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Currently Administered by:
PSI Examination Services
100 West Broadway,
800-733-9267 (800-RE-EXAMS)
May
2003
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Applicant Statement Regarding Child
Support, Taxes and Unemployment Compensation |
19 |
i
THE
USING THIS
BULLETIN
This
bulletin contains information you will need to apply for the Vermont Real
Estate Salesperson and Broker examinations. It defines the eligibility
requirements to sit for the examinations, as well as important information
about applying for and taking the examinations, receiving and interpreting your
examination results, and what to do after you have taken the examination. It is
intended to be a principal reference in your exam preparation. Specifically,
the examination content outlines identify all exam topics and guide your study
in detail, topic by topic.
Read
ALL directions completely and carefully. We welcome your calls to our
800 number, but ask that you not contact PSI with questions until you have
thoroughly read this bulletin. KEEP THIS BULLETIN FOR REFERENCE. You may use it
to prepare for your examination, interpret your scores, and apply for your
To ensure that your examination experience is as smooth as
possible, it is important that all procedures in this Candidate Licensing
Information Bulletin are followed closely. When you do have questions, please
refer to the following table before placing your call:
|
Questions About Examination and Licensing
Procedures? • Examination
Procedures Please call PSI
between |
Please call the
|
Neither the Vermont Real Estate
Commission nor PSI discriminate on the basis of sex, race, age, religion,
national origin, color, disability, or any other protected characteristic.
This bulletin provides information about the license
examination and the application process for becoming licensed as a Real Estate
Salesperson or Broker in the State of
The
Vermont Real Estate Commission is responsible for conducting examinations to
test the competency of applicants for licenses. In this regard, the Commission
has contracted with PSI Examination
Services (PSI) to develop the
PSI provides monthly examinations. Examination administrations rotate
between the two designated test centers established in the State of
All questions and requests
for information about these examinations should be directed to:
PSI EXAMINATION SERVICES
100 West Broadway,
Suite 1100
Glendale, CA 91210
800-733-9267
800-RE-EXAMS
FAX: 818-247-3853
TDD: 800-735-2929
www.psionline.com
Call
the
( 802-828-3228 ) or E-mail your questions to: real_estate@heritage.sec.state.vt.us
After
passing the examination, you may apply to the Vermont Real Estate Commission
for a license. Once the Real Estate Commission has verified that you have met
all of the requirements for licensure, the Commission will issue the
appropriate license. Salesperson and Broker applicants must meet the following
requirements:
2.4 HOW TO BECOME LICENSED AS A
SALESPERSON
(a) To qualify initially for a license as a salesperson, the applicant must file a written application (obtained from the Commission office) showing that the applicant:
(1) Is at least 18 years old;
(2) Has never been convicted of a felony, or forgery, embezzlement, obtaining
money under false pretenses, conspiring to defraud, or any criminal or civil
offense which contains an element of fraud;
(3) Has passed the salesperson's exam; and
(4) Is associated with a principal broker.
(b) The Commission may waive the requirements of (2) above if the applicant shows satisfactory proof of rehabilitation. In lieu of the exam in (3) above, the Commission may accept an exam which the Commission deems equivalent, given to satisfy licensing requirements in another jurisdiction. An applicant who does not work for a brokerage firm within one year after passing the exam must complete the continuing education of a salesperson specified in Rule 5.2(a). Applicants who have not worked for a brokerage firm after five years of the date they passed the exam must be re-examined.
2.5 HOW TO
BECOME LICENSED AS A REAL ESTATE BROKER
(a) To qualify initially for a license as a broker, the applicant must file a written application (obtained from the Commission office) showing that the applicant:
(1) Is at least 18 years old;
(2) Meets all the qualifications for a salesperson;
(3)
(A) Has gained experience satisfactory to the
Commission working under the supervision of a principal broker or branch office
broker for at least one year, and has completed a minimum of six separate and
unrelated closed real estate transactions as either the listing or selling
agent, or as the buyer's agent, but not as a principal (the Commission may
reduce the number of transactions required for experience in unusually complex
transactions); or
(B) Is currently licensed as a broker in another state
and has been licensed for at least two years, including time as a salesperson.
