ALL APPLICATIONS MUST INCLUDE A READABLE COPY OF AN ASSISTANT DRIVER’S LICENSE AND THIS
COMPLETED FORM WITH BROKER AND UNLICENSED ASSISTANT SIGNATURE
(Required to verify against DBPR records– Assistant CANNOT have an active FL Real Estate License or
Appraiser License)
BROKER INFORMATION
FIRM Name:___________________________________ FIRM MLS ID:_____________________________________
(Please use complete 9-digit #)
BROKER NAME:_______________________________ BROKER”s E-Mail:____________________________________________
BROKER FIRM Address: __________________________________________________________________________
Street/P.O./Apt City State Zip
UNLICENSED ASSISTANT INFORMATION ☐ ACTIVATE ☐ TRANSFER
Assistant name: __________________________ ______ Assistant E-Mail____________________________________
Home Address:____________________________________________________________________
________________
Street/P.O./Apt City State Zip
If transferring Membership, please provide:
Previous Assistants name: _________________________ Previous Assistants ID____________________
(If Applicable)
Agent name they will be assisting: ________________________________ Agent MLS ID: ____________________
Stellar MLS will invoice the Broker $104 annually for each Assistant they have in their Firm.
NO refunds of unused assistant fees during the billing year, but can be applied to new assistant once new
assistant has paid the $65 registration fees (must be during the current billing year to apply)
Application
Recieved
Assistant
Set-Up Fee
Assistant
Dues
Total
Application
Received
Assistant
Set-Up
Fee
Assistant
Dues
Total
January $65.00 $77.99 $142.99 July $65.00 $25.97 $90.97
February $65.00 $69.32 $134.32 August $65.00 $17.30 $82.30
March $65.00 $60.65 $125.65 September* $65.00 $112.63 $177.63
April $65.00 $51.98 $116.98 October $65.00 $104.00 $169.00
May $65.00 $43.31 $108.31 November $65.00 $95.33 $160.33
June $65.00 $34.64 $99.64 December $65.00 $86.66 $151.66
*Includes (13 months of service)
Stellar MLS charges MLS Assistants $104 per year. They bill from October 1st to September 30th the following year.
Page 1 – Assistant
UNLICENSED ASSISTANT APPLICATION
OFFICE USE ONLY
RASM Member #: ________________
User ID: ________________________
Password: _____________________
Date Enter/Paid: