MEMBERSHIP APPLICATION

APPLY FOR ADMISSION

+ a national license to CoStar™

Name(Required)

First Last

Address(Required)

Street Address City State ZIP Code

Business Phone(Required)

Email(Required)

Company Name(Required)

Or sole proprietorship name

Principal or Managing Member Name

If different than applicant above

Years in Business(Required)

List any professional state license(s) currently held

(e.g. Certified General-AZ, CA, CO, FL, GA, IL, NY, TX, etc., or indicate License type & # of States)

If also holding a RE Salesperson/Broker license, are appraisal services performed under a separate legal entity?(Required)

Do you currently subscribe to CoStar?

If yes, please indicate expiration

(mm/yyyy)

Is Applicant a current member of Appraisal Institute

(e.g. Yes, No, MAI, SRA, AI-GRS, etc.)

Do you maintain professional liability (E&O) coverage?(Required)

If yes, indicate E&O Limits

e.g. $1M / $2M (per occurrence / aggregate)

Do you do business as a (legal entity formation):(Required)

Sole Proprietorship

Limited Liability Company (LLC)

Corporation

Partnership

Other

No. of Authorized Members Requested (includes CoStar licensing)?(Required)

Please enter a Number