ] Full-time [ ] P art-time [ ] H ours Per W eek
Company Address:
Business Telephone: ( )
Supervisor:
Position:
Duties:
Dates of Employment From: T o:
Name of
C
o
m
pan
y
:
Employment Status: [ ] Full-time [ ] P art-time [ ] H ours P er W eek
Company Address:
Business Telephone: ( )
Supervisor:
Position:
Duties:
Dates of Employment From: T o:
Name of
C
o
m
pan
y
:
Employment Status: [ ] Full-time [ ] P art-time [ ] H ours Per W eek
Company Address:
Business Telephone: ( )
Supervisor:
Position:
Duties:
Dates of Employment From: T o:
Name of
C
o
m
pan
y
:
Employment Status: [ ] Full-time [ ] P art-time [ ] H ours Per W eek
Company Address:
Business Telephone: ( )
Supervisor:
Position:
Duties:
Dates of Employment From: T o:
DOS 1432B-f-a (Rev. 08/19)
Page 8 of 18
State Licensed/Certified Real Estate Appraiser Application
Employment
B
For Licensed Residential Applicants: Must have at least 1,000 hours.
Important Information Regarding Review Appraisals: For Review Appraisals, an applicant may only claim a maximum
number of hours per review appraisal. Please see Key to Maximum Hours Allowed on Page 11.
For Certified Residential applicants: Must have at least 1,500 hours.
ALL EXPERIENCE CLAIMED ON THE BELOW WORKSHEET MUST ALSO BE REFLECTED ON THE APPRAISER
EXPERIENCE LOG (ATTACHMENT D).
Residential Category
(Regardless of the transactional value or complexity)
Standard Appraisals Review Appraisals
Total # of Total # of Total Hours
Appraisals Actual Hours Review Appraisals Actual Hours Credited
A. Residential Single Family
(Single Co-op or Condo)
E
xample 20 120 4 6 126
Residential Single Family Complex
(Waterfront or Unique)
R
esidential Single Family Complex
(Over $5,000,000)
B. Res
idential Multi-Family
(2-4 Units)
C. Vacant Lot Residential
(1-4 Units)
Far
m
Less than 100 acres with residence
Tot
al Credit Hours
Required Experience Minimum # Maximum #
of Hours of Hours
State Licensed Real Estate Appraiser 1,000 Hours 3,000 Hours
State Certified Residential Appraiser 1,500 Hours 3,750 Hours
State Certified General Appraiser 3,000 Hours 4,500 Hours
DOS 1432C1-f-a (Rev. 08/19)
Page 9 of 18
C1
State Licensed/Certified Real Estate Appraiser Application
Appraiser Experience Report Residential Category
Important Information Regarding Review Appraisals: For Review Appraisals, an applicant can only claim a maximum number of hours per
review appraisal. Please see Key to Maximum Hours Allowed on Page 11.
For Certified General applicants: Must have at least 3,000 hours.
For applicants claiming combined experience: If you are claiming combined experience, at least 1,500 hours of required experience must be in
this category for Certified General applicants.
ALL EXPERIENCE CLAIMED ON THE BELOW WORKSHEET MUST ALSO BE REFLECTED ON THE APPRAISER
EXPERIENCE LOG (ATTACHMENT D).
General Category
Standard Appraisals Review Appraisals
Total # of Total # of Total Hours
Appraisals Actual Hours Review Appraisals Actual Hours Credited
D. Residential Multi Family, (5-12 units - apartments,
condominiums , townhouses, and mobile home parks)
Residential Multi-Family, (13 or more units -
apartments, condominiums, townhouses, and Mobile
Home Parks) [add 12 hours for proposed project]
E. Co
mmercial/Industrial Single Tenant, (Office
Buildings, R&D, Retail Stores, Restaurants, Service
Stations, Warehouses, Daycare Centers, and other similar
buildings)
C
ommercial/Industrial Multi-Tenant (Office
Buildings, R&D, Shopping Centers, Hotels,
Warehouses) [add 12 hours for proposed project]
F. Lan
d, (Farms of 100 acres or more in size, undeveloped
Tracts, residential multi-family sites, commercial sites,
Industrial sites)
Complex Farms100 acres or more in size, multi-
buildings with processing facilities.
