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State of California Department of Real Estate USE ONLY ...

This application may be used to license: A corporation with a designated broker-officer, An additional broker-officer with a new or currentlylicensed corporation, OR A new officer as a substitute ( replacement ) for theexisting designated broker-officer. Read Sections III and IV before completing this application. This application must be completed and signed on lines 26 and30 by the broker-officer applicant. A Certificate of Status or Articles of Incorporation and theappropriate fee must accompany this form. Refer to Section IV. Any changes (addresses, DBA, etc.) to a currently licensedcorporation must be submitted on a Corporation Change Application(RE 204A).DRE RECEIVED DATEGENERAL INFORMATIONSECTION I CORPORATION INFORMATION1A. DOES THIS CORPORATION CURRENTLY HOLD OR HAS IT PREVIOUSLY HELD A REAL Estate LICENSE IN California ?

This application may be used to license: A corporation with a designated broker-officer, An additional broker-officer with a new or currently licensed corporation, OR A new officer as a substitute (replacement) for the existing designated broker-officer. Read Sections III and IV before completing this application.

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