(4) Has completed an eight hour broker's course as provided in Rule 5.1; and
(5) Has passed the broker's exam. In lieu of the uniform part of the exam, the Commission may accept an exam which the Commission deems equivalent given to satisfy licensing requirements in another jurisdiction. The state part shall not be waived.
(b) An applicant who does not qualify for a broker's
license within five years of passing the broker's exam must be reexamined.
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For Brokers: The schools below have
been approved by the Commission: Quality Workshops |
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For
Salespersons: Quality Workshops Vermont Association of REALTORS Inc. Around |
Uniform Portion
The
following is a list of available relevant study materials for the national
portion of the Vermont Real Estate Examination. However, they are not
necessarily recommended by PSI or by the Vermont Real Estate Commission.
Gaddy, Jr., W. E.
& Hart, R. E. (2000). Real Estate Fundamentals (5th Ed. Rev.).
Galaty, Fillmore W.,
Allaway,
Geschwender, A. (1997).
Real Estate Principles & Practices (5th
ed.).
Gibson, F., Karp, J.,
& Klayman, E. (1998) Real Estate Law (4th Ed.)
Harwood, Bruce, &
Jacobus, Charles J. (1998). Real Estate Principles (8th ed.),
Reilly, J., (1994).
Agency Relationships in
Real Estate (2nd Ed.).
Shenkel, W. M. (1994).
Marketing Real Estate (3rd
Ed.).
Sirota, D. (2000). Essentials of Real Estate Finance (10th ed.).
State Portion
Suggested study material for the
The following suggestions
will help you prepare for your license examination. Planned preparation, in
addition to any classroom hours, increases your likelihood of passing.
The Examination Content
Outlines have been approved by the Vermont Real Estate Commission. These
outlines reflect the minimum knowledge required by real estate professionals to
perform their duties to the public in a competent and responsible manner.
Changes in the examination content will be preceded by changes in these
published examination content outlines.
Use the outlines as the
basis of your study. The outlines list all of the topics that are on the test
and the number of items for each topic. Do not schedule your examination until
you are familiar with all topics in the outlines.
The Examination Summary
Table below shows the number of questions and the time allowed for each exam
portion.
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Examination Summary Table |
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Exam |
Portion |
No. of |
Time |
|
Salesperson |
Uniform |
80 |
240 Minutes |
|
State |
30 |
240 Minutes |
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Both |
110 |
240 Minutes |
|
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Broker |
Uniform |
80 |
240 Minutes |
|
State |
40 |
240 Minutes |
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Both |
120 |
240 Minutes |
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A.
