Fillable CHANGE OF DESIGNATED QUALIFYING BROKER (Louisiana Real Estate Commission)

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CHANGE OF DESIGNATED QUALIFYING BROKER (Louisiana Real Estate Commission)

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Louisiana Real Estate Commission (LREC) aim to regulate real estate affairs in the state of Louisiana. LREC help protect the public interest during activites including real estate transactions.

BROWSE LOUISIANA LOUISIANA REAL ESTATE COMMISSION (LREC) FORMS

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CORPORATION, PARTNERSHIP, OR LIMITED LIABILITY COMPANY
CHANGE OF DESIGNATED QUALIFYING BROKER
(Complete this form online or print in blue or black ink)
Processing Fee ………………. $35.00
A. Corporation, Partnership, or Limited Liability Company
Name: _______________________________________________________________________________
Owner, Officer, Director, Manager, Partner, or Principle _____________________________________
Street address: ________________________________________________________________________
City, state, zip+4: ______________________________________________________________________
License number: _______________________________________________________________________
Area Code and Phone number: _____________________
B. Current Designated Qualifying Broker for the Corporation, Partnership, or L.L.C.
Name: _______________________________________________________________________________
Street address: ________________________________________________________________________
City, state, zip+4: ______________________________________________________________________
License number: _______________________________________________________________________
Area Code and Phone number: _____________________
C. New Designated Qualifying Broker for the Corporation, Partnership, or Limited Liability Company
Name: _______________________________________________________________________________
Street address: ________________________________________________________________________
City, state, zip+4: ______________________________________________________________________
License number: _______________________________________________________________________
Area Code and Phone number: _____________________
Signature of New Designated Qualifying Broker: ____________________________________________
ACKNOWLEDGEMENT
I hereby certify that I am authorized, on behalf of the herein named Corporation, Partnership, or Limited
Liability Company, to change the designated qualifying broker as submitted.
Owner, Officer, Director, Manager, Partner, or Principle: ______________________________________
Signature: ____________________________________________________________________________
LREC ● 9071 Interline Ave ● Baton Rouge, LA 70809 • (225) 925-1923 or (800) 821-4529 (LA only)
CQB 07/2014
CLEAR FORM
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CHANGE OF DESIGNATED QUALIFYING BROKER (Louisiana Real Estate Commission)

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Completed 20 July 2020

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