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ALABAMA REAL ESTATE APPRAISERS BOARD TEMPORARY PERMIT APPLICATION CHAPTER 780-X-16-.05 Requirements The Board shall grant a temporary permit to practice as an Alabama Licensed Real Property Appraiser, with permission to appraise properties allowed by his or her resident state, to persons who are licensed or certified to perform appraisals in another state. A person desiring a temporary permit must meet all requirements: (1) COMPLETE THE BELOW INFORMATION IN ITS ENTIRETY (2) SUBMIT $150.00 APPLICATION FEE FOR EACH APPRAISAL ASSIGNMENT (3) SUBMIT A COPY OF THE ENGAGEMENT LETTER OR CONTRACT WITH THE APPLICATION (4) MAIL APPLICATION TO ALABAMA REAL ESTATE APPRAISERS BOARD, P.O. BOX 304355, MONTGOMERY, AL 36130. Issuance (1)The temporary permit is effective for one specific appraisal assignment. If the assignment is not completed within six (6) months, the Board may request that the appraiser show cause why the assignment is not complete. (2) Limit Five (5) Temporary Permit Applications within a Twelve (12) Month Period. (3) Each Appraiser working on the Appraisal Assignment must have a Temporary Permit or be licensed by The State of Alabama. NAME____________________________________________SOCIAL SECURITY NO_____________________ FIRST LAST MI BUSINESS NAME & ADDRESS ______________________________________________ ______________________________________________ ______________________________________________ BUSINESS TELEPHONE NO______________________________HOME NO ____________________________ ___________________________________________ TYPE OF LICENSE IN HOME STATE _________________________LICENSE # ___________________________ EMAIL ___________________________TYPE OF PROPERTY(S) ___________________ PROPERTY(S) ADDRESS(S) __________________________________________ __________________________________________ NAME OF SUBJECT PROPERTY CLIENT_________________________________________________ IS THIS ASSIGNMENT FEDERALLY RELATED? ___ (ENGAGEMENT/CONTRACT LETTER MUST BE ATTACHED) DATE OF ESTIMATED COMPLETION_______________________ PREVIOUS REQUESTS FOR TEMPORARY PERMIT DURING LAST 12 MONTHS _____ HAVE YOU EVER BEEN PUBLICLY DISCIPLINED, SANCTIONED, OR FINED AND/OR HAD A LICENSE SUSPENDED, REVOKED, SURRENDERED OR RESIGNED BY THE BOARD OR AGENCY ISSUING THE LICENSE? ______________ OTHER KNOWN PERSONS WORKING ON THIS ASSIGNMENT_______________________ SECTION III - Consent – Jurisdiction, Investigation, and Certification I, as a non-resident applicant for an appraisal license and a licensee, agree that the State of Alabama Real Estate Appraisers Board shall have jurisdiction over me in any and all of my real estate activities related to the property for which this permit is granted the same as if I were an Alabama resident licensee. I agree to be subject to investigations and disciplinary actions the same as Alabama resident licensees. Further, I agree that civil actions may be commenced against me in any court of competent jurisdiction in any court of the State of Alabama. I hereby appoint the Executive Director of the State of Alabama Real Estate Appraisers Board as my agent upon whom all disciplinary, judicial, or other process or legal notices may be served. I agree that such service upon my said agent shall be the same as service upon me and the certified copies of this appointment shall be deemed sufficient evidence thereof and shall be admitted into evidence with the same force and effect as the original might be admitted. I agree that any lawful process against me, which is served upon my said agent, shall be of the same legal force and validity as if personally served upon me and that this appointment shall continue in effect for as long as I have any liability as an appraiser remaining in the State of Alabama. I understand that my said agent shall, within a reasonable time after service upon him or her, mail a copy of same by certified mail, return receipt request, to me, to my last known business address. I agree that I am bound by all the provisions of the State of Alabama Real Estate Appraisers Act. The undersigned applicant also certifies that all information given on this application is true, correct, and complete. Signed ___________________________________________________________ NAME _________________________ DATE