Change Form - Real Estate - Hawaii Real Estate Commission Page 2

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REACTIVATE License:
--Salesperson/Broker-Salesperson: Licensee reactivating is to complete Section A on page 1 and sign and date Section B below. New principal broker or
broker in charge must complete Section D below. A licensee who has been inactive for one or more renewal periods, shall first satisfy the
prescribed continuing education (CE) hours of the immediate prior renewal period. The commission shall credit the licensee with CE hours for any
certified CE core or elective courses completed during the immediate prior renewal period. Attach original CE certificates. You may obtain
original certificates at https://pvl.ehawaii.gov/rece. If you are a new salesperson or broker licensed within the current biennium, CEs are not
required. Fee: $25.
--Entity: Input name of entity on page 1 in Section A. Principal broker's signature is required in Section B below. Attach a current "Certificate of
Good Standing" obtained from the Business Registration Division of the Department of Commerce and Consumer Affairs, entity resolution (sample
available at ), and separate change form for the new principal broker and broker in charge(s) (if applicable), and all
associating salespersons and broker-salespersons. If using a trade name, attach a file-stamped copy of current trade name registration approved
by the Business Registration Division. Fee: $75.
--Branch Office: Input name of entity on page 1 in Section A. Principal broker's signature is required in Section B below. Each branch office shall
have at least one (1) broker in charge. If the principal broker has not already designated a broker in charge, submit another change form
to register a broker in charge for the brokerage firm. Fee: $75.
--Sole Proprietor:
Complete "Application for License: Real Estate Sole Proprietor" and follow the instructions on that form.
Change BROKER:
Mark this box if you are immediately changing to a different broker. You must complete Section A on page 1 and sign and date Section
B below. If you are currently affiliated with a broker, your former broker must complete Section C below. Your new principal broker or broker in charge
must complete Section D below. If a BIC is changing broker, PB must sign Section C. (BIC NOT AUTHORIZED TO SIGN THEMSELVES OR OTHER BIC'S ON
OR OFF.)
Change to SOLE PROPRIETOR:
You must complete Section A on page 1 and Section D below. If you are currently affiliated with a broker, the releasing
broker must complete Section C below. (If you are on inactive status, see REACTIVATE License above.) If you will be using a trade name, attach a file-
stamped copy of current trade name registration approved by the Business Registration Division of the Department of Commerce and Consumer Affairs.
Complete "Application for License: Real Estate Sole Proprietor" and follow the instructions on that form. Fee: $65.
Change PRINCIPAL BROKER ("PB"):
Check this box if the entity is changing its principal broker. This transaction requires 3 change forms:
1 from entity, 1 from new principal broker, and 1 from former principal broker. Only one (1) Fee of $10 is required for this transaction. SUBMIT ALL 3
COMPLETED CHANGE FORMS TOGETHER.
--Corporate/Partnership/LLC/LLP: Input name of the entity in Section A on page 1. The former PB must complete Section C below. The new PB must
complete Section D below. Attach an entity resolution. Sample of an entity resolution is available at . AND ON A
SEPARATE CHANGE FORM...
--New Principal Broker: Input name of the new PB in Section A on page 1 and have him/her complete Section D below. If previously affiliated with a
brokerage firm, have your former PB complete Section C below. (NOTE: If new PB is an Real Estate Broker-salesperson within the brokerage firm
Section C does not have to be signed by the former PB.) AND ON A SEPARATE CHANGE FORM...
--Former Principal Broker: Input name of the former PB in Section A on page 1. If the former PB is going to another firm, mark the "Change Broker" box
and complete Section C below. Have the new PB or broker in charge complete Section D below. If going inactive, follow instructions to place
license inactive. If this change form is not received, licensee will automatically be changed to broker-salesperson status with the same company.
Change to Add or Release BROKER-IN-CHARGE ("BIC"):
--Add New broker in charge: Input BIC's name in Section A on page 1 and sign and date Section B below. If previously affiliated with another brokerage
firm, have your former PB complete Section C below and your new PB complete Section D below. If you're a broker-salesperson currently
affiliated within the brokerage firm, also mark the "Change from broker-salesperson to broker in charge" box below and have your PB complete
Section D below. If inactive, also mark the "Reactivate" box and follow the instructions to reactivate license. Fee: $10.
--Release Former broker in charge: Input former BIC's name in Section A on page 1 and sign and date Section B below. If BIC is going to another firm,
mark the "Change Broker" box and have the former PB complete Section C below. Have your new PB complete Section D below. If you're
changing to a broker-salesperson within the brokerage firm, also mark the "Change from broker in charge to broker-salesperson" box below and
have your PB complete Section D below. If going inactive, follow instructions to place license inactive.
Change from broker-salesperson to broker in charge.
Change from broker in charge to broker-salesperson.
Appointing a TEMPORARY Principal Broker or Broker In Charge:
Input the name of the entity on page 1 in Section A. Submit notification BEFORE the
start of the period covered. A principal broker or broker in charge who will be absent from the principal place of business for more than 30 calendar days
(and no other broker in charge is registered with the principal place of business) must designate a temporary principal broker or temporary broker in charge.
A temporary appointment may be made for up to 6 months, with an extension of 6 months subject to Commission approval. In case of death or prolonged
illness, submit doctor's statement documenting illness or death certificate, whichever is appropriate.
Temporary Assignment. Complete period covered (month/year):
FROM
TO
Appointing broker to complete Section C below; Temporary broker accepting assignment to complete Section D below.
SECTION B.
SIGNATURE OF LICENSEE ________________________________________________________
DATE ____________________________________________
SECTION C.
License No. of Broker
DATE RELEASED
RB -
(if applicable)
________________________________________________________
SIGNATURE
of Broker (Principal Broker, Sole Proprietor Broker or Broker in Charge of branch
office). Please print your name after your signature.
License No. of Entity
________________
RB -
NAME & FULL BUSINESS ADDRESS
of Releasing Entity or Branch Office (Number, Street,
Suite No., City, State and Zip Code)
SECTION D.
License No. of Broker
DATE HIRED
RB -
(if applicable)
________________________________________________________
SIGNATURE
of Broker (Principal Broker, Sole Proprietor Broker or Broker in Charge of branch
office). Please print your name after your signature.
License No. of Entity
________________
RB -
NAME & FULL BUSINESS ADDRESS
of Hiring Entity or Branch Office (Number, Street,
Suite No., City, State and Zip Code)
Signatories in Section B, C, and/or D certify that the information provided is true and correct.
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