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Commonwealth of Virginia Department of Professional and Occupational Regulation 9960 Mayland Drive, Suite 400 Richmond, Virginia 23233-1485 (804) 367-2039 www.dpor.virginia.gov License Type A check or money order payable to the TREASURER OF VIRGINIA, or a completed credit card insert must be mailed with your application package. APPLICATION FEES ARE NOT REFUNDABLE. Initial by Exam By Reciprocity (Currently Licensed/Certified in another jurisdiction) Real Estate Appraiser Board APPRAISER LICENSE APPLICATION Upgrade License Initial by Exam Upgrade License By Reciprocity Select Fee* Trans Select Fee* Trans Select Fee* Trans Select Fee* Trans Licensed Residential 290.00 1005 290.00 1021 Certified Residential 290.00 1006 290.00 1026 130.00 5006 130.00 5026 Certified General 290.00 1007 290.00 1031 130.00 5007 130.00 5031 * Fees include Application fee, USPAP book fee and Appraisal Subcommittee National Registry fee. 1. Do you hold a current or expired license issued by the Virginia Real Estate Appraiser Board? 2. Name If yes, provide your Virginia License number below: Virginia License Number 4 0 Expiration Date Last First Middle Generation 3. Provide one of the following identification numbers. Social Security Number or Virginia DMV Control Number - - 4. Date of Birth State law requires every applicant for a license, certificate, registration or other authorization to engage in a business, trade, profession or occupation issued by the Commonwealth to provide a social security number or a control number issued by the Virginia Department of Motor Vehicles. MM/DD/YYYY 5. Mailing Address (PO Box accepted) The mailing address will be printed on the license. (Must be at least 18 years of age.) 6. Street Address (PO Box not accepted) PHYSICAL ADDRESS REQUIRED City State Zip Code Check here if Street Address is the same as the Mailing Address listed above. 7. E-mail Address 8. Contact Numbers Primary Telephone City Alternate Telephone State Zip Code OFFICE USE ONLY DATE FEE TRANS CODE ENTITY # FILE #/LICENSE # ISSUE DATE 4001 Real Estate Appraiser Board/LIC APP 08/01/2015 Page 1 of 6

9. Do you hold a current or expired Real Estate Appraiser license, certification or registration in any state or jurisdiction (excluding Virginia)? If yes, complete the following table. State/Jurisdiction License, Certification or Registration. License Type Expiration Date 10. Have you completed the education requirements to qualify for this license type? If yes, attach an official school transcript for verification of degree or coursework - a list of education requirements is included as an attachment to this application (Reciprocity applicants do not need to submit this information). 11. Have you completed the experience required to qualify for this license type? If yes, attach a completed Experience Log - a list of experience requirements is included as an attachment to this application (Reciprocity applicants do not need to submit this information). 12. Have you ever been subject to a disciplinary action taken by any (including Virginia) local, state or national regulatory body? If yes, provide a certified copy of the final order, decree or case decision by a court or regulatory agency with lawful authority to issue such order, decree or case decision. 13. Have you ever been convicted in any jurisdiction of a misdemeanor involving moral turpitude and/or any felony? Any guilty plea or plea of nolo contendere must be disclosed on this application. If yes, list the misdemeanor and/or felony conviction(s). Attach your original criminal history* record; and any other information you wish to have considered with this application (e.g., information on the status of incarceration, parole or probation; reference letters; documentation of rehabilitation, etc.). *Original criminal history records may be obtained by contacting the Virginia State Police at www.vsp.virginia.gov or by phone at (804)674-6718. Applicants with convictions in other jurisdictions, other than Virginia must provide an original criminal history record from each state/jurisdiction in which they have been convicted. Copies of court records may be obtained by writing to the Clerk of the Court in the jurisdiction in which you were convicted. Applicants with criminal convictions and/or regulatory board disciplinary actions may be required to attend a hearing before the Real Estate Appraiser Board. This hearing process may take an additional three to five months. 08/01/2015 Page 2 of 6

By signing this application, you acknowledge that if you are not a Virginia resident, or move outside of Virginia while you hold a Virginia Real Estate Appraiser License, you understand that this application serves as a written power of attorney, whereby you appoint the Director of the Department of Professional and Occupational Regulation, and his/her successors in office, to be your true and lawful agent and attorney-in-fact, in your stead, upon whom all legal process against and notice to you may be served and who is hereby authorized to enter an appearance on your behalf in any case or proceedings arising out of the trade or profession practiced; and that by submitting this application you hereby agree that any lawful process against you which is duly served on said agent and attorney-in-fact shall be of the same legal force and validity as if served upon you. 14. I, the undersigned, certify that the foregoing statements and answers are true and I have not suppressed any information that might affect the Board s decision to approve this application. I will notify the Department if I am subject to any disciplinary action or convicted of any felony or misdemeanor charge (in any jurisdiction) prior to receiving my license. I also certify that I understand, and have complied with, all the laws of Virginia related to Real Estate Appraisers under the provisions of Title 54.1, Chapter 20.1 of the Code of Virginia, the Real Estate Appraiser Board Regulations, and the Uniform Standards of Professional Appraisal Practice. I further attest that I am of good moral character, honest, truthful, and competent to transact the business of a real estate appraiser in such a manner as to safeguard the interests of the public. Signature Date 08/01/2015 Page 3 of 6

