Change Of Employer Application - State Real Estate Commission (Page 2 of 4) in pdf

Change Of Employer Application - State Real Estate Commission Page 2

4/2015

INSTRUCTIONS

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

2. Employer’s Information - Use the name and license number of the Pennsylvania broker/builder-

owner exactly as it appears on their license/registration.

Employer Certification – The employer certification must be signed by the broker or broker of

record if the employing broker is a corporation or partnership.

APPLICATION CHECKLIST

Attach the following documents to this application:

 Check or money order made payable to the Commonwealth of Pennsylvania in the

amount of $20.00.

•

All fees are NON-REFUNDABLE regardless of whether a license is issued. A $20.00

processing fee will be charged for any returned unpaid check.

 Disciplinary Action documents (if applicable)

 Name Change documents (if applicable)

 Criminal Conviction documents (if applicable)

 Returned License

PROCESSING INFORMATION

•

Licenses are mailed to the employing broker’s main office address.

Please see the Commission’s website

for additional information about

•

licensure and application requirements.

•

To check the status of your application or to apply online visit

Change Of Employer Application - State Real Estate Commission Page 2