Property Ownership (Salesperson-10 Items, Broker-8 Items)
►Classes of Property ► Land Characteristics ►Encumbrances ►Types
of Ownership, ► Descriptions of Property
B. Land Use Controls
and Regulations (Salesperson-8
Items, Broker-8 Items)
►Government
Rights in Land, ►Public Controls ►Environmental Hazards and
Regulations ►Private Controls, ►Water Rights
C. Valuation and
Market Analysis (Salesperson-6
Items, Broker-6 Items)
►Value,
►Methods of Estimating Value/Appraisal Process, ►Competitive Market
Analysis
D. Financing (Salesperson-10 Items, Broker-10
Items)
►General
Concepts, ►Types of Loans, ►Sources, ►Government Programs, ►Mortgages/Deeds
of Trust, ►Financing/Credit Laws
E. Laws of Agency (Salesperson-9 Items, Broker-9 Items)
►Law,
Definition, and Nature of Agency Relationships, Type of Agencies and Agents, ►Creation
of Agency and Agency Agreements, ►Responsibilities of Agent to
Seller/Buyer as Principal, ►Termination of Agency, ►Commission and
Fees
F. Mandated
Disclosures (Salesperson-3
Items, Broker-3 Items)
►Property
Condition Disclosure Forms, ►Need for Inspection and Obtaining/Verifying
Information, ►Material Facts
G. Contracts (Salesperson-10 Items, Broker-10
Items)
►General, ►Listing Agreements, ►Buyer-Broker Agreements, ►Offers/Purchase Agreements, ►Offers/Purchase Agreements, ►Counteroffers/Multiple Counteroffers, ►Leases as Contracts, ►Options, ►Rescission and Cancellation
Agreements, ► Broker/Salesperson Agreements
H. Transfer of
Property (Salesperson-6
Items, Broker-7 Items)
►Title Insurance, ►Deeds, ►Escrow,
►Tax Aspects, ►Legal vs. Equitable Title (Broker only) , ►Special Processes
I. Practice of Real
Estate (Salesperson-6
Items, Broker-6 Items)
►Fair
Housing laws, ►Advertising, ►Agent Supervision (Broker only)
J. Mathematics (Salesperson-9 Items, Broker-8 Items)
►Percent,
►Areas, ►Property Tax, ►Loan-to-Value Ratios, ►Points, ►Equity,
►Qualifying Buyers, ►Prorations, ►Commissions, ►Sale
Proceeds, ►Transfer Tax/Conveyance Tax/Revenue Stamps, ►Comparative
Market Analyses (CMA) , ►Income Properties, ►Depreciation, ►Gross
Rent Multipliers (GRM) (Broker only)
K. Specialty Areas (Salesperson-3 Items, Broker-5 Items)
►Property Management and Landlord/Tenant, ►Common
Interest Ownership Properties, ►Subdivisions, ►Commercial
Property/Income Property, ►Business Opportunities (Broker only) , ►Agricultural Property (Broker Only)
Real Estate
Commission Laws - 26 V.S.A., Chapter 41
A. Duties and Powers of the Real Estate Commission
►General power, ►Examination of records, ►Investigations, hearings, and appeals, ►Disciplinary actions: (•Suspension and revocation, •Warning, reprimand, and conditions, •Reinstatement).
B. Licensing Requirements
►Activities requiring a license, ►Exemptions to license requirements, ►Types of licenses, ►Eligibility of licensing, ►License renewal, ►Change in license, ►Educational requirements: (•Prelicensing , •Continuing).
C. Requirements Governing the Activities of Licensees
►Advertising,
►Broker/Salesperson relationship, ►Commissions, ►Disclosure, ►Agency
relationship, ►Recordkeeping, ►Handling of moneys, ►Listings,
►Agency agreements
D. Related Laws
►Land
gains tax, ►Property transfer tax, ►Real estate withholding tax, ►Act
250 (State land and development plans) , ►Zoning laws, ►Tax
proration, ►Condominium law, ►Environmental protection rules, ►Sign
law, ►Vermont Fair Housing and Public Accommodation, ►Human Rights
Commission, ►Landlord Tenant Law, ►Conveyance of Real Estate
E. Broker Topics
►Place of business, ►Trust accounts, ►Principal/broker,
►Supervision
The following questions are offered
as examples of the types of questions you will be asked during the Vermont Real
Estate Salesperson and Broker examinations. The examples do not represent the
full range of content or difficulty levels found in the actual examinations.
They are intended to familiarize you with the types of questions you can expect
to find in the examinations. An answer key follows the eight sample questions.
1. A property you
are listing has a garage that extends onto the property of a neighbor. What
should you do?
2. Which of the following
contracts is valid?
3. After an agent listed a property, the agent's sister
expressed an interest in the property and asked the agent to present an offer
on her behalf WITHOUT mentioning their relationship. The agent must
4. The Fair Housing
Amendment Act of 1988 extended protection to include
5. If the value of
a property is $225,000 and the mortgage is paid down to $79,000, what is the
owner's equity in the property?
6. Which type of
value is most relevant in determining property taxes?
