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ONBOARDING APPLICATION

License

DBPR License Information

Look up your License Number - CLICK HERE!

Contact Information

Agent Information

Full Name

("First Name" & "Last Name" as it appears on the DBPR)

Phone Numbers

Personal Business Website?

Email Addresses

Emergency Contact Name

Emergency Contact Phone

Current Mailing Address

Address 1

Address 2

City

Zip

Gender

DOB - Date of Birth

What is your Nationality?

IRS Tax Information

Tax Return Info Needed

Annual Tax Return Additional Info - Filing as

(Enter the IRS Individual Information shown on your DBPR account)

Real Estate Related Information

Previous Real Estate Experience

Do you have any previous Real Estate experience?

Office Locations

What Office would you prefer to be assigned to?

Locations: - DORAL - 2555 NW 102nd. Ave., Suite 100, Doral, FL. 33172

BROKERNATION - Admin

Do you have another job?

Yes

How did you hear about us?

Who did you Interviewed with?

In which language(s) will you be conducting business in?

(English is a must as DBPR requires communication with other agents in both written and oral pertaining to contracts, offers etc.)

Tell us more about, YOU!

Form of Identification

Board Affiliations

Do you want the Technology Package (Recommended, but Optional)

Grants Access To CRM (Client Relationship Management) System

Initial Start Up Package

START UP PACKAGE Includes:

* AI Generated Headshot ($20) * x500 Standard Business Cards w/Shipping ($80) * Dry-Fit Polo With Company Logo ($30) * Initial Sign Up Fee ($99.95)

<<<There is standard Transaction Fee $495 charge to the clients on all non-rental transactions>>>

<<<There is standard Processing Fee $395 charge to the clients on all non-rental transactions>>>

**** By providing your mobile phone number, you expressly consent to receive text messages (SMS) from BROKERNATION for communication and updates related to your account, services, promotions, and other related matters. Message and data rates may apply. You can opt out at any time by replying "STOP" to any message.