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Employing broker notification form

Employing broker notification form 2026

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The document is an Employing Broker Notification form from the Michigan Department of Licensing and Regulatory Affairs, intended for new real estate salesperson applicants who have not listed a broker or have changed brokers prior to their license exam. It outlines the mandatory completion requirements, penalties for non-compliance, and instructions for submitting the form to affiliate with the correct broker.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your legal name, home address, and contact information in the 'Applicant Information' section. Ensure all details are typed clearly.
In the 'Employing Broker Information' section, input the broker's name exactly as it appears on their license, along with their License I.D. Number.
Complete the 'Affiliation Request' section by ensuring both you and your employing broker sign and date the form. This confirms your request for a salesperson's license.
Once completed, review all entries for accuracy before submitting. You can either mail or fax the form to the provided address.

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