1. real estate

APPRAISER CERTIFICATION
AND LICENSURE BOARD
2 x 2 photo required
3000 Market Street NE, Suite 541
Salem, OR 97301
(503) 485-2555
FAX (503) 485-2559
Appraiser Application
PLEASE READ CAREFULLY: Type or print legibly, in ink, all information requested. You must include the following:
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A check payable to ACLB, or a credit card authorization form in the amount of $119.50 ($75 non-refundable application fee, and $44.50
for criminal background check); DO NOT SEND CASH
Current 2 x 2 color passport-style photo (within the last 30 days);
Signed course completion certificates or official college or university transcript;
Experience Logs
See page 5 of this application for fingerprinting procedure
TYPE OF APPLICATION (Check one):
State Licensed Appraiser
State Certified Residential Appraiser
State Certified General Appraiser
APPLICANT:
Last Name
First Name
M.I
HOME ADRESS:
Physical Address
City
State
Zip Code
Address
City
State
Zip Code
MAILING ADDRESS:
COUNTY:
Home Phone
US CITIZEN OR LEGAL RESIDENT
YES
NO
Work Phone
Fax Number
E-MAIL ADDRESS:
SOCIAL SECURITY NUMBER:
SEX: Male
Female
(Mandatory)
DATE AND PLACE OF BIRTH:
/
Month
/
Day
Year
DRIVER LICENSE NUMBER:
ASC
OSP
Date Paid
CC/CK
AMT
Appraiser App (Rev 03-15) (5 pages)
State
STATE OF ISSUE:
For Office Use Only
Please allow at least 60
days for processing
City
For Office Use Only
1. Have you EVER had an application for certification or licensure as an appraiser denied by
the State of Oregon or any other state? If yes, please explain and submit a copy of the denial
notice/order.
Yes
No
2. Have you EVER been the subject of a disciplinary action, public or otherwise, in this or any other Yes
state by any agency that has granted you a license, certificate or registration to engage in a regulated
No
occupation, trade or profession? Disciplinary action may include, but is not limited to, warnings or corrective
action, additional education, fine, probation, downgrade, suspension, revocation, voluntary surrender or official
reprimand. If yes, please explain and provide a copy of any documentation that describes the charges against
you and the action taken by the agency
3. Are you the subject of ANY pending investigation, administrative sanction proceeding, hearing,
trial or similar action by any agency that has granted or denied you a license, certificate or
registration to engage in a regulated occupation, trade or profession? If so, explain and submit a
copy of any documentation that describes the charges against you.
Yes
No
4. Have you EVER entered a plea of nolo contendere, plead or been found guilty of or convicted of Yes
a felony? If yes, and the information has not been previously submitted in a prior application to the
ACLB, fully explain the facts of the offense and identify the location of jurisdiction of the proceedings.
Include a copy of all final court documents identifying charges and assessing penalties.
No
5. Have you IN THE LAST TEN YEARS entered a plea of nolo contendere, plead or been found
Yes
guilty of or convicted of a misdemeanor? If yes to either of these questions, and the information has
not been previously submitted in a prior application to the ACLB, fully explain the facts of the offense
and identify the location of jurisdiction of the proceedings. Include a copy of all final court
documents identifying charges and assessing penalties.
No
6. Are you now awaiting trial or sentencing in any criminal proceeding? If yes, fully explain the
facts of the alleged offense and identify the location of jurisdiction of the proceedings.
Yes
No
7. Have you EVER used any name other than the one herein, either initials, surname, maiden name,
or alias? If yes, please state all other names used.
Yes
No
Education
Prior to documenting your appraisal education, review OAR 161-020-0110 to identify the specific education
requirements for the license or certification category for which you are applying. Verify that your qualifying
education courses are approved by checking the Approved Courses and Course Providers List on the ACLB
website. List only those courses that you successfully completed and passed an examination. Course outlines
for any course may be requested to verify course content.
NOTE: For all categories, all courses must be no less than 15 hours in length and you are required to complete
the 15-hour National USPAP Course, or its equivalent, within 4 years of the date your application is received in
the Board office.
Appraiser App (Rev 03-15) (5 pages)
Verification of successful completion of the required coursework must be in the form of official transcripts
from an accredited college or university, signed letters, or copies of signed certificates of completion.
Verification of 45 quarter credit hours of college level education, Associate’s or Bachelor’s degree, or
equivalent, must be in the form of official college transcripts from an accredited college or university. No
other documentation will be accepted.
Your application will be denied if you do not meet the current education requirements.
State Licensed Appraiser Requirements: No less than 150 qualifying education hours as provided in
OAR 161-020-0110 (2)(b) and 45 quarter credit hours of college level education or Associate’s degree.
State Certified Residential Appraiser Requirements: No less than 200 qualifying education hours
as provided in OAR 161-020-0110 (2)(c), and a Bachelor’s Degree or equivalent.
State Certified General Appraiser Requirements: No less than 300 qualifying education hours as
provided in OAR 161-020-0110 (2)(d), and a Bachelor’s Degree or equivalent.
Qualifying Education Courses
Category
Course Title
15-hr. National USPAP Course or
equivalent
Basic Appraisal Principles
Basic Appraisal Procedures
Residential Market Analysis
and Highest and Best Use
Residential Appraiser Site Valuation
and Cost Approach
Residential Sales Comparison
and Income Approaches
Residential Report Writing
and Case Studies
Statistics, Modeling and Finance
Advanced Residential Applications
and Case Studies
General Appraiser Market Analysis
and Highest and Best Use
General Appraiser Sales Comparison
Approach
General Appraiser Site Valuation &
Cost Approach
Income Properties Appraisal Principles
& Methodology
General Appraiser Income Approach
Part I
General Appraiser Income Approach
Part II
General Appraiser Report Writing
and Case Studies
Elective
Elective
Total Qualifying Education Hours
Appraiser App (Rev 03-15) (5 pages)
Date
Hrs.
Course Provider
Appraisal Experience
Complete Form 3 (Experience Logs) and submit an Employer Affidavit if applicable. Assistants registered with
the ACLB must submit signed copies of all AA logs, even those submitted previously. Experience gained as a
registered appraiser assistant or experience gained as an independent fee appraiser does not require an employer
affidavit.
Examination
When your application is approved, you will receive written confirmation. At that time, you may contact the
testing service to schedule an examination.
Acknowledgement
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I certify that the information provided herein is true and correct to the best of my knowledge.
I understand that withholding information, falsification or misrepresentation of any of the information
submitted as part of this application is grounds for denial of this application and could be grounds for
subsequent disciplinary action.
I certify that I have read ORS Chapter 674 and OAR Chapter 161 and I understand that it is my
responsibility to comply with all requirements set forth therein, as well as the Uniform Standards of
Professional Appraisal Practice (USPAP) and that failure to comply is cause for disciplinary action.
I understand that the Board conducts criminal background checks on all applicants and that my signature
on this application is my consent for the Board to conduct such a criminal offender record check in
connection with this application.
I understand that my social security number is required pursuant to ORS 25.785 and that failure to
provide my social security number is grounds to deny this application.
I also understand that my social security number will be used for child support enforcement purposes,
criminal background checks, national registry identification and/or taxpayer identification.
Signature of Applicant
Appraiser App (Rev 03-15) (5 pages)
Date
To schedule a fingerprinting appointment, please follow
these simple instructions:
1. Visit www.FieldprintOregon.com
2. Click on the “Schedule an Appointment” button.
3. Enter an email address under “New Users/Sign Up” and click the
“Sign Up” button. Follow the Instructions for creating a
Password and Security Question and then click “Sign Up and
Continue”.
4. Enter this Fieldprint Code: FPORAppCertLicDAS
5. Enter the contact and demographic information required by the
FBI and schedule a fingerprint
Appointment at the location of your choosing.
6. At the end of the process, print the Confirmation Page. Take the
Confirmation Page with you to your fingerprint appointment,
along with two forms of identification.
7. If you have any questions or problems, you may contact the
customer service team at:
877-614-4364 or customerservice@fieldprint.com.
Appraiser App (Rev 03-15) (5 pages)