Complete all four pages of this form and send, along with a $100 check or money order
made payable to the Treasurer, State of New Hampshire; to the Commission's address
below.
Please notify the Commission on this form whether you are applying as an
"active" or "inactive" broker.
Only "active" principal and managing brokers must also include their surely
bond and the power of attorney form from their insurance company.
Commission's Address: New Hampshire
Real Estate Commission
64 South Street
Concord, NH 03301
OR
Download the following form and mail it to the above address.