Real Estate Salesperson Application

Rev. 12/31/19 Tel: 401-462-9512 TDD: 711 Web Site: www.dbr.ri.gov

REQUIREMENTS FOR REAL ESTATE SALESPERSON APPLICANTS

All candidates applying for a Real Estate Salesperson license must first contact Pearson VUE at (800) 274-

8922 or by visiting their website at www.pearsonvue.com

, to schedule an examination. The examination must

be taken before submitting an application to the Department of Business Regulation (DBR), Division of

Commercial Licensing, Real Estate Section. All licenses expire biennially (every two years) on even years.

Upon

successfully passing the examination, candidates must submit the following:

• The Original Test Score Report from Pearson VUE, both pages

• A completed Real Estate Salesperson Application

• A Certificate of Completion for 45 hours of Pre-Licensing Sales education including three (3) hours of a

New Agency Law course

• A Criminal History Record (CHR) from the Rhode Island Department of the Attorney General located

at 4 Howard Avenue, Cranston, RI 02920. Hours of operation are 8:30 am to 4:30 pm. For further

questions about this process, you may contact the DAG at (401) 274-4400.

• A Lead Poisoning/Lead Hazard Mitigation Certificate of Completion for three (3) hours

(an approved Real Estate Pre-Licensing and Continuing Education Course List can be found on the DBR

website at www.dbr.ri.gov)

• A Certificate of Errors and Omissions Insurance

In a

ddition to the above required documentation, Non-resident applicants ONLY, must also provide:

• A Letter of Good Standing from the home-state’s licensing authority

• A CHR or CORI from the home state law enforcement agency

• An irrevocable Power of Attorney Form for service of process (included in application package)

FEES: Remit TWO separate Checks or Money Orders

• 1

Check - $140, payable to the “RI General Treasurer”

AND;

• 2

Check - $25, payable to the “Real Estate Recovery Account.”

State of Rhode Island

Department of Business Regulation

Division of Commercial Licensing

Real Estate Section

1511 Pontiac Ave, Bldg. 69-1

Cranston, RI 02920

Rev. 3/21/19 Tel: 401-462-9512 TDD: 711 Web Site: www.dbr.ri.gov

REAL ESTATE SALESPERSON APPLICATION

Please print or type. Incomplete applications will be returned. Please allow 7-10 business days for processing.

State of Rhode Island

Department of Business Regulation

Division of Commercial Licensing

Real Estate Section

1511 Pontiac Ave, Bldg. 69-1

Cranston, RI 02920

1. APPLICANT INFORMATION

Name: SSN:

Date of Birth: Age: Legal Resident? □ Yes □ No

Residential Address:

City: State: Zip Code:

Phone Number: Email Address:

Present Occupation:

Have you ever been refused a real estate broker’s or salesperson’s license in this or any other state? □ Yes □ No

Have you ever had any real estate license suspended or revoked? □ Yes □ No

Have you ever been convicted of, or plead guilty or nolo contendre to forgery, embezzlement, obtaining money under false

pretenses, bribery, larceny, extortion, conspiracy to defraud, or any other offenses of any type which would reasonably cause

the Department to question your honesty, trustworthiness, integrity, good reputation or competency? □ Yes □ No

2. EMPLOYMENT INFORMATION

Agency Name: Phone Number:

Address:

City: State: Zip Code:

Principal Broker Name: RI License No.:

I, ______________________________________________________________ certify that the applicant has applied for employment as a

Principal Broker (Print)

salesperson, and in my opinion, is competent and trustworthy and is recommended as a suitable person to be granted a

salesperson’s license.

___________________________________________________________ _________________________________________

Principal Broker Signature Date of Signature (MM/DD/YY)

3. RECOMMENDATIONS

R.I.G.L requires recommendations from three (3) Rhode Island residents who have known the applicant for three (3) years and

are not related to the applicant and will attest that the applicant bears a good reputation for honesty and trustworthiness and

would recommend that a license be granted to the applicant.

Name: Email:

Rev. 3/21/19 Tel: 401-462-9512 TDD: 711 Web Site: www.dbr.ri.gov

4. AFFIDAVIT(S) & SIGNATURE

Tax Payer Status Affidavit

Pursuant to R.I. Gen. Laws, Chapter 5-79, as amended, any person applying for or renewing any license, permit, or other

authority to conduct a business or occupation within Rhode Island must have filed all required state tax returns and paid all

taxes due to the state, or must have entered into a written agreement to pay delinquent state taxes that is satisfactory to the Tax

Administrator.

Have you filed all required Rhode Island State tax returns, and have you paid all taxes owed?  Yes  No

Affidavit of Application

I swear, under penalty of perjury that the information provided in connection with this application is true to the best of my

knowledge, with the understanding that any omissions, inaccuracies or failure to make full disclosures may be deemed sufficient

reason to deny licensure by the Rhode Island Department of Business Regulation.

_____________________________________________________ _____________________________________________________

Signature of Applicant Date of Signature (MM/DD/YY)

5. POWER OF ATTORNEY (Non-Residents ONLY)

I, ______________________________________, having applied to be licensed as a non-resident real estate salesperson in the State of Rhode

Island, do hereby irrevocably appoint the Director of the Department of Business Regulation, his successor or successors, as my

lawful attorney, upon whom all lawful process in any action or legal proceeding against me may be served in like manner and

with the same legal force and effect as if I had been lawfully served with said process. As such, I do hereby authorize said

attorney to receive and accept service of process, pursuant to the provisions of R.I. Gen. Laws § 5-20.5-10(d).

_____________________________________________________ _____________________________________________________

Signature of Applicant Date of Signature (MM/DD/YY)

OFFICE USE ONLY

Date

Date application was received:

45 Hours of Pre-Licensing Education Received:

Pearson VUE Test Score Report:

Lead Poisoning/Lead Hazard Course Received:

Errors and Omissions Insurance Received:

CHR Received:

License #.:

Approval:

Expiration: