USVI Public Records

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Government of the Virgin Islands of the United States Department of Licensing and Consumer Affairs Golden Rock Shopping Center Administrative Complex Property & Procurement Building 3000 Estate Golden Rock, Suite 9 “The Battery” 8201 Subbase, Suite 1 St. Croix, VI 00820-4311 St. John, VI 00830 St. Thomas, VI 00802-5826 Telephone: 340.773.2226 Telephone: 340.693.8036 Telephone: 340.774.3130 Facsimile: 340.773.6982 Facsimile: 340.776.6989 Facsimile: 340.776.8303 “Serving Businesses and Assisting, Educating, & Protecting Consumers” www.dlca.vi.gov VIRGIN ISLANDS REAL ESTATE APPRAISERS BOARD Department of Licensing and Consumer Affairs Golden Rock Shopping Center, Christiansted St. Croix, VI 00820 (340) 713-DLCA(3522) phone (340) 718-6982 fax Website: www.dlca.vi.gov APPLICATION FOR TEMPORARY PRACTICE PERMIT GENERAL INSTRUCTIONS: Real Estate Appraisers from other States and Territories who are Licensed or Certified by the Appraiser Licensing or Certifying Agencies in such State or Territory may apply for A Temporary Practice Permit in the Virgin Islands by filing this application and the Consent to Service of Process form. Temporary Permit Fee: $250.00 made payable to “Government of the Virgin Islands.” Part I 1 Full Name______________________________________________________________ 2. Birth Date _____________________ 3. Social Security # ____________________ 4. Physical Address _________________________________________________________ 5. Mailing Address _________________________________________________________ 6. Business Telephone ( ) ___________________________________________ 7. Home Telephone ( ) _______________________________________ 8. Citizenship _____________________ 9. Naturalized: yes no 10. Type of License/Certificate held in resident State or Territory_____________________ 11. License/Certificate Number ____________________ Expiration Date ______________ NOTE: Applicant must furnish sufficient information to identify the appraisal assignment, but shall not be required to divulge information concerning the appraisal assignment which would breach the applicant’s duty of confidentiality under the provisions of USPAP. Attach 3 2x2 photos of applicant here 12. Name of Appraisal Assignment________________________________________ 13. Address of Appraisal Assignment ______________________________________ 14. Projected Start Date____________ 15. Projected Completion Date___________ 16. Firm you are providing the appraisal for_________________________________ 17. Firm’s mailing address with zip code___________________________________ Do not write below this line - FOR OFFICIAL USE ONLY_____________________________ DISPOSITION: APPROVED DISAPPROVED _____________________________________________ Date:________________________ Elissa Runyon Chairperson Virgin Islands Real Estate Appraisers Board Part III CONSENT TO SERVICE OF PROCESS Know all men by these presents: Pursuant to the requirements of Chapter 16, Title 27, of the Virgin Islands Code, the undersigned individual ______________________________(applicant’s name) does hereby irrevocably consent, stipulate and agree that suits, actions and administrative proceedings may be commenced against such applicant in the courts and agencies of this Territory, by the service of any process authorized by the laws of this Territory on the Virgin Islands Real Estate Appraisers Board, and that service of such process upon said ______________________________(applicant’s name) shall be taken and held in all courts to be valid and binding as if the service had been made upon said applicant in the Territory of the Virgin Islands. I hereby certify that the information provided in this application is true and correct to the best of my knowledge. ________________________________________________________________________ ___________________ Signature of Applicant Date State/Territory of ___________________________) County of _________________________________) Before me personally appeared the above-named individual who acknowledged the execution of the foregoing instrument for the purpose set forth therein. Witness my hand and official seal this ______ day of ____________________, 20 _____. ____________________________ SEAL Notary Public My commission expires: ______________________________________________