Exiting Agent Form

Please complete this form if you are leaving the real estate business or transferring your membership to another Association.

Important: If you are leaving the business and do not hold a broker’s license, please ensure you have ended your sponsorship with your brokerage and that your license status is reflected as Inactive with TREC before submitting this form.

Please note: Agents transferring their membership to another Association will no longer be eligible to maintain Key Service through GDWCAR. Be sure to coordinate Key Service access with your new Association prior to completing your transfer.

Fields marked with an * are required.

Primary Board Name

Agents Name *

License Number *

Phone *

Email *

Exiting Office

Reason for Leaving *

If transferring, what Association should the Letter of Good Standing be sent?

Date LIC Returned to TREC

(If not exiting the business please skip.)

Office Staff or Agent Full Name *

Reporting Office Company Name *

All information stated above is truthful to the best of my knowledge *

Yes

Today's Date *

Exiting Agent Form

Please verify that you have checked the “I'm not a robot” checkbox.

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