State form 47478 r6 1210 2014-2019-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Section A, where you will enter your name, license number, and Social Security number. Ensure that all information is typed or printed legibly.
  3. Provide your address, email, and telephone number. Remember that the email address is required for processing.
  4. In Section B, have the releasing broker complete their details including their name, license number, and signature. This section confirms the termination of your assignment.
  5. Proceed to Section C where the requesting Broker Company must fill in their information. This includes the managing broker's details and signature.
  6. Review all sections for accuracy before submitting. Don’t forget to include the $10 application fee unless you are selecting Inactive or Unassigned status.

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