Form 27C (COM3571; REPL-19-0039) "Foreign Corporate Dealer Application" - Ohio

What Is Form 27C (COM3571; REPL-19-0039)?

This is a legal form that was released by the Ohio Department of Commerce - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2019;
  • The latest edition provided by the Ohio Department of Commerce;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 27C (COM3571; REPL-19-0039) by clicking the link below or browse more documents and templates provided by the Ohio Department of Commerce.

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Download Form 27C (COM3571; REPL-19-0039) "Foreign Corporate Dealer Application" - Ohio

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Please visit our website at
www.com.ohio.gov/real
614 | 466-4100
Fax 614 | 644-0584
TTY/TDD: 800 | 750-0750
FOR DIVISION USE ONLY
LICENSE FEE ($225.00)
FILE NUMBER
LICENSE NUMBER
LICENSE APPROVED/REFUSED/WITHDRAWN
DATE OF ISSUANCE
FORM 27C
CORPORATE DEALER APPLICATION – FOREIGN REAL ESTATE
(Pursuant to Chapter 4735.27 of the Ohio Revised Code)
INSTRUCTIONS:
This application is for a corporation or LLC requesting an Ohio foreign real estate dealer’s license.
Incomplete application forms will delay the application process.
Application forms must be typed in black ink only.
The license fee is $225.00 and is nonrefundable.
A check or money order payable to the Division of Real Estate must accompany this application. Do not send cash.
FORM 27SOP: CONSENT TO SERVICE OF PROCESS must accompany this application.
FORM 27CI: INDIVIDUAL CORPORATE DEALER APPLICATION must accompany this application.
FORM 28: FOREIGN SALES APPLICATION must be submitted for each foreign real estate salesperson to be employed by the applicant.
1. NAME OF CORPORATION
FEDERAL TAX IDENTIFICATION NUMBER
2. PRINCIPAL OFFICE ADDRESS (STREET, CITY, COUNTY, STATE, ZIP CODE)
BUSINESS PHONE
3. DATE AND PLACE OF ORGANIZATION OF THE BUSINESS:
4. GENERALLY DESCRIBE THE CURRENT NATURE OF THE BUSINESS OF THE APPLICANT
5. IS THE APPLICANT A SUBSIDIARY OF ANOTHER CORPORATION?
YES – Provide name and address of the parent corporation
NO
6. HAS THE APPLICANT EVER BEEN LICENSED AS A REAL ESTATE BROKER IN OHIO OR ANY OTHER STATE?
YES – Provide a copy of the certificate(s) of licensure
NO
7. HAS THE APPLICANT EVER BEEN LICENSED AS A FOREIGN REAL ESTATE DEALER IN OHIO OR ANY OTHER STATE?
YES – Provide the licensing body, date and type of license
NO
_
_
_
_
_
_
_
_
ATTACH ANY APPLICABLE INFORMATION IN RESPONSE TO THE QUESTIONS BELOW.
8. PROVIDE A LIST OF BUSINESS ADDRESSES OF THE APPLICANT FOR THE PRECEDING TEN YEARS.
9. PROVIDE A LIST OF ALL BRANCH OFFICES LOCATED IN OHIO AND ELSEWHERE. (NAME, STREET, CITY, STATE, ZIP CODE)
10. IF APPLICABLE, PROVIDE A CURRENT LIST OF THE NAMES AND ADDRESSES (BUSINESS AND RESIDENTIAL) OF ALL OF THE APPLICANT’S
PARTNERS, OFFICERS, DIRECTORS, TRUSTEES OR MANAGERS ACCOUNTING FOR ANY LIMITATION OF LIABILITY.
11. PROVIDE A LIST OF THE NAMES AND ADDRESSES OF ALL SALESPERSONS TO BE EMPLOYED DURING THE CALENDAR YEAR IN CONNECTION
WITH THE SALE OF FOREIGN REAL ESTATE IN OHIO. (NOTE: A SEPARATE FORM 28 APPLICATION MUST BE FILED FOR EACH SALESPERSON.)
“An Equal Opportunity Employer and Service Provider”
Page 1 of 2
COM 3571 REPL-19-0039 (REV. 10/2019)
Please visit our website at
www.com.ohio.gov/real
614 | 466-4100
Fax 614 | 644-0584
TTY/TDD: 800 | 750-0750
FOR DIVISION USE ONLY
LICENSE FEE ($225.00)
FILE NUMBER
LICENSE NUMBER
LICENSE APPROVED/REFUSED/WITHDRAWN
DATE OF ISSUANCE
FORM 27C
CORPORATE DEALER APPLICATION – FOREIGN REAL ESTATE
(Pursuant to Chapter 4735.27 of the Ohio Revised Code)
INSTRUCTIONS:
This application is for a corporation or LLC requesting an Ohio foreign real estate dealer’s license.
Incomplete application forms will delay the application process.
Application forms must be typed in black ink only.
The license fee is $225.00 and is nonrefundable.
A check or money order payable to the Division of Real Estate must accompany this application. Do not send cash.
FORM 27SOP: CONSENT TO SERVICE OF PROCESS must accompany this application.
FORM 27CI: INDIVIDUAL CORPORATE DEALER APPLICATION must accompany this application.
FORM 28: FOREIGN SALES APPLICATION must be submitted for each foreign real estate salesperson to be employed by the applicant.
1. NAME OF CORPORATION
