Exiting Agent Form

Please complete this form if you will be leaving the business or if you are transferring to a different Association.

NOTE: If you will be leaving the business and you do not hold a broker's license make sure that you have terminated sponsorship with your Brokerage and that you are reflecting as "inactive" in TREC before completing this form.

Agents who are transferring their membership to another Association will not be able to keep key service with GDWCAR.

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

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Exiting Agent Form

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