Fillable Real Estate Company/Multiple Branch Supervising Broker Registration

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This form is to be completed by the Principal Broker of a Real Estate Brokerage that desires to simultaneously supervise up to two additional branch offices, OR for the Principal Broker to designate a Branch Broker to simultaneously supervise up to three branch offices

On average this form takes 10 minutes to complete

The Real Estate Company/Multiple Branch Supervising Broker Registration form is 1 page long and contains:

  • 2 signatures
  • 0 check-boxes
  • 33 other fields

Country of origin: US
File type: PDF

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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

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Real Estate Company/Multiple Branch
Supervising Broker Registration
This form is to be completed by the Principal Broker of a Real Estate Brokerage that desires to simultaneously supervise
up to two additional branch offices, OR for the Principal Broker to designate a Branch Broker to simultaneously supervise
up to three branch offices
Please complete, sign, and submit this form along with a Company/Branch Change Form. These forms can be
submitted by fax, mail, email, or in person.
FOR PRINCIPAL BROKERS USE:
Name of Real Estate Company: ____________________________________________
License Number of Real Estate Company: ______________________________- CN00
Name of Principal Broker: _________________________________________________
License Number of Principal Broker: ___________________________________ - PB00
License Number and Identifier of Branch Office (#1) Principal Broker desires to additionally
supervise:
License No. _________________- BO00 Identifier: _____________________________
Location of Branch Office: _________________________________________________
License Number and Identifier of Branch Office (#2) Principal Broker desires to additionally
supervise:
License No. ________________- BO00 Identifier: _____________________________
Location of Branch Office: _________________________________________________
FOR BRANCH BROKERS USE:
Name of Branch Broker: _________________________________________________
License Number of Branch Broker: ___________________________________- BB00
License Number and Identifier of Branch Office (#1) Branch Broker designated to supervise:
License No. _______________- BB00 Identifier: _____________________________
Location of Branch Office: ________________________________________________
License Number and Identifier of Branch Office (#2) Branch Broker designated to supervise:
License No. _______________- BB00 Identifier: _____________________________
Location of Branch Office: ________________________________________________
License Number and Identifier of Branch Office (#3) Branch Broker designated to supervise:
License No. _______________- BB00 Identifier: _____________________________
Location of Branch Office: ________________________________________________
Signature of Branch Broker: __________________________________ Date: ______________
Signature of Principal Broker: ________________________________Date: _______________
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Real Estate CompanyMultiple Branch Supervising Broker Registration

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Completed 4 December 2018

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