FEDERAL TAX IDENTIFICATION NUMBER
2. PRINCIPAL OFFICE ADDRESS (STREET, CITY, COUNTY, STATE, ZIP CODE)
BUSINESS PHONE
3. DATE AND PLACE OF ORGANIZATION OF THE BUSINESS:
4. GENERALLY DESCRIBE THE CURRENT NATURE OF THE BUSINESS OF THE APPLICANT
5. IS THE APPLICANT A SUBSIDIARY OF ANOTHER CORPORATION?
YES – Provide name and address of the parent corporation
NO
6. HAS THE APPLICANT EVER BEEN LICENSED AS A REAL ESTATE BROKER IN OHIO OR ANY OTHER STATE?
YES – Provide a copy of the certificate(s) of licensure
NO
7. HAS THE APPLICANT EVER BEEN LICENSED AS A FOREIGN REAL ESTATE DEALER IN OHIO OR ANY OTHER STATE?
YES – Provide the licensing body, date and type of license
NO
_
_
_
_
_
_
_
_
ATTACH ANY APPLICABLE INFORMATION IN RESPONSE TO THE QUESTIONS BELOW.
8. PROVIDE A LIST OF BUSINESS ADDRESSES OF THE APPLICANT FOR THE PRECEDING TEN YEARS.
9. PROVIDE A LIST OF ALL BRANCH OFFICES LOCATED IN OHIO AND ELSEWHERE. (NAME, STREET, CITY, STATE, ZIP CODE)
10. IF APPLICABLE, PROVIDE A CURRENT LIST OF THE NAMES AND ADDRESSES (BUSINESS AND RESIDENTIAL) OF ALL OF THE APPLICANT’S
PARTNERS, OFFICERS, DIRECTORS, TRUSTEES OR MANAGERS ACCOUNTING FOR ANY LIMITATION OF LIABILITY.
11. PROVIDE A LIST OF THE NAMES AND ADDRESSES OF ALL SALESPERSONS TO BE EMPLOYED DURING THE CALENDAR YEAR IN CONNECTION
WITH THE SALE OF FOREIGN REAL ESTATE IN OHIO. (NOTE: A SEPARATE FORM 28 APPLICATION MUST BE FILED FOR EACH SALESPERSON.)
“An Equal Opportunity Employer and Service Provider”
Page 1 of 2
COM 3571 REPL-19-0039 (REV. 10/2019)
If the answer to any of the following is “yes”, attach a schedule identifying each such case and the parties involved, briefly
describing the circumstances, stating the court or agency involved and the reference file number used by such court or agency,
and providing such further information which may be useful to the Division in understanding the case.
12. State whether the applicant, or any person named in question 10, or any other person directly or indirectly controlling or controlled by
the applicant, including any employee:
a.
Has been found by any state regulatory agency or the U.S. Department of Housing and Urban Development to have made or
caused to have been made in any application, filing or report required to be filed with the Department or in any proceeding
before such Agencies with respect to such filing, any statement which was at the time and in light of the circumstances under
which it was made false or misleading with respect to any material fact which was required to be stated therein.
NO
YES
b.
Has been convicted within the past ten years of any felony or misdemeanor: (1) involving the purchase or sale of any interest in
real estate situated within or outside of Ohio; (2) arising out of the conduct of the business of a broker or dealer; (3) involving
embezzlement, fraudulent conversion, or misappropriation of funds or securities; (4) involving moral turpitude or municipal
civil rights pertaining to discrimination in housing; or (5) involving violation of section 1341, 1342, or 1343 of Title 18, United
States Code which includes mail fraud and fraud by wire (including telephone, telegraph, radio or television.)
NO
YES
c.
Has been convicted within the past ten years of a felony or any violation of penal law in another jurisdiction, state or federal.
NO
YES
d.
Has been the subject of any civil or criminal proceedings or other disciplinary action in any state for a violation of a securities
law, real estate law or regulation.
NO
YES
e.
Is or has been permanently or temporarily enjoined by order, judgment or decree of any court or administrative agency from
acting as a broker or dealer in connection with the purchase or sale of foreign real estate.
NO
YES
f.
Has been denied registration or licensure with a state or federal agency, or had a license or registration with a state or federal
agency suspended or revoked.
NO
YES
THE APPLICANT MUST COMPLETE THE FOLLOWING CERTIFICATION
The undersigned applicant hereby states that the information given in thi s application is accurate and co mplete and that such i nformation is furnished for
the purpose of procuring a corporate foreign real estate dealer license pursuant to Section 4735.27 of the Ohio Revised Code.
NAME OF APPLICANT
SIGNATURE OF APPLICANT
DATE
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