M
anufacturing Plants
In
stitutional (Rest Homes, Nursing Homes, Hospitals,
Schools, Churches, Government Buildings)
To
tal Credit Hours
Required Experience Minimum # Maximum #
of Hours of Hours
State Licensed Real Estate Appraiser 1,000 Hours 3,000 Hours
State Certified Residential Appraiser 1,500 Hours 3,750 Hours
State Certified General Appraiser 3,000 Hours 4,500 Hours
DOS 1432C2-f-a (Rev. 08/19)
Page 10 of 18
C2
State Licensed/Certified Real Estate Appraiser Application
Appraiser Experience Report General Category
Instructions for Attachment D
Important:
All experience claimed on the Appraisal Experience Report (Attachments C1/C2) must also be reflected on the
Appraiser Experience Log (Attachment D).
List in chronological order all experience being claimed on the attached experience log (Attachment D). If your
experience significantly exceeds the required qualifications, it is not necessary to list all appraisals performed. You
must, however, submit a sufficient amount of appraisal activity to satisfy the hour requirements for the classification
for which you are applying and that covers the appropriate qualifying period.
Appraisals listed on this log must cover at least 2 full calendar years (24 months) for the Licensed, Certified
Residential and Certified General categories. To ensure that experience is attained over a reasonable period of time
an applicant may not claim experience over 5 years old.
Appraisal reports and supporting data must be retained in your files and available for review by the Division of
Licensing Services.
In order to list all of your qualifying experience, you will need to make additional copies of the experience log
(Attachment D). You must list all information exactly as shown. No computer printouts or variations of this log will
be accepted.
Each log sheet submitted must contain the original signature of a NYS registered Supervisory Appraiser for all
experience obtained after July 1, 2013.
A separate log(s) must be submitted for each supervisory appraiser, if applicable.
Key to Maximum Hours Allowed pursuant to regulations
Residential Categories
Residential Single-Family, (Single Co-op or Condo) - Standard - 6/Review - 1.5
Residential Single-Family Complex, (Waterfront or Unique) – Standard – 20/Review 5
Residential Single-Family Complex, (Over $5,000,000) – Standard – 40/Review 10
Residential Multi-Family, (2-4 units) - Standard - 12/Review - 3
Vacant Lot Residential, (1-4 units) - Standard - 6/Review – 1.5
Farm, (Less than 100 acres, with residence) - Standard - 18/Review – 4.5
General Categories
Residential Multi-Family, (5-12 units - Apartments, condominiums, townhouses and mobile home parks) - Standard-
36/Review-9
Residential Multi-Family, (13 or more units - Apartments, condominiums, townhouses and mobile home parks)-
Standard - 48 [add 12 hours for proposed project =60]/Review-12 [ or 15 for proposed project]
Commercial/Industrial Single-Tenant (Office buildings, R&D, retail stores, restaurants, service stations, warehouses,
day care centers, and other similar buildings.)-Standard-48/Review-12
Commercial/Industrial Multi-Tenant (Office buildings, R&D, shopping centers, hotels, warehouses)-Standard-60
[add 12 hours for proposed project=72]/Review-15[or 18 for proposed project]
Land (Farms of 100 acres or more in size, undeveloped tracts, residential multi-family sites, commercial sites, industrial
sites)-Standard-30/Review-7.5
Complex Farms (100 acres or more in size, multi-building with Processing facilities) – Standard-40/Review-10
Manufacturing Plants-Standard-48/Review-12
Institutional (Rest homes, nursing homes, hospitals, schools, churches, government buildings)-Standard-48/Review-12
DOS 1432D-f-a (08/19)
Page 11 of 18
State Licensed/Certified Real Estate Appraiser Application
Appraiser Experience Log
Applicant must enter actual hours, subject to maximums permitted in regulations.
* These two sections must clearly identify the following for the appraisal listed:
1. A description of the work performed by the trainee or applicant;
2. The level of supervision performed by the supervising appraiser; and
3. The scope of the review performed by the supervising appraiser.
** See Key to Maximum Hours Allowed.
D
State Licensed/Certified Real Estate Appraiser Application
Appraiser Experience Log - Page of
Year: Applicant’s Name:
Licensed/Certified Residential and Certified General applicants must have 24 months of experience.
The entire log must be in chronological order according to date of appraisal.
Super
vising Appraiser Signature & UID #:
Dat
e Scope of Review & Type of Appraisal Type of Appraisal Total Total
Appraisal Address of Description of Supervision of the Type of Report Actual Standard S Residential General
Completed Appraisal work performed* Supervising Appraiser* Property (Narrative/Form/Other) Hours Review – R Hours Hours
Credited * Credited **
Total
Residential Hours Earned
Total General Hours Earned
DOS 1432D-f-a (Rev. 08/19)
Page 12 of 18
APPLIC
A
NT N
A
M E (ENTER NAME EXACTLY AS SHOWN ON APPLICATION PAGE 1)
Section 1102.7 of Title 19 of the Official Compilation of Codes, Rules and Regulations of the State of New
York allows applicants to use mass appraisal experience to qualify for licensure or certification. All claimed
qualifying experience should be performed in compliance with Standard 6 of the Uniform Standards of
Professional Appraisal Practice of The Appraisal Foundation.
Applicants who use mass appraisal activity to fulfill all or part of the experience requirements must meet
the
following
criteria
.
The method and requirements for reporting experience is different from traditional
appraisals. Accordingly, please carefully read the following instructions.
If you are using only mass appraisal experience to qualify for licensure or certification, please
complete Attachment E.
If you are using combined experience to qualify for licensure or certification, you must complete
Attachments C and D for traditional experience, Attachment E for mass appraisal experience and
Attachment F.
R
e
qu
i
r
e
m
e
n
t
s
STATE LICENSED
RESIDENTIAL
REAL ESTATE
AP
P
RAISER
1. An applicant for state licensed
residential
real estate
appraiser
must have at least 2,000 hours over
a period of at least two years performing mass appraisals or the equivalent thereof. The applicant’s
documentation must demonstrate that the applicant was engaged for at least 1,500 hours performing mass
appraisals of properties in the residential categories.
2. a) An applicant must demonstrate the effectiveness of the applicant’s mass appraisal models by submitting
single property appraisals from separate neighborhoods. These single property appraisals must
demonstrate compliance with the appraisal standards set forth in Part 1106 (USPAP).
b) An applicant for residential licensing or residential certification must submit at least one single property
appraisal in at least three of the residential categories (minimum of three appraisal reports required).
3. An applicant must demonstrate experience in each of the three essential tasks of a mass appraisal (Data
Collection, Modeling and Value Analysis and Valuation and Final Review). The applicant’s experience in
each category, as a percentage of the total required experience, must be within the maximum and minimum
indicated on the Mass Appraisal Experience Log.
STATE
CERTIFIED RESIDENTIAL
REAL ESTATE
AP
P
RAISER
1. An applicant for state certified
residential
real estate
appraiser
must have at least 2,500 hours over a
period of at least two years performing mass appraisals or the equivalent thereof. The applicant’s
documentation must demonstrate that the applicant was engaged for at least 1,875 hours performing mass
appraisals of properties in the residential categories indicated on the following page.
DOS 1432E-f-a
(Rev.
08/19
)
Page 13 of 18
State Licensed/Certified Real Estate Appraiser Application
Information and Instructions for Attachment E
Reporting Qualifying Mass Appraisal Experience Only
State Licensed/Certified Real Estate Appraiser Application
In addition, state certified residential applicants must meet the following: at least 80% (1,500 hours) of the
residential experience must be in the residential single-family category (including single co-op or condo). At
least 10% (187.5 hours) of the residential experience must be from one or more of the remaining categories:
(residential multi-family or vacant lot residential/farm). The remaining 10% may be from any of the
residential categories.
2. a) An applicant must demonstrate the effectiveness of the applicant’s mass appraisal models by submitting
single property appraisals from separate neighborhoods. These single property appraisals must
demonstrate compliance with the appraisal standards set forth in Part 1106 (USPAP).
b) An applicant for residential licensing or residential certification must submit at least one single property
appraisal in at least three of the residential categories (minimum of three appraisal reports required).
3. An applicant must demonstrate experience in each of the three essential tasks of a mass appraisal (Data
Collection, Modeling and Value Analysis and Valuation and Final Review). The applicant’s experience in
each category, as a percentage of the total required experience, must be within the maximum and minimum
indicated in the instructions.
