APPLICATION FOR CHANGE OF QUALIFYING BROKER
Pursuant to Section 34-27-34(b)(1) of the Alabama Real Estate License Law, the Company/Branch named below hereby submits the
following change of Qualifying Broker:
Company ______________________________________________________________________________________________________
Company License Number New Company Email
I.
Current Qualifying Broker
Qualifying Broker’s Name
Qualifying Broker’s License Number __________________________________
I hereby terminate my responsibilities as qualifying broker for the above company. Please issue my license to the following:
ISSUE LICENSE TO:
(check one): Inactive
Associate broker with the above company
Associate broker for company listed on attached Registration/Transfer Form
Qualifying broker for new company (Company License Application attached)
Qualifying broker for existing company (If company is active submit another Change of Qualifying
Broker form. If company is inactive submit License Activation form.)
______________________________________ ______________________________________
Print Name of Current Qualifying Broker Signature of Current Qualifying Broker
II.
New Qualifying Broker
Qualifying Broker’s Name _______________________________________________________________________
Qualifying Broker’s License Number _________________________
Responsibility is hereby accepted for the actions covered by the Alabama Real Estate License Law of any and all salesperson and
associate brokers whose licenses are issued to the above company.
Print Name of Qualifying Broker (If the new qualifying broker is obtaining another broker’s license, please submit an application for multiple
broker’s license and fees with this form.)
______________________________________ _________________________
Signature of Qualifying Broker Date
If the company is a branch, the signature of the qualifying broker for the main company is required.
_________________________________________ ________________________________________
Print Name of Qualifying Broker for Main Company Signature of Qualifying Broker for Main Company
REVISED 10.03.2017
INSTRUCTIONS
Complete entire form online and print it for submission OR print the form and complete it in black or blue ink.
This form must be included with a new broker application when broker will become the new qualifying broker of an
existing company.
NOTE - Company name and/or address change requires completion of Company/Branch Change of Name and/or
Address Form
Submit $50 fee for the company or branch and new qualifying broker. Submit an additional $25 fee if the current
qualifying broker will be reissued an active license after the change. Make check payable to Alabama Real Estate
Commission and mail, with form, to 1201 Carmichael Way, Montgomery, AL 36106, by certified or registered mail.
IMPORTANT: If the new qualifying broker will be the broker of a company with branch(es) registered under it, please
submit an additional $50 for each branch license.
Complete applications are normally processed within 3 business days from the date received. Once processed, the license will be
available for printing by the Qualifying Broker from the Commission’s website, arec.alabama.gov, using the Company login (the
company license number and the Qualifying Broker’s personal information).
