Out Of State License Application (Salesperson) {COM 3610}

Please visit our website at www.com.ohio.gov/real 614 | 466-4100 FAX 614 | 644 - 0584 TTY/TDD: 800 | 750 - 0750 SALESPERSON RECIPROCITY APPLICATION LICENSE QUALIFICATION PROCESS In order to obtain an Ohio real estate license by reciprocity, you must do the following: 1. Confirm that your state has entered into a limited reciprocity agreement with the State of Ohio. 2. Must be a legal resident of a state that has a reciprocal agreement with Ohio. 3. Must be sponsored by a broker licensed t o do business in Ohio. TO QUALIFY TO SIT FOR THE EXAMINATION 1. Complete and return the Salesperson Reciprocity Application and the Non - Resident Real Estate Licensee Consent to Service of Process as specified in section 4735.17(B) of the Ohio Revised Code. 2. Submit with your application a letter of certification from the state in which you are currently licensed certifying your status as a salesperson and verifying that you have been continuously licensed in that state for at least one year. 3. Submit with your application proof of completion of forty (40) hours of Ohio real estate law pre - licensure education as specified in Section 4735.09(F)(7)(b) of the Ohio Revised Code. After the Division has determined your eligibility to sit for the jurisdictional portion of the Real Estate Sales that will administer the jurisdictional portion of the examination. Information on scheduling your exam and test loc www.psiexams.com . Mail the completed Salesperson Reciprocity Application with required documents and $60 nonrefundable check or money order, made payable to the Ohio Division of Real Estate, to the following address: Ohio Department of Commerce Division of Real Estate and Professional Licensing 77 South High Street, 20 th floor Columbus, OH 43215 You will have one (1) year from the date you obtain your Ohio real estate license to complete the 2 0 - hour Post Licensure course at an institution of higher education or at a Division - approved education provider. This course may be taken in a classroom setting or online at an institution of higher education. A list of some www.com.state.oh.us/real . Thereafter, you must complete 30 hours of continuing education every three (3) years at a Division - approved continuing education provider. Courses submitted by providers not approved by the Division can be submitted for approval for $100 per course. When the application process is comp leted, the Ohio Division of Real Estate & Professional Licensing will be NOTICE: Per R.C. Section 149.43, this application and the information contained therein, except for the social security number, is pu blic record. NOT I CE: Per R . C. Section 4735 . 09(B), if an a p plication is denied prior to the being admitted to the e x ami n ation, the div i si o n, to cover the expenses of p rocessing the application, shall retain one - half of the f ees and the oth e r one - h alf shall be retur n ed to the appl i cant. NOTICE : Evidence that payment has been refused by the drawer's bank upon a check drawn to the order of the Ohio division of real estate shall constitute prima facie evidence of misconduct and shall constitute a violation of section 4735.18(A)(6) of the Revised Code. REPL - 17 - 0001 COM 3610 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Please visit our website at www.com.ohio.gov/real 614|466 - 4100 Fax: 614|644 - 0584 TTY/TDD: 800|750 - 0750 Anne M. Petit , Superintendent SALESPERSON RECIPROCITY APPLICATION This form is interactive. You may, before printing it, type your responses directly onto the form. Otherwise, this form must be typewritten or printed legibly in black ink. FEE: $60.00 Incomplete applications and applications that are filled out incorrectly will be returned for correction. FOR DIVISION USE ONLY Note: The name and date of birth on this application must match the name and date of birth on the g overnment issued photo identification you will use to identify yourself at the examination site. APPLICANT INFORMATION FIRST NAME MIDDLE NAME OR INITIAL LAST NAME SUFFIX SOCIAL SECURITY NUMBER HOME ADDRESS PHONE NUMBER DATE OF BIRTH CITY STATE COUNTY ZIP CODE YEAR OF HIGH SCHOOL GRADUATION OR G.E.D EMAIL ADDRESS ETHICAL CONDUCT AND LEGAL HISTORY QUESTIONS CONCERNING PROFESSIONAL LICENSES APPLY TO ALL PROFESSIONAL LICENSES REGARDLESS OF PROFESSION. YES NO Have you ever been disciplined in any manner by any public entity or professional or trade association for any violation of any professional licensing law, regulation or ethical rule, including the Ohio Division of Real Estate? YES NO Have you ever been refused or denied any professional license or registration by any public entity, including the Ohio Division of Real Estate? YES NO Have you ever had any professional license revoked, suspended or limited in any way for any reason? YES NO Have you ever been notified by any public entity or professional or trade association that you were under investigation for a ny violation of any professional licensing law, regulation or ethical rule, including the Ohio Division of Real Estate? YES NO Have you ever been the subject of any unsatisfied judgments? YES NO Have you ever been convicted of, plead guilty to or been granted intervention in lieu of conviction for any unlawful conduct excluding minor traffic violations? EXPLAIN: OHIO BROKER INFORMATION BROKER/COMPANY NAME BUSINESS PHONE BUSINESS FAX MAIN BUSINESS ADDRESS CITY STATE COUNTY ZIP CODE THE APPLICANT MUST COMPLETE THE FOLLOWING CERTIFICATION I certify that all of the statements on this application and all of the attached materials are complete and accurate. I unde rstand that any false statement on this form or the attached materials may subject me to criminal prosecut ion and the loss of my Ohio real estate license. SIGNATURE OF APPLICANT DATE THE SPONSORING BROKER MUST COMPLETE THE FOLLOWING CERTIFICATION I hereby certify that, from the investigations made by me, I find the above listed applicant for a real estate license is honest, truthful and of good reputation. I understand that any false statement on this form or the attached materials that is known to me at the tim e of my signing may subject me to criminal prosecution and the loss of my Ohio real estate license. NAME OF BROKER (please type or print) FILE NUMBER SIGNATURE OF BROKER DATE REPL - 17 - 0001 COM 3610 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com