SD Form 0261 "South Dakota Resident Broker Associate License Application" - South Dakota

What Is SD Form 0261?

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

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the South Dakota Department of Labor & Regulation;
  • 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 SD Form 0261 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Labor & Regulation.

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Download SD Form 0261 "South Dakota Resident Broker Associate License Application" - South Dakota

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HELP
Complete and use the button at the end to print for mailing.
SD EForm - 0261
V3
REAL ESTATE COMMISSION
Tel: 605.773.3600 | Fax: 605.773.7175 | sdrec.sd.gov
Dear Candidate:
Congratulations on passing the real estate broker associate licensing exam. Following this letter is a
license application for your completion. Please complete all items on the application, include all
documentation requested and submit to the Commission office with the application fee of $225. An
incomplete application or an application with missing documents will be returned. Pursuant to the
Administrative Rules of the Real Estate Commission, you have 60 days from the date of the exam report to
file a license application. The exam score for any application received after the 60 days is void. Please
allow 2 to 4 weeks to process your application.
All applicants for licensure must submit to a state and federal criminal background check. Please contact
the Commission office to request a set of DCI and FBI fingerprint cards. Return these cards to the Real
Estate Commission with your completed application and a separate check for $43.25 made payable to
DCI. Please be sure to sign and date the DCI finger print card on the back to avoid having the cards
returned for signature and prolonging your application completion. For best results, complete the
fingerprints at a law enforcement agency or fingerprint office.
Upon approval of your application, you will receive an e-mail informing you that your license will remain on
an inactive status until requested by a responsible broker with whom you wish to associate. If you wish to
activate the license immediately, your responsible broker will need to complete the Qualifying Broker
section included in this application.
Every active licensee is required to carry errors and omissions insurance. You will need to contact the
group insurance company directly at http://www.risceo.com/states/south-dakota/ to enroll in the
group policy. If you wish to enroll in another errors and omissions insurance policy you will need to
provide your certificate of coverage from your insurance company to the real estate commission prior to
being issued a license.
If you will be maintaining your license on an inactive status, please keep the Commission informed of your
email and mailing address so that you will continue to receive all communication from the Commission.
If you have any questions, please contact the Commission office.
Thank you.
South Dakota Real Estate Commission
SDREC-S/BA AP
REV 08/2018
HELP
Complete and use the button at the end to print for mailing.
SD EForm - 0261
V3
REAL ESTATE COMMISSION
Tel: 605.773.3600 | Fax: 605.773.7175 | sdrec.sd.gov
Dear Candidate:
Congratulations on passing the real estate broker associate licensing exam. Following this letter is a
license application for your completion. Please complete all items on the application, include all
documentation requested and submit to the Commission office with the application fee of $225. An
incomplete application or an application with missing documents will be returned. Pursuant to the
Administrative Rules of the Real Estate Commission, you have 60 days from the date of the exam report to
file a license application. The exam score for any application received after the 60 days is void. Please
allow 2 to 4 weeks to process your application.
All applicants for licensure must submit to a state and federal criminal background check. Please contact
the Commission office to request a set of DCI and FBI fingerprint cards. Return these cards to the Real
Estate Commission with your completed application and a separate check for $43.25 made payable to
DCI. Please be sure to sign and date the DCI finger print card on the back to avoid having the cards
returned for signature and prolonging your application completion. For best results, complete the
fingerprints at a law enforcement agency or fingerprint office.
Upon approval of your application, you will receive an e-mail informing you that your license will remain on
an inactive status until requested by a responsible broker with whom you wish to associate. If you wish to
activate the license immediately, your responsible broker will need to complete the Qualifying Broker
section included in this application.
Every active licensee is required to carry errors and omissions insurance. You will need to contact the
group insurance company directly at http://www.risceo.com/states/south-dakota/ to enroll in the
group policy. If you wish to enroll in another errors and omissions insurance policy you will need to
provide your certificate of coverage from your insurance company to the real estate commission prior to
being issued a license.
If you will be maintaining your license on an inactive status, please keep the Commission informed of your
email and mailing address so that you will continue to receive all communication from the Commission.
If you have any questions, please contact the Commission office.
Thank you.
South Dakota Real Estate Commission
SDREC-S/BA AP
REV 08/2018
SOUTH DAKOTA DEPARTMENT OF LABOR AND REGULATION
SOUTH DAKOTA REAL ESTATE COMMISSION
Tel: 605.773.3600
Fax: 605.773.7175
sdrec.sd.gov
APPLICATION FOR LICENSE RE S I DE NT BROKER ASSOCIATE
For Commission Use Only
Receipt No. _____________________
To: South Dakota Real Estate Commission
Exam Date______________________
DCI/FBI ________________________
221 W. Capitol Ave., Suite 101
Approval Date/By _________________
Pierre, South Dakota 57501
License No. _____________________
Every question must be answered or the application will be returned for completion.
Non-refundable application fee of $225.00 must accompany application.
Original education certification (Form 101) must accompany application. (Excluding applicants that currently
hold an active and in good standing license in another state.)
Errors and omissions certificate of coverage must accompany application.
Original score reports must accompany application.
Application must be filed within 60 days after passing the examination.