7. A common method
of financing a balloon payment mortgage loan is to
8. A builder is
planning a subdivision zoned residential. Through a covenant in the deed, he
states, "No one can babysit or provide child care for other than their own
children, on a daily or continual basis, for more than one child." Can he
legally do this?
|
Answer Key:
1-(d), 2-(b), 3-(c),
4-(d), 5-(a), 6-(b),
7-(a), 8-(a) |
Submitting Your Registration Form and Fee:
The following steps
must be followed in submitting your registration form:
1. Complete the Exam Registration
Form. BE SURE TO READ ALL DIRECTIONS CAREFULLY BEFORE COMPLETING THE
REGISTRATION FORM. IMPROPERLY COMPLETED FORMS OR INCORRECT FEES WILL BE
RETURNED TO YOU UNPROCESSED.
2. Return the completed form
to PSI with your fee. The fee for taking the Vermont Real Estate Licensing
Examination is $55.00. Payment of fees can be made by money order or cashier's check made payable to PSI Examination Services. Print your Social Security Number on your money order
or cashier's check to ensure that your fee is properly assigned. Cash and
personal or company checks are not accepted.
Applications
must meet the postmark deadline for the examination date that you desire.
Applications must arrive in PSI's offices in
Admission
Ticket
Approximately
one week before your scheduled exam, an admission ticket will be sent to you
confirming your registration and providing notice of the location, date, and
time of the examination for which you are registered.
Applicants may take the
Vermont Real Estate Licensing Examination as walk-in candidates. Walk-in registration
is on a space-available, "first-come, first-served" basis. Walk-in
candidates will be admitted into the test center only after all preregistered
applicants have been admitted. Admission to the test cannot be guaranteed to
walk-in candidates. NOTE: Walk-in registration is $15.00 in addition to the
Standard Registration fee.
To take the exam
as a walk-in candidate:
1. Arrive at the test center
early (by
2. Be
sure that you bring the following with you:
Fees apply to both Broker
and Salesperson examinations:
Because of the expenses
incurred by PSI to schedule you for the examination and provide the appropriate
personnel at the test centers, examination fees are not refundable. Also, examination
fees cannot be transferred to a later testing date.
Social Security Number Confidentiality
PSI will use your Social
Security Number only as an identification number in maintaining your records
and reporting your test scores to the Vermont Real Estate Commission. A federal
law requires state agencies to collect and record the Social Security numbers
of all licensees of the professions licensed by the state. If you elect not to
disclose your Social Security number to PSI, please enclose a separate letter
explaining this with you examination registration form. However, you MUST
provide your Social Security number to the Vermont Real Estate Commission.
You will not be admitted
into the testing center, your registration will be invalidated, and you will
forfeit your fee and application if you:
In the event that severe weather or
another emergency forces the closure of a test center on a scheduled testing
date, your examination will be rescheduled. PSI personnel will attempt to
contact you in this situation; however, you may check the status of your
testing schedule by calling (800) 733-9267. Every effort will be made to
reschedule your examination at a convenient time as soon as possible.
The following are the
testing centers where you will be able to take the Vermont Real Estate
Licensing Examinations. Refer to the
registration form for the examination schedule.
Barre:
Spaulding High
School
From I-89, take exit 6 and
follow the access road 4 miles to Route 14. Turn left on Route 14. Proceed 1
mile to a flashing yellow light,
Broker and Salesperson examinations are offered at both
locations. The test center for which you are registered will be shown on your
admission ticket.
On the day of the exam, you
should arrive at the test center no
later than
Information about test center
closures is recorded on the main greeting at PSI and updated as required when
weather or other conditions are being monitored. Call 1-800-733-9267 to hear if
your test center is closed.
Required Identification:
In order to take
the Vermont Real Estate Licensing Examination, you must present the following:
1. A valid admission ticket.
2. An identification with a recent photograph.
3. Another form of identification which bears your signature.
If you cannot provide the
required identification, you must contact PSI one month prior to your scheduled
appointment to arrange a way to meet this security requirement. Failure to provide all of the required identification
at the test center will result in your exclusion from the examination.
