Transfer Of Broker Form

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TRANSFER OF BROKER FORM
Your New Broker must be a member of WCREALTORS and all information must be completed for transfer
REALTOR’S INFORMATION:
Name: __________________________________________
TREC License # _______________________________
Home Address: _____________________________________________________________________________
City: _________________________________________ State: __________ Zip: ________________________
Home Phone: _________________________________ Cell Phone: ___________________________________
Email Address: _____________________________________________________________________________
PREVIOUS BROKER/ OFFICE INFORMATION:
Previous Designated REALTOR® /Broker Name: _____________________________________________________
Previous Office Name: _________________________________________________________________________
NEW BROKER/OFFICE INFORMATION:
NEW Designated REALTOR® /Broker Name: __________________________________________________________
NEW Office Name: ______________________________________________________________________________
New Office Address: ____________________________________________________________________________
City: _________________________________________ State: __________ Zip: ___________________________
NEW Office Phone: __________________________________ New Office Fax: _____________________________
Do you prefer your mailing address be: Home address: ☐
Office address: ☐
There is a $25 Transfer Fee
PAYMENT INFORMATION:
and it must be submitted with completed form.
Checks should be made payable to WCREALTORS
Credit Card Number: _____________________________________________________________________________
Expiration Date: _____________________________________________
Card Type: Visa ☐
MasterCard ☐
AMEX ☐
Discover ☐
You may call us with payment information if you prefer
You may email this form to:
or mail / fax it using the information below
OFFICE USE ONLY
Date Received: ________________ Date Processed: _______________ Check # __________
Processors Signature: _____________________________
123 E. Old Settlers Blvd. | Round Rock, TX 78664 | Phone: 512.255.6211 Fax: 512.255.0666

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