Florida P.A. Order Form

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FLORIDA P.A. ORDER DETAILS FORM
***IMPORTANT*** Date you would like your entity to be effective. Choices are TODAY or Jan 1, 2025. Choose Jan 1, 2025 if you expect to close less than $10,000 commission between now and end of year. Call me if you want more details 954-415-4515

MonthDayYear
Date
Business Name - Your business name must include a corporate indicator. If none is provided, the indicator “Inc. or PA” will be used for a Corporation. Must exactly match the name on your Florida RE License.
This should show exactly as your license reads
Alternate Entity Name
We ask for an alternate name in the event your first choice is not available.
Purpose of Your Company
For Your Real Estate License = "Real Estate Services"
Corporate Address - No P.O.Boxes - Must Be a Physical Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
email address
Cell Phone Number
Florida Real Estate License # (NUMBERS ONLY PLEASE)
Please enter your Florida Real Estate License #
Social Security Number - this is required to secure your EIN (Tax ID). NUMBERS ONLY - NO DASHES
Numbers only - NO DASHES
Should be Empty:

ALMOST DONE - FINAL STEP