APPLICATION FOR A REAL ESTATE 481 LIMITED LIABILITY COMPANY LICENSE ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION/DIVISION OF REAL ESTATE 320 West Washington Street, 3rd Floor Springfield, Illinois 62786 Important Notice: Completion of this form is necessary to accomplish the requirements outlined in the Illinois Real Estate License Act of 2000 {225 ILCS 454}. Disclosure of this information is REQUIRED. Failure to comply may result in this form not being processed. This form has been approved by the Agency Forms Coordinator. INSTRUCTIONS FOR FILING A LIMITED LIABILITY COMPANY APPLICATION Do not use this application if you are setting up a Corporation for Indirect Payment of Compensation. For more information please visit our website at 1.Complete the entire application. Type or print legibly. Forward a fee of $125 in the form of a check or money order, madepayable to the Illinois Department of Financial and Professional Regulation. FEE IS NOT REFUNDABLE.2.Assumed Name (DBA) - If an assumed name will be used, attach a certified copy of the assumed name certificate, obtainablefrom the Illinois Secretary of State.3.Attach copies of the following documents:Articles of OrganizationIf the LLC was organized outside of Illinois, the filedapplication for admission to transact business in Illinoisissued by the Illinois Secretary of State, Any perating Agreement, andA Consent to Examine and Audit Special Accounts form for each depository or financial institution at which theLLC maintains a special account. 4.Attach a list of all Members of the LLC. Every Manager in the LLC or every Member in a Member managed LLC must hold alicense as a Managing Broker or Broker. Additionally, every employee of the LLC who acts as a Broker or Leasing Agent forthe LLC must hold a license as a Broker or Leasing Agent. Any change in Members, ownership interest, or address shallrequire the Managing Broker to supplement this application.If any Member is a corporation, include: A copy of the Articles of Incorporation,The corporation222s FEIN number,A list of all shareholders, their Illinois Real Estate License Number and their percent of ownership interest inthe corporationIf any Member is a partnership, include: An affidavit stating that the partnership has been legally formed,A letter of authority from the Secretary of State only if it is a limited partnership,A list of all partners, designation of each as either a limited or general partner, their Real Estate LicenseNumber and their percent of ownership in the partnershipThe Act provides that no LLC shall be licensed where an individual Leasing Agent or group of Leasing Agents owns or directly or indirectly controls more than 49% of the ownership of the LLC. If any Member is not licensed as a Real Estate Managing Broker, Broker, Broker Corporation or Leasing Agent, then attach an affidavit for that unlicensed Member attesting that the Member is not participating or directing the LLC222s Real Estate brokerage business. 5.A Federal Employer Identification Number (FEIN) is required; if a FEIN has not been issued, a photocopy of the FEINapplication must be forwarded with this application.6.The Managing Broker of the firm must associate/transfer himself/herself and all licensees employed by the firm only AFTERreceipt of the firm license. A properly completed sponsor card and the applicable fee must be submitted for each transaction. IL 505-0514 (Rev ) American LegalNet, Inc. www.FormsWorkFlow.com LIMITED LIABILITY COMPANY APPLICATION 481 Illinois Department of Financial and Professional Regulation Division of Real Estate 320 West Washington Street Springfield, IL 62786 Real Estate Licensing 800/560-6420 Important Notice: Completion of this form is necessary to accomplish the requirements outlined in the Illinois Real Estate Act of 2000 {225 ILCS 454}. Disclosure of this information is REQUIRED. Failure to comply may result in this form not being processed. This form has been approved by the Agency Forms Coordinator. Company Name Assumed Name (DBA) - if applicable Date of Organization Address (Street, City, State, Zip Code) FEIN Number Telephone Number ( ) - Name of Managing Broker Managing Broker License Number Firm License Number (If Applicable) Name of Principal Filing Application Business Address of the Registering Principal (Street, City, State, Zip Code) Email Address: List All Members including individuals, Corporation(s), Partnership(s) or other entity that is a member. (If additional space is required please attach a separate listing. Name/Entity Illinois Real Estate License Number Percent of Ownership Illinois Business Address (Street, City, State, Zip Code ) I hereby certify that I personally completed this form, that the information is true and correct, and that I am legally authorized to sign for this firm. I further certify that each Member not licensed in the State of Illinois is not actively participating in the brokerage business as defined in the Illinois Real Estate License Act of 2000, Sec. 5(15). I understand that any change in Members or ownership interest shall require the LLC to file an application reflecting those changes. Signature of Managing Broker Date IL 505-0514 (Rev 1/16) American LegalNet, Inc. www.FormsWorkFlow.com CONSENT TO EXAMINE AND AUDIT SPECIAL ACCOUNTS Illinois Department of Financial and Professional Regulation Division of Real Estate 320 West Washington Street Springfield, IL 62786 Real Estate Licensing 800/560-6420 Important Notice: Completion of this form is necessary to accomplish the requirements outlined in the Illinois Real Estate License Act of 2000 {225 ILCS 454}. Disclosure of this information is REQUIRED. Failure to comply may result in this form not being processed. This form has been approved by the Agency Forms Coordinator. I have one or more special accounts, and authorize a representative of the Illinois Department of Financial and Professional Regulation to examine those accounts. (Please complete both Parts A and B of this form.) I do not accept escrow monies, and do not hold monies belonging to others. Therefore, I do not maintain any special accounts. (Please complete only Part A of this form.) PART A: SPONSORING BROKER INFORMATION 1. Name of Individual Managing Broker (Sole Proprietor), Partnership, Corporation, or Limited Liability Company 2. Business Address (Street, City, State, Zip Code) Email Address: 3. Telephone Number ( ) - 4. License Number PART B: DEPOSITORY AT WHICH REAL ESTATE SPECIAL ACCOUNT(S) ARE MAINTAINED. A separate Consent to Audit form is required for each depository at which you maintain special account(s). Copy this form as needed. 1. Name and address of Bank or Savings and Loan Association 2. Specific Special Accounts to be Examined and Audited Title(s) of Special Account(s) Account Number Identifying Number(s) Required by IRS (FEIN or Social Security No.) 3. List Those Persons Authorized to Withdraw Funds From the Above-Named Special Account Name Sex Title License Number I hereby authorize the above named-depository to allow, at any time, a duly authorized representative of the Department of Financial and Professional Regulation to examine and audit the above named special account(s). I am one of the individuals listed under Part B (3) above. Signature of Managing Broker License Number Date Title IL 505-0341 (Rev 1/16) 320 WEST WASHINGTON STREET 225 SPRINGFIELD, ILLINOIS 225 62786 225 PHONE: 800-560-6420 225 FAX: 217-782-3390 225 TDD: 866-325-4949 http://www.idfpr.com American LegalNet, Inc. www.FormsWorkFlow.com