Residential
C
a
t
ego
r
ies
(i) Residential Single Family, (including single co-op or condo)
(ii) Residential Multi-Family, (2-4 units)
(iii) Vacant Lot Residential, (1-4 units), or
(iv) Farm, (less than 100 acres, with residence)
STATE
CERTIFIED
GENERAL REAL ESTATE
APPRAISER
1. An applicant for general
certification
must document that the applicant has at least 3,000 hours over a
period of at least 2½ years performing mass appraisals or the equivalent thereof. The applicant’s
documentation must demonstrate that the applicant was engaged for at least 2,250 hours performing mass
appraisals of properties in the general categories.
In addition, general experience must contain experience in multi-family, commercial/industrial, or other
(land/manufacturing/institutional). 60% (1,350 hours) of the general experience must be in one of the above
categories. 20% (450 hours) of the general experience must be in each of the remaining categories.
2. a) An applicant must demonstrate the effectiveness of the applicant’s mass appraisal models by submitting
single property appraisals from separate neighborhoods. These single property appraisals must
demonstrate compliance with the appraisal standards set forth in Part 1106 (USPAP).
b) An applicant for general certification must submit at least one single property appraisal in at least
four
of the general categories listed in #3 (minimum of four appraisal reports required).
3. An applicant must demonstrate experience in each of the three essential tasks of a mass appraisal (Data
Collection, Modeling and Value Analysis and Valuation and Final Review). The applicant’s experience in
each category, as a percentage of the total required experience, must be within the maximum and minimum
indicated on the Mass Appraisal Experience Log.
DOS 1432E-f-a
(Rev.
08/19
)
Page 14 of 18
State Licensed/Certified Real Estate Appraiser Application
General
C
a
t
ego
r
ies
(i) Apartment buildings (more than four units);
(ii) Land (undeveloped tracts, commercial sites, industrial sites, or utility sites);
(iii) Farms greater than 100 acres;
(iv) Townhouse complexes;
(v) Condominium complexes;
(vi) Mobile home parks;
(vii) Manufacturing plants;
(viii) Office buildings (single tenant);
(ix) Office buildings (multiple tenants);
(x) Retail and shopping centers;
(xi) Warehouses;
(xii) Restaurants;
(xiii) R&D facilities;
(xiv) Day care centers;
(xv) Hotels or motels;
(xvi) Gas or service stations;
(xvii) Hospitals, nursing homes and health care centers;
(xviii) Schools, churches or government buildings; and
(xix) Other commercial, industrial or utility real property.
Date - List each mass appraisal project for which you are claiming credit (in chronological order, starting with
the earliest date). Indicate the date(s) you worked on each project. In order to list all of your qualifying
experience, you may need to make additional copies of the experience log.
Type of property - Indicate the type of property. (e.g. 50 single family residences). See aforementioned
residential and general categories.
Property Description - (e.g. address of the properties, parcel numbers or project.)
Description of Work Performed - Describe the work performed by the trainee or applicant (e.g. Sales analysis,
field inspections, etc.).
Scope of Review of Supervising Appraiser - Describe the scope of the review performed by the supervising
appraiser (e.g. Reviewed sales analysis and discussed final value results).
Scope of Supervision of Supervising Appraiser - Describe the level of supervision performed by the supervising
appraiser (e.g. Completed the entire appraisal process with the trainee, including field inspections, collecting,
measuring, verifying and recording property components and characteristics.)
Total General Experience Hours - Break down your experience hours for each project by total general hours.
See aforementioned list of general property types.
Total Residential Experience Hours - Break down your experience hours for each project by total residential
hours. See aforementioned list of residential property types.
Allocation of Mass Appraisal Experience - Allocate your experience hours from the previous columns into each
of the three essential tasks of a mass appraisal. Your experience in each category, as a percentage of the total
required experience, must fall within the following parameters:
ESSENTIAL
T
ASKS
Mass Appraisal
Minimum
Experience
Maximum
Experience
Required
Required
Allowed
Data Collection
20%
25%
Modeling and Value Analysis
30%
50%
Valuation and Final Review
30%
50%
DOS 1432E-f-a
(Rev.
08/19
)
Page 15 of 18
State Licensed/Certified Real Estate Appraiser Application
Signature of
Supervisor-
The project supervisor or other responsible person must attest to your claimed experience
for
each project. The supervisor must sign at the bottom of the log and include their Unique Identification Number for
each
log page
completed.