Copying or communicating test content
is a violation of security regulations. Either one may result in
disqualification of exam results and may lead to legal action under copyright
laws.
All exam centers are
equipped to provide access in accordance with the Americans with Disabilities Act
(ADA) of 1990, and every reasonable accommodation will be made in meeting a
candidate's needs. Applicants with disabilities or those who would otherwise
have difficulty taking the examination should contact PSI to make alternative
arrangments. Requests for any special accommodations should be made in writing,
describing the specific accommodations that will be needed, and requests must
include supporting documentation from a licensed professional. All requests for
special testing arrangements must be made when the candidate registers for the
examination.
In order to pass the
examination, you must achieve the minimum score shown on each part of the
examination.
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Salesperson
---------------Number Correct Uniform Portion
............................56 |
Broker-------------------------Number
Correct Uniform
Portion........................... 60 |
A written score report will
be mailed to you by PSI. Your score is given in two forms: as an overall score
with a pass/fail grade, and also as a set of individual scores for the major
sections of the uniform portion exam outline.
Exam results are confidential
and will be reported only to you and the Vermont Real Estate Commission.
If you pass one part of the
exam (Uniform or
If you fail the examination,
a new application will be sent to you to retake the exam. You may retake the
examination at the next regularly scheduled administration as long as you
submit a timely application and fee payment.
You can write to PSI to
request a duplicate of your grade report for up to one year after your
examination. The fee for a duplicate copy of your score report is $15.00.
All examination answer sheets
for candidates scoring close to the required passing score (two points below
and one point above) will be handscored by PSI. Any discrepancies will be
identified and resolved. Requests for additional handscoring must be made in
writing.
After you have passed the
Vermont Real Estate Examination, you must follow the guidelines listed below to
be licensed to practice real estate in the State of
The principal broker of the
firm you will be associated with must submit a letter to the Commission
requesting your Vermont Real Estate license. A fee as described below shall
accompany the application for a Broker's or Salesperson's license.
1. Complete and submit the
attached Vermont Real Estate Commission Application For
Licensure as a Salesperson or Broker;
2. attach
to the letter above a letter from the broker with whom you will be associated,
requesting the license be issued to that office; the request must be signed by
the principal broker;
3. pass
the Salesperson examination, both the Uniform and
4. complete
and submit the Applicant Statement Regarding Child Support, Taxes, and
Unemployment Compensation; and
5. submit
the licensing fee of $50.00 to the Vermont Real Estate Commission. Checks
should be made out to the Vermont
Secretary of State's Office.
Active out-of-state
Salespersons applying for a Vermont Salesperson license must:
1.
Complete
and submit the attached Vermont Real Estate Commission Application For
Licensure as a Salesperson or Broker;
2.
attach
to the letter above a letter from the
3.
if
you have passed the Uniform Salesperson examination in a state which used the
ASI, ETS, or PSI test with a score of 75%, only the Vermont State portion of
the test will be necessary;
4.
and
submit the Applicant Statement Regarding Child Support, Taxes, and Unemployment
Compensation; and
Vermont Salespersons applying
for a Vermont Broker license must:
·
a.
date of sale
·
b.
name of seller
·
c.
name of buyer
·
d.
listing agent
·
e.
selling agent
Requirements 3 to 5 may be
incorporated in a letter signed by both the applicant and the supervising
Broker.
Active out-of-state Brokers
applying for a Vermont Broker's license must:
1.
Complete
and submit the attached Vermont Real Estate Commission Application For
Licensure as a Salesperson or Broker;
2.
submit
proof of having completed an approved eight-hour pre-licensing broker course;
3.
