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558. 3555 www. wvrec.org APPLICATION FOR LICENSE AS A REAL ESTATE SALESPERSON For Office Use Only REEXAMINATION COMMISSION ACTION DATE GRADE PREVIOUSLY LICENSED DATE OF ISSUE RECIPROCITY LICENSEE Application is hereby made under the provisions of Chapter 30 Article 40 Code of West Virginia for a license as a real estate salesperson. Making a false statement may subject the licensee to disciplinary action including but not limited to immediate .

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