Form IL505-0345 "45-day Permit Sponsor Card" - Illinois

Form il505-0345 is a Illinois Department of Financial and Professional Regulation form also known as the "45-day Permit Sponsor Card". The latest edition of the form was released in April 1, 2009 and is available for digital filing.

Download a fillable PDF version of the Form il505-0345 down below or find it on Illinois Department of Financial and Professional Regulation Forms website.

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Download Form IL505-0345 "45-day Permit Sponsor Card" - Illinois

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45-DAY PERMIT SPONSOR CARD
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
Division of Professional Regulation/Real Estate Professions Section
rd
320 West Washington Street, 3
Floor
Springfield, Illinois 62786
Real Estate Licensing 217/782-3414
45-DAY PERMIT SPONSOR CARD
If you will be self-sponsored you must complete the 45-day permit on your own behalf.
This form is required to be completed in order to apply for licensure as a Salesperson, Broker, or Leasing
Agent.
This form is also required to change your Sponsoring Broker. When changing your Sponsoring Broker,
there is a $25 fee. Payment must be in the form of a check or money order made payable to IDFPR.
EMPLOYEE INFORMATION
(Note: Must be submitted within 24 hours of Issuance)
CURRENT DATE _________________________
LICENSE NO. ____________________
NAME ___________________________________________SOC SEC NO._____________________
DBA(if applicable) ___________________________________________________________________
MAILING ADDRESS ________________________________________________________________
CITY, COUNTY, STATE, ZIP CODE ___________________________________________________
TELEPHONE NUMBER ( _ _ _ ) _ _ _ - _ _ _ _
SEX_______________________
BROKER
SALESPERSON
LEASING AGENT
SPONSOR/FIRM INFORMATION
SPONSOR NAME ___________________________________ LICENSE NO. ___________________
D/B/A (IF APPLICABLE) ______________________________________________________________
MAILING ADDRESS _________________________________________________________________
CITY, STATE, ZIP CODE _____________________________________________________________
TELEPHONE NUMBER ( _ _ _ ) _ _ _ - _ _ _ _
BY __________________________________________________ LICENSE NO. _________________
MANAGING BROKER SIGNATURE
Retain two copies, one for the sponsor and one for the employee.
If you have any questions, please contact our office at 217/782-3414.
Return Original To:
Illinois Department of Financial and Professional Regulation
Division of Professional Regulation/Real Estate Professions Section
rd
320 West Washington Street, 3
Floor
Springfield, Illinois 62786
Print
Reset Form
320 WEST WASHINGTON STREET •SPRINGFIELD, ILLINOIS •62786 •PHONE: 217-785-9300 •FAX: 217-782-3390 •TDD: 217-524-6644
http://www.idfpr.com
IL 505-0345 (Revised 4/09)
45-DAY PERMIT SPONSOR CARD
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
Division of Professional Regulation/Real Estate Professions Section
rd
320 West Washington Street, 3
Floor
Springfield, Illinois 62786
Real Estate Licensing 217/782-3414
45-DAY PERMIT SPONSOR CARD
If you will be self-sponsored you must complete the 45-day permit on your own behalf.
This form is required to be completed in order to apply for licensure as a Salesperson, Broker, or Leasing
Agent.
This form is also required to change your Sponsoring Broker. When changing your Sponsoring Broker,
there is a $25 fee. Payment must be in the form of a check or money order made payable to IDFPR.
EMPLOYEE INFORMATION
(Note: Must be submitted within 24 hours of Issuance)
CURRENT DATE _________________________
LICENSE NO. ____________________
NAME ___________________________________________SOC SEC NO._____________________
DBA(if applicable) ___________________________________________________________________
MAILING ADDRESS ________________________________________________________________
CITY, COUNTY, STATE, ZIP CODE ___________________________________________________
TELEPHONE NUMBER ( _ _ _ ) _ _ _ - _ _ _ _
SEX_______________________
BROKER
SALESPERSON
LEASING AGENT
SPONSOR/FIRM INFORMATION
SPONSOR NAME ___________________________________ LICENSE NO. ___________________
D/B/A (IF APPLICABLE) ______________________________________________________________
MAILING ADDRESS _________________________________________________________________
CITY, STATE, ZIP CODE _____________________________________________________________
TELEPHONE NUMBER ( _ _ _ ) _ _ _ - _ _ _ _
BY __________________________________________________ LICENSE NO. _________________
MANAGING BROKER SIGNATURE
Retain two copies, one for the sponsor and one for the employee.
If you have any questions, please contact our office at 217/782-3414.
Return Original To:
Illinois Department of Financial and Professional Regulation
Division of Professional Regulation/Real Estate Professions Section
rd
320 West Washington Street, 3
Floor
Springfield, Illinois 62786
Print
Reset Form
320 WEST WASHINGTON STREET •SPRINGFIELD, ILLINOIS •62786 •PHONE: 217-785-9300 •FAX: 217-782-3390 •TDD: 217-524-6644
http://www.idfpr.com
IL 505-0345 (Revised 4/09)
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