"Appraisal Management Company Registration Application" - New Mexico

Appraisal Management Company Registration Application is a legal document that was released by the New Mexico Regulation & Licensing Department - a government authority operating within New Mexico.

Form Details:

  • Released on March 1, 2015;
  • The latest edition currently provided by the New Mexico Regulation & Licensing Department;
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  • Fill out the form in our online filing application.

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NM REAL ESTATE APPRAISERS BOARD
New Mexico Regulation and L icensing Department
BO A RD S A ND CO M MI S SIO N S D I VI SI ON
P .O . Box 251 01 ▪ S an ta F e, N ew Mexi co 87504
( 505) 476-4622 ▪ F ax (505) 476- 4665
▪ www.RL D.st at e.nm .u s
APPRAISAL MANAGEMENT COMPANY
REGISTRATION APPLICATION
Incomplete application and fee will be returned to applicant.
APPLICATION FEE
R
The Initial
egistration Fee is $1,000. Please submit payment with this application by check or money order payable to
NM Real Estate Appraisers Board.
Date of Application:
NM State Tax CRS ID Number:
Federal Tax ID Number:
A. TYPE OF ENTITY: check only the box that applies to the business entity type of the applicant.
Domestic Corporation
Foreign Corporation
Partnership
Sole Proprietor
Domestic LLC
Foreign LLC
Limited Partnership
Other:
B. For BUSINESS ENTITY OTHER THAN A SOLE PROPRIETOR, complete this section.
1. Name of Company to be Licensed:
2. Street Address of Principal Place of Business:
City:
County:
State:
Zip:
3. Mailing Address (if different):
Business Phone:
Fax:
E-mail:
Mailing City:
Mailing State:
Mailing Zip:
4. Point of Contact:
Title or Position:
Business Phone:
Fax:
(Required)E-Mail:
C. If applicant is a SOLE PROPRIETOR/INDIVIDUAL, complete this section.
Name:
DBA:
SSN:
D.O.B.
Place of Birth (City/State):
Residence Street Address:
City:
State:
Zip:
Business Street/P.O. Box Address (if different):
Business City:
Business State:
Business Zip:
Business Phone:
Fax:
Residence Phone:
(Required) E-Mail:
Appraisal Management Company Registration Application
(Rev. 03/2015)
NM REAL ESTATE APPRAISERS BOARD
New Mexico Regulation and L icensing Department
BO A RD S A ND CO M MI S SIO N S D I VI SI ON
P .O . Box 251 01 ▪ S an ta F e, N ew Mexi co 87504
( 505) 476-4622 ▪ F ax (505) 476- 4665
▪ www.RL D.st at e.nm .u s
APPRAISAL MANAGEMENT COMPANY
REGISTRATION APPLICATION
Incomplete application and fee will be returned to applicant.
APPLICATION FEE
R
The Initial
egistration Fee is $1,000. Please submit payment with this application by check or money order payable to
NM Real Estate Appraisers Board.
Date of Application:
NM State Tax CRS ID Number:
Federal Tax ID Number:
A. TYPE OF ENTITY: check only the box that applies to the business entity type of the applicant.
Domestic Corporation
Foreign Corporation
Partnership
Sole Proprietor
Domestic LLC
Foreign LLC
Limited Partnership
Other:
B. For BUSINESS ENTITY OTHER THAN A SOLE PROPRIETOR, complete this section.
1. Name of Company to be Licensed:
2. Street Address of Principal Place of Business:
City:
County:
State:
Zip:
3. Mailing Address (if different):
Business Phone:
Fax:
E-mail:
Mailing City:
Mailing State:
Mailing Zip:
4. Point of Contact:
Title or Position:
Business Phone:
Fax:
(Required)E-Mail:
C. If applicant is a SOLE PROPRIETOR/INDIVIDUAL, complete this section.
Name:
DBA:
SSN:
D.O.B.
Place of Birth (City/State):
Residence Street Address:
City:
State:
Zip:
Business Street/P.O. Box Address (if different):
Business City:
Business State:
Business Zip:
Business Phone:
Fax:
Residence Phone:
(Required) E-Mail:
Appraisal Management Company Registration Application
(Rev. 03/2015)
D. List the names and contact information for any individual that owns, is an officer of, or has a greater than 10%
financial interest in the AMC. You may attach additional pages if necessary. Please mail a completed, signed and
notarized Authorization for Release of Information form for each individual with a fee in the amount of $15.00 made
payable to the New Mexico Department of Public Safety for state criminal history background check.
Name:
Title or Position:
Street Address:
City:
State:
Zip:
Address of Business:
Business Phone:
Fax:
(Required)E-Mail:
Name:
Title or Position:
Street Address:
City:
State:
Zip:
Address of Business:
Business Phone:
Fax:
(Required)E-Mail:
Name:
Title or Position:
Street Address:
City:
State:
Zip:
Address of Business:
Business Phone:
Fax:
(Required)E-Mail:
Name:
Title or Position:
Street Address:
City:
State:
Zip:
Address of Business:
Business Phone:
Fax:
(Required)E-Mail:
Name:
Title or Position:
Street Address:
City:
State:
Zip:
Address of Business:
Business Phone:
Fax:
(Required)E-Mail:
Name:
Title or Position:
Street Address:
City:
State:
Zip:
Address of Business:
Business Phone:
Fax:
(Required)E-Mail:
Appraisal Management Company Registration Application
(Rev. 07/2015)
E. CONTROLLING PERSON (CP)
Designate one person who will submit to service of process. Please mail a completed, signed and notarized
Authorization for Release of Information form for this individual with a fee in the amount of $15.00 made payable to
the New Mexico Department of Public Safety for state criminal history background check.
Name:
Title or Position:
Street Address:
City:
State:
Zip:
Address of Business:
Business Phone:
Fax:
(Required)E-Mail:
F. EMPLOYEE IN CHARGE (EIC)
Check if this individual is also the designated CP.
Designate main contact for all communication between AMC and the Board. Please mail a completed, signed and
notarized Authorization for Release of Information form for this individual with a fee in the amount of $15.00 made
payable to the New Mexico Department of Public Safety for state criminal history background check.
Name:
Title or Position:
Street Address:
City:
State:
Zip:
Address of Business:
Business Phone:
Fax:
(Required)E-Mail:
G. CERTIFICATION OF REGISTRATION REQUIREMENTS
Please answer the following questions by choosing the respective answers:
Yes
No
The Controlling Person certifies that the Appraisal Management Company (AMC) has a system and
process in place to verify that an appraiser selected and retained for the network or panel of the AMC
holds a state license or certification in good standing in New Mexico pursuant to the requirements of
the Real Estate Appraisers Act.
Yes
No
The Controlling Person certifies that the AMC has a system and process in place to verify that only
licensed or certified appraisers are used for federally related transactions.
Yes
No
The Controlling Person certifies that the AMC has a system in place to review on a periodic basis, the
work of all appraisers performing real property appraisals or appraisal reviews for the AMC to ensure
that the real property appraisals and appraisal reviews are conducted in accordance with uniform
standards of professional appraisal practice.
Yes
No
The Controlling Person certifies that the AMC maintains a detailed record of each service request that
the AMC receives and the appraiser that performs the real property appraisal or appraisal review for the
AMC.
Yes
No
The Controlling Person certifies that the owner(s) of the AMC applying for registration has not had a
license or certificate to act as an appraiser refused, denied, canceled, surrendered in lieu of revocation,
or revoked in New Mexico or any other state.
Yes
No
The Controlling Person certifies that the owner(s) of the AMC applying for registration has not had any
disciplinary that affects their legal ability to act as an appraisal management company in New Mexico
or any other state.
Yes
No
The Controlling Person certifies that all principals of the AMC applying for registration has not had a
license or certificate to act as an appraiser refused, denied, canceled, surrendered in lieu of revocation,
or revoked in New Mexico or any other state.
Yes
No
The Controlling Person certifies that all principals of the AMC applying for registration have not had
any disciplinary action that affects their legal ability to act as an appraisal management company in
New Mexico or any other state.
Appraisal Management Company Registration Application
(Rev. 07/2015)
This application must be signed and dated in the presence of a Notary Public.
VERIFICATION
By signing this application, the undersigned attests that all information provided in the application is true, to the best
of the signatory’s knowledge; he/she is authorized to bind the applicant company; the applicant warrants that he/she/it
will provide all benefits required by law to be provided by employers to employees; and shall abide by all laws
applicable to Appraisal Management Companies in the State of New Mexico, including without limitation, the Real
Estate Appraisal Management Registration Act, NMSA 1978, Sections 47-41-1 through 23, and all rules promulgated
pursuant thereto.
Print name:
Title:
Applicant Signature:
Date:
NOTARIZATION
On this ______ day of ____________, 20 ____, _________________________ appeared before me, who is
personally known to me to be the person described in this application and the person whose signature appears on this
application; he/she swore under penalty of perjury that all information provided in this application is true and correct
to the best of his/her knowledge and acknowledged that this instrument was executed as his/her free act and deed.
Notary Public:
My Commission Expires:
Appraisal Management Company Registration Application
(Rev. 07/2015)
ATTACHMENT 1 - STATEMENT OF AUTHORIZATION BY AGENT FOR SERVICE OF
PROCESS
Name of Agent:
Street Address:
City:
State:
Zip:
The aforementioned agent hereby acknowledges that the agent accepts and agrees to act as the registered agent for
service of process in New Mexico for
, an Appraisal Management Company registered to do business in New
Mexico, pursuant to the Real Estate Appraisal Management Companies Act, NMSA 1978 NMSA 1 978, Sections 47-
41-1 through 23 and that the agency is duly authorized to do business in New Mexico.
Signature:
Date:
NOTARIZATION
On this ______ day of ____________, 20 ____, _______________________, appeared before me, who is personally
known to me to be the person who executed this Statement of Authorization.
Notary Public:
My Commission Expires:
Appraisal Management Company Registration Application
(Rev. 07/2015)