Change Of Employer Application - Standard Or Reciprocal Licensees printable pdf download

56-SPOA 2102 (6/13)

STATE REAL ESTATE COMMISSION

Phone Number 717-783-3658

PO Box 2649

Fax Number: 717-787-0250

Harrisburg PA 17105-2649

CHANGE OF EMPLOYER APPLICATION – STANDARD OR RECIPROCAL LICENSEES

REAL ESTATE SALESPERSONS – CAMPGROUND MEMBERSHIP – TIMESHARE SALESPERSONS

BUILDER-OWNER SALESPERSON – CEMETERY SALESPERSON

Make sure this is the most recent application by checking our website. Failure to submit a current

application could result in delays while processing your application.

To qualify for a reciprocal license, you must meet both of the following requirements:

1. Hold a current, active equivalent salesperson, associate broker, or broker license in another state,

having been so obtained by examination in a state that has entered into a reciprocal agreement with

this Commission

2. Your principle place of business is in another state

Note: You must maintain a current license in your primary state in order to renew your reciprocal

Pennsylvania license. You are required to notify the Commission within 30 days of any change to your

primary license. If your primary license is not active at the time of renewal, you cannot renew, and must

apply for a standard license by passing the state portion of the Real Estate Examination (if applicable)

and completing an application for initial licensure as a standard licensee.

INSTRUCTIONS

1. The application responses must either be typed or printed in blue or black ink.

2. Failing to answer any questions or providing false answers may result in the refusal of a license or

subsequent disciplinary action once the license is issued.

3. Change of employment applications must be submitted within 10 days of the change. Upon

submission of a completed application, you may begin practicing UNLESS the broker has not been

issued a Pennsylvania license.

A copy of this application must be kept on file with the

broker/builder-owner until the new license has been issued.

4. Question #2 – If you are using a nickname that was not previously reported, please provide this

information now. You may use a nickname for your first name and/or middle name. A nickname

must be a derivative of your first or middle name. Your last name must always be included in

your advertisements.

5. If you changed your name for any reason, copies of legal documents supporting this change must

be submitted. Legal documents include marriage certificates, divorce decrees that state you are

retaking a maiden name, or other court documents verifying the name change. Driver’s licenses

and social security cards are not acceptable to verify a name change.

6. Question #4 – You must provide your social security number.

7. Questions #10-13 – For the employer, use the name, address, and license number of the

Pennsylvania broker/builder-owner exactly as it appears on their license/registration.

8. Question #16 – Disciplinary action includes any revocation, suspension, voluntary surrender,

reprimand, probation, civil penalty or any restriction in practice. If any disciplinary action has

been taken against any license in any state that has not yet been reported to the Commission,

submit all documentation about the disciplinary action.

Change Of Employer Application - Standard Or Reciprocal Licensees

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