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Get Broker Renewal Form 08-12

S FORM 6-RE BROKER REN. REV. 08/12 Form# 64 South Street Concord, NH 03301 (603) 271-2748 Fax # (603) 271-1039 http://www.nh.gov/nhrec E-mail: nhrec nhrec.state.nh.us Broker Ref # Firm/Trade Name # Check # Amount Receipt # APPLICATION FOR RENEWAL OF BROKER S LICENSE RENEWAL FEE $110.00 Renewal is permitted up to 6 months after expiration with an additional $60.00.

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