If
you will be working for a broker, submit a letter from the broker with whom you
will be associated. If you will be working as a sole proprietor, a letter is
needed stating this along with your mailing and physical address; you may have
your legal name followed by either the words "Real Estate" or
"Broker". If you will be working under another name it must be
registered with the Corporations Division, at (802) 828-2386, as a DBA (doing
business as); a copy of the registration approval by the Corporations Division
must accompany your application for licensure. If you wish to register a real
estate brokerage firm it must also be registered with the Corporations
Division; a copy of the registration approved by Corporations must accompany
the real Estate Commission Application for Registration;
4.
complete
and submit the attached Applicant Statement Regarding Child Support, Taxes, and
Unemployment Compensation Contributions;
5.
if
you currently licensed as a broker in
another state and have been licensed for at least two years, including time as
a salesperson and passed
the Uniform Broker examination in that state which used the ASI, ETS, or PSI
test with a score of 75%, only the Vermont State portion of the test will be
necessary;
6.
submit the licensing fee of $50.00 to the
Vermont Real Estate Commission. Checks should be made out to the VT
Secretary of State's Office; AND
7. complete the Process Agent Form. (This form may be obtained from the Vermont Real Estate Commission upon request.)
Application
Fees: Applicants
shall pay the following licensing fees:
Contact the Commission ONLY with questions about applications for licensure:
SECRETARY OF STATE'S OFFICE
VERMONT REAL ESTATE COMMISSION
Heritage Building
81 River Street, Drawer 09
Montpelier, Vermont 05609-1106
Phone: 802-828-3228
Fax: 802-828-2368
Email: real_estate@heritage.sec.state.vt.us
Website: http://vtprofessionals.org/opr1/real_estate/
All other questions and
requests for information about the examinations
should be directed to:
PSI EXAMINATION
SERVICES
100 West Broadway,
800-733-9267 (800-RE-EXAMS)
FAX 818-247-3853 • TDD 800-735-2929
OFFICE OF PROFESSIONAL REGULATION -
REAL ESTATE COMMISSION
READ CAREFULLY! ANY MISSING INFORMATION WILL RESULT IN A
RETURN OF YOUR APPLICATION
|
1 |
__ |
Complete
and sign Application For Licensure As
A Salesperson Or Broker; include any required additional
information, pages 14-15. |
|
2 |
__ |
If you
have ever held a license in another state as a Real Estate Salesperson or
Broker, you must submit to the Vermont
Real Estate Commission, verification(s) of good-standing and
licensure from the state licensing authority of the state(s) you have been,
or are, licensed in. |
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3 |
__ |
Submit
copies of your notification(s) from PSI that you have passed the
examination(s). You MUST
contact PSI for information regarding exam(s) or registering for exam, (800)
733-9267. |
|
4 |
__ |
Statements
Regarding Child Support, Taxes, and Unemployment Compensation Contributions
Form - must
be completed, dated, and signed, page 16. |
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5 |
__ |
a. If you are applying for
licensure as a Salesperson,
submit a letter from a |
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__ |
b. If you are an out of state Salesperson, appling for licensure by
endorsement, submit a letter from a |
|
6 |
__ |
a. If you are a Vermont licensed Salesperson
applying for a Broker's license you must submit a letter from a Vermont
Licensed Principal Broker or Broker-in-charge stating you have worked for
him/her for at least one (1) year and includes a list of six (6) closed
transactions that you were either the listing or selling agent (this must
also be signed by Principal Broker); include: a) date of sale, b) name of
seller, c) name of buyer, d) listing agent, e) selling agent |
|
|
__ |
b. If you will be working for a
broker, submit a letter from the broker with whom you will be associated. If
you are having the license under your own name, a letter is needed stating
mailing and physical address; you may have your legal name followed by either
the words "Real Estate" or "Broker", anything other then this must be registered with
the Corporations or Trade name Division at (802)828-2386. |
|
7 |
__ |
A check
for $50.00 made out
to the Secretary of State's Office. |
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8 |
__ |
You must
be at least 18 years of age. |
|
9 |
__ |
If you
are a licensed Salesperson, or an out
of state Broker, applying for licensure as a Broker, you must complete an eight
(8) hour broker course before your license can be issued and submit the
certificate of completion with your application. |
|
10 |
__ |
If you are
applying for licensure as a salesperson and your test date is over one (1)
year old you must complete the required hours of approved Continuing
Education and submit the Certificate(s) of completion with your application. |
|
11 |
__ |
For Non-Resident Licensees: Complete
Process Agent Form (obtained upon request). |
Note: Once you have
compiled all of the above items, send completed package to the:
Vermont Secretary of State - Office of Professional
Regulation
Vermont Real Estate Commission
Heritage Building, 81 River Street,
Drawer 09
Montpelier, VT 05609-1106
Phone: (802)828-3228 - Fax:
(802)828-2368
|
VERMONT SECRETARY OF STATE APPLICATION FOR LICENSURE |
SECTION - I
Please type or
print only. When space provided is insufficient, attach additional sheets.
