Florida P.A. Order Form

ALMOST DONE - FINAL STEP

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