INSTRUCTIONS FOR COMPLETING THE Mississippi Real Estate Commission
Broker Transfer Application
This form is ONLY to be used when a BROKER or BROKER/SALESPERSON licensee is transferring to another responsible broker or to their self. This form is NOT TO BE USED by a salesperson licensee to change brokers.
Part I: For current broker/salesperson – this part is to be signed by your current responsible broker.
For current brokers – it is not necessary for you to sign this part to release yourself to transfer to another broker.
Part II Section A: Full Name of Transferring Broker – This is the name of the broker licensee who is transferring. Include your current resident address and phone number.
BE SURE TO COMPLETE THE RESPONSIBLE BROKER LINE AND INCLUDE THE COMPANY NAME (IF APPLICABLE).
Your transfer request CANNOT be processed if MREC does not know who you wish to transfer to, or which company you are transferring to (if the responsible broker has a company license).
The CORRECT business address MUST be listed or your request CANNOT be processed. NOTARY SECTION – ONLY SIGN AND NOTARIZE THIS MIDDLE SECTION IF YOU ARE GOING TO BE WORKING AS A BROKER/SALESPERSON UNDER A RESPONSIBLE BROKER.
If you are going to be your OWN broker, DO NOT CHECK THE BOX AN DO NOT SIGN THIS SECTION!
If you WILL be operating as a broker/salesperson under another responsible broker, the distance between the broker/salesperson and responsible broker CANNOT be MORE than a 50 mile/1 hour drive distance.
If the distance is GREATER, the transferring broker will either need to select a different, closer responsible broker, or the responsible broker will need to open a branch office at a location within that distance limit for the transferring broker/salesperson to be licensed to.
Part II Section B: The new responsible broker completes this section, signs, and the signature must be notarized. If you are transferring to yourself, your name should be in both blanks, and you sign accepting responsibility for yourself.
BEFORE MAILING, BE SURE THE FOLLOWING HAVE BEEN ADDRESSED:
Application MUST be typed or printed. If it is printed, be sure handwriting is VERY CLEAR.
MREC is not responsible for any misprints due to illegible handwriting.
ALL questions have been answered in their entirety.
The application fee is included.
The original wall license is included.
All continuing education and E & O insurance are up to date.
The application must be notarized and must be received by MREC within 60 days of the notary date.
Mississippi Real Estate Commission LeFleur’s Bluff Tower, Suite 300 4780 I-55 North,
Jackson, MS 39211 OR
Post Office Box 12685 Jackson, MS 39236-2685
(601) 321-6970 – Telephone * (601) 321-6955 – Fax
BROKER TRANSFER APPLICATION
(Application will not be accepted unless typed or printed- CLEARLY)
PART I TERMINATION OF BROKER – BROKER AGREEMENT I hereby release _____________________________________________________ _____________________ (Licensee) (License #) __________________________________________________________________ _____________________ (Signature of Responsible Broker) (Date)
PART II ESTABLISHMENT OF NEW BROKER – BROKER AGREEMENT A. Full Name of Transferring Broker _________________________________________________________ (PRINT) (Home Phone) Applicants Resident Address _________________________________________________________ (Number & Street) (City/State) (Zip Code) Company Name (if applicable) _________________________________________________________ Business Address _______________________________________________________________________ (Number & Street) (City/State/Zip) (Office Phone)
I understand that my original wall license must be returned to the Commission by my former responsible broker before a new license will be issued and I can resume work.
I agree not to take ANY listings or other pertinent information from my former broker without his/her written authorization/consent and any other necessary approvals.
[ ] I will be working in the capacity of broker-salesperson and will not act independently as a broker. I hereby request my license be issued to the above NEW responsible broker.
(Check box if this applies to you.) __________________________________ ___________________________________________
Transferring Broker’s name – printed Signature of Transferring Broker
SUBSCRIBED and SWORN to before me, this ________________ day of ______________________, 20 _______ My Commission expires __________________________ _______________________________ _______ (County) (State) ___________________________________________
NOTARY PUBLIC B. I ___________________________________, hereby certify that I am a duly licensed broker in the State of
(Name of Responsible Broker) Mississippi and have “carefully investigated” the record of ______________________________________ who has made application for transfer of his/her license to my real estate brokerage business. I hereby approve such application and “accept full responsibility” for this broker-salesperson. ___________________________________________ __________________________________
ignature of Responsible Broker Responsible Broker’s name – printed SUBSCRIBED and SWORN to before me, this ________________ day of ______________________, 20 _______
My Commission expires __________________________ _______________________________ _______ (County) (State) ___________________________________________