Transfer Of Associate Broker/salesman'S License Form 2000
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1
2WYOMING REAL ESTATE COMMISSION
03/00
2020 CAREY AVE, SUITE 100
CHEYENNE WYOMING 82002-0180
(307) 777-7141
TRANSFER OF ASSOCIATE BROKER/SALESMAN'S LICENSE
I n
c o m p l i a n c e
w i t h
t h e
W y o m i n g
R e a l
E s t a t e
L i c e n s e
A c t
o f
1 9 7 1
a n d
t h e
r e g u l a t i o n s
p e r t a i n i n g
t h e r e t o ,
I
h e r e b y
r e q u e s t
t h e
t r a n s f e r
o f
m y
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
( A s s o c i a t e
B r o k e r / S a l e s m a n )
license.
Have
you
been
convicted
or
pleaded
nolo
contendere
to
a
felony
or
are
any
such charges pending at this time? _____ Yes
_ _ _ _ _ N o
I f y e s ,
attach explanation.
I
h e r e b y
a u t h o r i z e
t h e
W y o m i n g
R e a l
E s t a t e
C o m m i s s i o n
t o
r e l e a s e
my
records
and
files
pertaining
to
my
professional
licensure
to
my
new
sponsoring broker.
Date:_____________________
(Signed)____________________________________________
Home Address__________________________________________
$20 TRANSFER FEE IS ENCLOSED
O l d
l i c e n s e
a n d
p o c k e t
c a r d
m u s t
b e
r e t u r n e d
b e f o r e
l i c e n s e
c a n
b e
reissued.
TO BE COMPLETED AND SIGNED BY NEW SPONSORING BROKER
I ,
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ,
a m
t h e
r e a l
e s t a t e
b r o k e r
s p o n s o r i n g
t h e
a b o v e
n a m e d
l i c e n s e e
a n d
i t
i s
m y
opinion
that
said
licensee
is
honest,
truthful
and
of
good
reputation
and
t h a t
h e / s h e
i s
c o m p e t e n t
t o
t r a n s a c t
t h e
b u s i n e s s
o f
a
r e a l
e s t a t e
a s s o c i a t e
b r o k e r / s a l e s m a n
i n
s u c h
a
m a n n e r
a s
t o
s a f e g u a r d
t h e
i n t e r e s t s
o f
t h e
p u b l i c ;
a n d
I ,
t h e r e f o r e ,
r e c o m m e n d
t h a t
s a i d
t r a n s f e r
be
granted.
I
further
certify
that
I
will
actively
supervise
and
train
the
l i c e n s e e
d u r i n g
t h e
p e r i o d
t h e
l i c e n s e e
i s
u n d e r
m y
s p o n s o r s h i p
a n d
the requested license remains in effect.
Date:_____________________
(Signed)_____________________________________________
(New Broker)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(Firm Name)
(Business Address)
________________
_________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(Telephone)
(FAX)
(E-Mail)
TO BE COMPLETED BY FORMER SPONSORING BROKER
(
)
I
h a v e
n o
a d v e r s e
c o m m e n t s
t o
m a k e
a g a i n s t
t h e
l i c e n s e e .
( I f
c o m m e n t s
a r e
t o
b e
m a d e ,
p l e a s e
a d d r e s s
s a m e
t o
t h e
W y o m i n g
R e a l
Estate Commission.)
(
)
I
have
returned
the
license
and
pocket
card
to
the
Commission
as
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