Completed SD and FBI fingerprint cards and separate check for $43.25 made payable to DCI must accompany
application.
Please allow 2 to 4 weeks to process your application.
In compliance with SDCL 36-21A, I hereby make application for a real estate broker associate license. The answers provided in
this application are submitted UNDER OATH. Any applicant who willfully and contrary to such oath shall state or subscribe any
material fact which he/she does not believe to be true is guilty of perjury. In addition, registration may be refused, suspended, or
revoked if the applicant has filed an application which is incomplete in any material respect or contains any statement which was,
in light of the circumstances under which it was made, false or misleading with respect to any material fact.
1.
Mr.
or
Ms.
SS Number
(Please provide full name first, middle, last)
2. Residence address
(State) (Zip)
(PO Box or Street)
(City)
(County)
(Telephone)
(Where can be reached
between 8 A.M. & 5 P.M.)
3. Date of Birth
U.S. Citizen? Yes
No
4. E-mail address
(Required)
5. If presently licensed as South Dakota salesperson, give your license number
6. Firm or trade name under which you expect to do business, or firm with whom you will be associated ___________________
___________________________________________________________________________________________________
7. Business address
(Street)
(City)
(State)
(Zip)
(County)
(Telephone)
8. Give below the most current place where you have been engaged in any kind of business or vocation, stating the nature of
the business, your employer, his address, position you held and the length of time you held such position, accounting for the
entire period of the last five years.
Employer
Address
Position held
from
to
SDREC-BA AP (6/19)
9. Do you currently or have previously held any professional/occupational licenses, other than real estate (architect, insurance,
CPA, pharmacists, etc.) in South Dakota or any other jurisdiction. Yes
No
If “yes”, submit details in a separate report.
10. Have any of the above licenses ever been suspended or revoked? Yes
No
If “yes”, submit details in a separate
report.
11. List on a separate report all states in which you are now or have been licensed as a real estate salesperson, broker, auctioneer,
property manager, residential rental agent, home inspector or timeshare agent. A certification of licensure is required from
the Real Estate regulatory agency in ANY jurisdiction in which you are now or have been licensed and must be
submitted with your application.
12. Have you ever been engaged in litigation, either as plaintiff or defendant, involving the sale or purchase of real estate or the
If answered
Yes
No
payment of a commission during the past five years, or are you now engaged in such litigation?
“yes”, give full details including date and name of court.
13. Are there any unpaid court judgments or liens against you at this time?
If answered “yes”, give date, name
Yes
No
of court and amount.
14. Have you ever been convicted of, pled guilty or nolo contendere or have any pending charges for the following: forgery,
embezzlement, obtaining money under false pretenses, conversion, issuing bad checks, extortion, criminal conspiracy to
defraud, felony, misdemeanor involving moral turpitude or other like offenses?
Yes
No
If answered “yes”, explain on a separate sheet giving date, place, and full particulars and attach as part of this application.
Yes
No
15. Do you owe $1,000 or more in accumulated child support arrearages in South Dakota?
If “yes”, have you
made satisfactory arrangements with the Department of Social Services for payment of those arrearages?
16. Has your application for a real estate license ever been rejected or your license revoked or suspended in South Dakota or
any other jurisdiction?
If “yes”, state where, giving exact date and full details on separate sheet.
Yes
No
17. Have you read and do you understand the South Dakota real estate license law as amended and the administrative
rules of the Real Estate Commission?
Yes
No
EDUCATION
Secondary (highest grade completed)
9
10
11
12
GED
Other education
SDREC-S/BA AP
REV 06/2019
The foregoing statements are made for the purpose of procuring a South Dakota real estate broker associate license. I hereby
consent that these statements may be used as evidence by the Real Estate Commission of the State of South Dakota, or in any
court in South Dakota where a violation of the said Real Estate Law is claimed.
I also expressly acknowledge that the South Dakota Real Estate Commission has the right to further investigate the responses
contained in this application. I hereby authorize and grant the Commission the right to conduct a state and federal criminal
background check by means of fingerprint checks by the Division of Criminal Investigation and the Federal Bureau of Investigation
and to enlist a consumer reporting agency to furnish the Commission with a consumer report reflective of the nature and extent of
any current or unpaid judgments, if any, as all of same are intended to provide the Commission with accurate information regarding
my trustworthiness and competency to act as a real estate licensee in the State of South Dakota.
I declare and affirm under the penalties of perjury that this application has been examined by me, and to the best of my
knowledge and belief, is in all things true and correct.
_______________
_____________________________________________
(Date)
(Signature of Applicant)
Must be Completed by Qualifying Broker for Activation of License (not required if license will remain inactive)
I accept the responsibility for the actions of the above licensee and give consent for licensee to do business with the company
listed below: (If the above licensee was previously associated with another firm, please include a fee of $15.)
________________________________________________
________________________________________________
Company Name
Company License No. (Or list firm license no.)
______________________________________________________________________________________________________
Company Street Address (Location where license will be associated)
City
State
Zip Code
__________________________________________________
_______________________________________________
Company Mailing Address
Company Telephone Number
________________________________________________
________________________________________________
Qualifying Broker’s Name (Please Print)
Signature of Qualifying Broker
PRINT FOR MAILING
CLEAR FORM
SDREC-S/BA AP
REV 06/2019
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