NOTE: Work samples will be selected from the experience logs to determine whether the applicant
has
performed USPAP compliant
appraisals.
DOS 1432E-f-a
(Rev.
08/19
)
Page 16 of 18
APPLICANT NAME:
TELEPHONE
(RESIDENCE):
(BUSINESS):
Date(s)
Type of
Property
Property
Description
(e.g.
address;
parcel
numbers;
project)
*Description of
Work
Performed
*Scope
of
Review
of
Supervising
Appraiser
*Scope of
Supervision
of
Supervising
Appraiser
Total
General
Experience
Hours
Total
Residenti
al
Experience
Hours
Allocation of Mass
Appraisal
Experience
Hours
Data Collection
Analysis &
Modeling
Valuation &
Final
Review
* These three sections must clearly identify the following for the appraisal listed:
1. A description of the work performed by the trainee or applicant;
2. The scope of the review performed by the supervising appraiser;
3. The level of supervision performed by the supervising appraiser; and
** The applicant was involved in the mass appraisal projects identified above and the experience claimed was performed by the applicant in general accordance with the
Standard 6 of the Uniform Standards of Professional Appraisal Practices of The Appraisal Foundation.
I certify that the following experience was performed in accordance with 19 NYCRR Section 1102.7.
X
** (Signature and U ID of Supervisor)
DOS 1432E-f-a (Rev. 0819) Page 17 of 18
State Licensed/Certified Real Estate Appraiser Application
Mass Appraisal (Standard 6 USPAP) Experience Log
E
APPLICANT NAME (ENTER NAME EXACTLY AS SHOWN ON APPLICATION PAGE 1)
The experience requirements indicated on Attachments C and E are the same. The method and procedures for
reporting this experience is substantially different.
To avoid mistakes or delays in processing your application, please combine your experience hours:
1. If you claim credit for mass appraisal experience only:
Total
hou
rs
claim
ed:
Residential General
2. If you claim credit for traditional appraisal experience and mass appraisal experience:
a) Hours claimed from Attachment C: Residential General
b) Hours claimed from Attachment E: Residential General
Total
Hours
Claime
d:
Residential General
REMINDER:
If you are using any mass appraisal experience, you must complete only Attachment E for the
experience requirement.
If you are using only traditional appraiser experience, you must complete only Attachments C
and D for the experience requirement.
If you are using combined experience, you must complete Attachments C and D for traditional
experience, Attachment E for mass appraisal experience and Attachment F.
DOS 1432F-f-a (Rev. 08/19) Page 18 of 18
F
State Licensed/Certified Real Estate Appraiser Application
Appraiser Experience Log - Page of
Become an Organ and Tissue Donor
Organ donors save lives. If you would like to be an organ and tissue donor upon your death, you may enroll in the
NYS Donate Life Registry online at www.donatelife.ny.gov/register or complete the form below. Completed forms
should be sent to the NYS Donate Life Registry by email --- Registry@donatelife.ny.gov or, mail - NYS Donate Life
Registry, 185 Jordon Road, Troy, NY 12180.
Fields with an asterisk (*) are required for enrollment. Upon receipt of your completed enrollment form, you will be
sent an email or letter confirming your enrollment and providing you with information on how to limit your donation.
I understand that by opting out of enrolling in the NYS Donate Life Registry, or skipping this question, will not impact
or impair my ability to obtain services from the New York Department of State, Division of Licensing Services.
*Last name
*First name
Middle Initial Suffix
*Address
*Apt. Number *Zip Code
*City
*Birth date / / *Gender M
F
MM DD YYYY
Email address
DMV or IDNYC Number
By sign
ing below, you certify that you are:
• 16
years of age or
older;
• Consent
ing to donate your organs and tissues fo
r
transplant
ation and/or research in the event of your de
ath;
• Auth
orizing the New York Department of State, Division
of
Licen
sing Services to transfer your name and identifyin
g
information to the NYS Donate Life Registry for
enrollment;
and
• Authorizing the Registry to give access to this information
to federa
lly regulated organ procurement organization
s
and NYS-lice
nsed tissue and eye banks and others
approved by the NYS Commissioner of Health in
the event
of your death.
*Sign *Date