Broker License Application

The application fee is non-refundable.
Choose one (determined by the physical location of your personal primary residence):
Do you currently have plans to change your primary residence to a different state?

Personal Information

List City, State and if not the United States, then list the Country.

I, the applicant, intend to operate as:

If you intend to be a designated broker of a firm, you must submit both a broker license application and a separate application for a firm license, if that firm is not yet licensed in North Dakota