The document is the Sponsoring Broker Statement Form used by the Georgia Real Estate Commission (GREC) to affiliate a real‑estate applicant’s license with a sponsoring brokerage firm. The form must be completed, signed, and dated by the brokerage when the applicant applies for an ACTIVE salesperson, community association manager, or associate broker license. It is submitted in person at the AMP test center (not mailed) and is not required for INACTIVE license applications. The form collects the firm’s license number, applicant’s full name and generation suffix, Social Security Number (with a privacy notice that GREC will not release it except as required by law), the type of license sought, the firm’s name and main office address, and a phone number. The broker signs to authorize the affiliation.

Topics

Purpose and Licensing Context of the Sponsoring Broker Statement Form

Explains why the form exists, which license types require it, and its role in linking an applicant to a sponsoring brokerage.

Required Data Elements and Applicant Information

Details the specific fields the form collects: firm license number, applicant’s full name (including middle name and generation), SSN, license type, firm name, address, and phone number.

Submission Procedure and Administrative Details

Outlines how and where the completed form must be submitted (in‑person at the AMP test center), the prohibition on mailing, and the distinction for INACTIVE license applications.

Privacy Notice Regarding Social Security Number (SSN)

Highlights the statement that GREC will not release the applicant’s SSN to third parties except as required by law, emphasizing confidentiality.

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