Registration Of Entity To Receive Commission Income

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INSTRUCTIONS:

Enter License Reference # and Password to verify Licensee information on file.
Confirm security by generating a verification number sent to email on file.

License Reference #

Enter Password

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Licensee Name

Telephone #

If your contact information is incorrect, you may update it through the Online Licensing Services system by clicking this text.

Please note that updates may take 2–3 business days to appear in this application registration section.

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Entity Information

INSTRUCTIONS:

Complete in entirety the Registration Of Entity To Receive Commission Income Form.
Remit $50 Non-Refundable Fee after clicking Submit.

Select the type of your entity

Domestic Entities (Initially formed in NJ)

Foreign Entities (Initially formed in any other US state)

Upload a certified copy of the CERTIFICATE OF FORMATION, or other formation certificate, issued by the NEW JERSEY DEPARTMENT OF THE TREASURY, DIVISION OF REVENUE

Upload a certified copy of the CERTIFICATE OF AUTHORITY to transact business in New Jersey issued by the NEW JERSEY DEPARTMENT OF THE TREASURY, DIVISION OF REVENUE

Upload a STANDING CERTIFICATE, attesting to the legal status of the entity and dated no more than 30 days prior to the filing date of the request for registration, issued by the NEW JERSEY DEPARTMENT OF THE TREASURY, DIVISION OF REVENUE

Date of Standing Certificate

To obtain a certificate or status report, please contact the New Jersey Department of Treasury, Division of Revenue, at 609-292-9292 or www.nj.gov/treasury/revenue/.

Upload Other Supporting Documents

Select One Of The Following

Reinstate An Expired Entity

Replace A Currently Registered Entity

Reg Ex for New Entity

A licensee may only have a single entity registered at a time, and an entity may not be registered by more than one licensee

Full Legal Name Of Entity Being Registered

Entity ID (10 digit number issued by the Division of Revenue)

Effective Date Of Formation

By signing below, I acknowledge that the above-named entity is being registered with the New Jersey Real Estate Commission pursuant to N.J.S.A. 45:15-16(b) & N.J.A.C. 11:5-3.16, for the purpose of receiving commissions or other valuable consideration for the performance of the acts specified in N.J.S.A. 45:15-1 to -42. I further acknowledge and understand that this registration is not a license to conduct real estate activity, and that any activity requiring licensure conducted by the registered entity may subject me to enforcement action by the New Jersey Real Estate Commission.

Licensee's Signature

Date

Payment

After clicking "Submit," you will be redirected to a secure payment page to complete your transaction for the amount shown below.

CERTIFICATION STATEMENT

Pursuant to N.J.A.C. 11:5-3.16(c), the salesperson or broker-salesperson seeking registration of an entity must be a member, partner, shareholder, or otherwise have an ownership interest in the entity for which registration is being sought.

By checking this box, I, hereby certify to the above statement. *

I understand that any false or misleading information provided herein may subject me to disciplinary action by the New Jersey Real Estate Commission.

Payment Amount Due:

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Workflow Form Long Name

Workflow Form Short Name

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Licensee First Name

Licensee Last Name

Brokerage Email Address

Brokerage Name

Brokerage Attention

Entity ID

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