EDUCATION REQUIREMENTS* *Based on the Appraiser Qualifications Board's Real Property Appraiser Qualification Criteria Licensed Residential Real Estate Appraiser License ** Initial Licensed Residential Real Estate Appraiser License applicants must complete 150 hours of Qualifying Education in the following Core Curriculum subjects: Basic Appraisal Principles Basic Appraisal Procedures The 15-Hour National USPAP Course Residential Appraiser Site Valuation and Cost Approach 150 hours Licensed Residential Real Estate Appraiser License applicants with a valid Trainee Appraiser License must complete 75 hours of Qualifying Education in the following Core Curriculum subjects: Residential Appraiser Site Valuation and Cost Approach 75 hours ** An Associate's degree or 30 semester hours or college-level education from an accredited college or university is also required for the Licensed Residential Real Estate Appraiser License. Certified Residential Real Estate Appraiser License*** Initial Certified Residential Real Estate Appraiser License applicants must complete 200 hours of Qualifying Education in the following Core Curriculum subjects: Basic Appraisal Principles Basic Appraisal Procedures The 15-Hour National USPAP Course Residential Appraiser Site Valuation and Cost Approach Advanced Residential Applications and Case Studies 20 hours 200 hours Certified Residential Real Estate Appraiser License applicants with a valid Trainee Appraiser License must complete 125 hours of Qualifying Education in the following Core Curriculum subjects: Residential Appraiser Site Valuation and Cost Advanced Residential Applications and Case Studies 20 hours 125 hours Certified Residential Real Estate Appraiser License applicants with a valid Licensed Residential Real Estate Appraiser License must complete 50 hours of Qualifying Education in the following Core Curriculum subjects: Advanced Residential Applications and Case Studies 20 hours 50 hours *** A Bachelor's degree is also required for the Certified Residential Real Estate Appraiser License. Certified General Real Estate Appraiser License**** Initial Certified General Real Estate Appraiser License applicants must complete 300 hours of Qualifying Education in the following Core Curriculum subjects: 08/01/2015 Page 4 of 6

Basic Appraisal Principles Basic Appraisal Procedures The 15-Hour National USPAP Course 60 hours 300 hours Certified General Real Estate Appraiser License applicants with a valid Trainee Appraiser License must complete 225 hours of Qualifying Education in the following Core Curriculum subjects: 60 hours 225 hours Certified General Real Estate Appraiser License applicants with a valid Licensed Residential Real Estate Appraiser License must complete 150 hours of Qualifying Education in the following Core Curriculum subjects: 45 hours 150 hours Certified General Real Estate Appraiser License applicants with a valid Certified Residential Real Estate Appraiser License must complete 100 hours of Qualifying Education in the following Core Curriculum subjects: 45 hours 10 hours 100 hours **** A Bachelor's degree is also required for the Certified General Real Estate Appraiser License. Please review the Education and Exams section of the Real Estate Appraiser Board's website at: http://www.dpor.virginia.gov/boards/appraisers/ for the Appraiser Qualifications Board's Real Property Appraiser Qualification Criteria and Board-approved Schools and Qualifying Education courses. 08/01/2015 Page 5 of 6

Minimum Experience Requirements EXPERIENCE REQUIREMENTS Licensed Residential Real Estate Appraiser License 2,000 hours of appraisal experience obtained in no less than 12 months. Certified Residential Real Estate Appraiser License 2,500 hours of appraisal experience obtained in no less than 24 months. Upgrade applicants from Licensed Residential Real Estate Appraiser to Certified Residential Real Estate Appraiser MUST submit a NEW Experience Log demonstrating these hours. Certified General Real Estate Appraiser License 3,000 hours of appraisal experience obtained in no less than 30 months. 1,500 hours of the 3,000 hours must be in nonresidential appraisal assignments. Upgrade applicants from Certified Residential Real Estate Appraiser to Certified General Real Estate Appraiser MUST submit a NEW Experience Log demonstrating these hours. Review Appraisal Experience shall not constitute more than 1000 hours of experience claimed and at least 50% of the review appraisal experience claimed must be in-field review where the individual has personally inspected the property. Real Estate Consulting Appraisal Experience shall not constitute more than 500 hours of experience claimed. Ad Valorem Tax Appraisal Experience Requirements All ad valorem tax appraisal experience on an applicant's Experience Log must include an Experience Verification Statement from the applicant's supervisor or employer. Applicants employed by an appraisal firm must also submit a document from the Virginia Department of Taxation verifying the applicant's supervisor is certified to perform the assessment or reassessment of real property pursuant to 58.1-3258.1 of the Code of Virginia. Experience Verification Statements must include the following: 1. Applicant's Name; 2. Applicant's Employment Dates; 3. Supervisor/Employer's Statement Verifying Ad Valorem Experience Claimed on the Experience Log; and 4. Supervisor/Employer's Name, Title, Address, and Telephone Number. Sample Appraisal Reports After the Board reviews your Real Estate Appraiser Board License Application and Experience Log for compliance with minimum education and experience requirements, a letter will be mailed to you requesting five specific sample appraisal reports that will be reviewed by the Board for USPAP compliance. Applicants claiming only ad valorem tax appraisal experience must submit the following items in addition to the five specific sample appraisal reports: 1. A one-to-three-page description of the methods and techniques employed to produce and communicate credible appraisals within the context of the real property tax law. 2. Licensed Residential Real Estate Appraiser and Certified Residential Real Estate Appraiser applicants must submit two residential property fee/staff appraisals completed on a Uniform Residential Appraisal Report (URAR) form for a private sector client under the supervision of a Virginia certified real estate appraiser. The applicant does not need to be employed by the certified real estate appraiser. Certified General Real Estate Appraiser applicants must submit two commercial property narrative appraisal reports (under the supervision of a Virginia Certified General Real Estate Appraiser) as though the reports are being prepared for a private sector client. Both reports must demonstrate the use of the income approach. The applicant does not need to be employed by the certified general real estate appraiser. Reciprocal License Applicants may be required to submit experience verification and sample appraisal reports if the applicant's base state's licensure requirements are not substantially equivalent to those in Virginia. 08/01/2015 Page 6 of 6