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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and license number in the designated fields. Ensure accuracy as this information is crucial for processing.
Select whether you are changing brokers, terminating your affiliation, or activating from inactive status by checking the appropriate box.
If transferring to a new broker, fill in their name and license number. Both you and the new broker must sign and date the right side of the form.
For termination, complete steps a., b., and c. Then sign and date the right side of the CHANGE CARD while checking the 'inactive' box.
Review all entries for accuracy before saving your changes. Once completed, download or print your form directly from our platform.
Mail, fax, or deliver a copy of the CHANGE CARD to the Division of Real Estate within five working days.

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