|
Applying for licensure as a: _____ Salesperson or
_____ Broker |
|
Applying on the
basis of: _____ Initial
License/Uniform and State Exams or _____ Endorsement/State Exam Only |
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List all states in which
you now hold or have ever held a license to practice real estate. If you were
previously licensed in another state, you must submit a certificate of
good standing from that jurisdiction in order to be licensed in
|
State |
License # |
Status |
Date Issued |
Expiration Date |
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1) Have
you previously applied for a license in If yes: under what name?
_______________________________________ |
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2) Have
you been convicted of a crime other than a minor traffic violation? _____YES
_____NO |
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3) Has
any state, territory, or other jurisdiction denied your application for a
license, certificate, or registration in any profession or occupation?
_____YES _____NO |
|
4) Has
any state or federal licensing authority restricted, suspended, revoked or
taken any other disciplinary action against a license, certificate, or
registration that you hold or held in any profession |
|
ANSWERS TO THE FOLLOWING QUESTIONS
ARE NOT SUBJECT TO PUBLIC DISCLOSURE: |
|
5) Do you
have a physical or mental condition or disorder which in any way impairs or limits
your ability to practice [profession or occupation] with reasonable skill and
safety? _____YES _____NO |
|
6) Does
your use of alcohol, drugs, or medications in any way impair or limit your
ability to practice [profession or occupation] with reasonable skill and
safety? _____YES _____NO |
|
7) Are
you currently engaged in the illegal use of drugs? _____YES _____NO |
Note: If the answer to any of these
questions (#'s 1 through 7) is yes, please identify by number and explain fully
using a separate sheet.
STATEMENT OF APPLICANT
I hereby certify that everything in this application is true and accurate to the best of my knowledge.
|
Date : |
____________ |
Signature: |
_________________________________________ |
Vermont Secretary Of State - Real Estate Commission
Heritage Building, 81 River Street,
Drawer 09
Montpelier, VT 05609-1106
Phone: (802)828-3228 Fax: (802)828-2368
E-mail: jgriffen@sec.state.vt.us Web Site: http://vtprofessionals.org/opr1/real_estate/
STATE OF
APPLICANT'S STATEMENT REGARDING
CHILD SUPPORT, TAXES, & UNEMPLOYMENT COMPENSATION CONTRIBUTIONS
You must
answer questions 1, 2, and 3.
Title 15 § 795 requires that: A
professional license or other authority to conduct a trade or business may not
be issued or renewed unless the person certifies that he or she is in good
standing with respect to or in full compliance with a plan to pay any and all
child support payable under a support order as of the date the application is
filed. "Good standing" means that less than one-twelfth of
the annual support obligation is overdue; or liability for any support payable
is being contested in a judicial or quasi-judicial proceeding; or he or she is
in compliance with a repayment plan approved by the office of child support or
agreed to by the parties; or the licensing authority determines that immediate
payment of support would impose an unreasonable hardship. (15 V.S.A. §
795)
1. You
must check one of the two statements below regarding child support
regardless whether or not you have children:
____ I hereby certify that, as of the
date of this application: (a) I am not subject to any support order or (b) I am
subject to a support order and I am in good standing with respect to it, or (c)
I am subject to a support order and I am in full compliance with a plan to pay
any and all child support due under that order.
or
____ I hereby certify that I am NOT
in good standing with respect to child support dues as of the date of this
application and I hereby request that the licensing authority determine that
immediate payment of child support would impose an unreasonable hardship.
Please forward an "Application for Hardship".
Regarding Taxes
Title 32 §
3113 requires that: A professional license or other authority to conduct a
trade or business may not be issued or renewed unless the person certifies that
he or she is in good standing with the Department of Taxes." Good
standing" means that no taxes are due, the tax liability is on appeal,
the taxpayer is in compliance with a payment plan approved by the Commissioner
of Taxes, or the licensing authority determines that immediate payment of taxes
would impose an unreasonable hardship. (32 V.S.A. § 3113)
2.
You must check one of the two statements below regarding taxes:
____ I hereby certify, under the pains and penalties or perjury, that I
am in good standing with respect to or in full compliance with a plan to pay
any and all taxes due to the State of Vermont as of the date of this
application. (The maximum penalty for perjury is fifteen years in prison,
a $10,000.00 fine or both).
or
____ I hereby certify that I am NOT in good
standing with respect to taxes due to the State of
Regarding Unemployment Compensation Contributions
Title 21§
1378 requires that: No agency of the state shall grant, issue or renew
any license or other authority to conduct a trade or business (including a
license to practice a profession) to, or enter into, extend or renew any
contract for the provision of goods, services, or real estate space with any employing
unit unless such employing unit shall first sign a written declaration, under
the pains and penalties of perjury, that the employing unit is in good standing
with respect to or in full compliance with a plan to pay any and all
contributions or payments in lieu of contributions due as of the date such
declaration is made. For the purposes of this section, a person is in
good standing with respect to any and all contributions or payments in lieu of
contributions payable if: (1) no contributions or payments in lieu of
contributions are due and payable; (2) the liability for any contributions or
payments in lieu of contributions due and payable is on appeal; (3) the
employing unit is in compliance with a payment plan approved by the
Commissioner; or (4) in the case of a licensee, the agency finds that requiring
immediate payment of contributions or payments in lieu of contributions due and
payable would impose an unreasonable hardship.
3. You
must check one of the three statements below regarding unemployment
contributions or payments in lieu of unemployment contributions:
____ I hereby certify, under the pains and penalties or perjury, that I
am in good standing with respect to or in full compliance with a payment plan
approved by the Commissioner of Employment and Training to pay any and all
unemployment contributions or payments in lieu of unemployment contributions to
the Vermont Department of Employment and Training due as of the date of this
application. (The maximum penalty for perjury is 15 years in prison, a
$10, 000.00 fine or both.)
or
____ I hereby certify that I am NOT in good standing with respect
to unemployment contributions or payments in lieu of unemployment contributions
due to the Vermont Department of Employment and Training as of the date of this
application and I hereby request that the licensing authority determine that
requiring immediate payment of unemployment contributions or payments in lieu
of unemployment contributions would impose an unreasonable hardship.
Please forward an Application for Hardship.
or
____ I hereby certify that 21 V.S.A. ' 1378 is not applicable to me
because I am not now, nor have I ever been, an employer.
Social Security #* /
/
Date of
Birth /
/
*
The disclosure of your social security number is mandatory, it is solicited by
the authority granted by 42 U.S.C. ' 405 (c)(2)(C), and will be used by the
Department of Taxes and the Department of Employment and Training in the administration
of Vermont tax laws, to identify individuals affected by such laws, and by the
Office of Child Support.
STATEMENT
OF APPLICANT
I certify
that the information stated by me in this application is true and accurate to the
best of my knowledge and that providing false information or omission of
information is unlawful and may jeopardize my
license/certification/registration status.
Signature of Applicant :
Date: