Fillable CLOSE COMPANY OR BRANCH OFFICE FORM | REC-440 (Kansas Real Estate Commission)

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CLOSE COMPANY OR BRANCH OFFICE FORM | REC-440 (Kansas Real Estate Commission)

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  • 4 signatures
  • 12 check-boxes
  • 114 other fields

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File type: PDF

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Kansas Real Estate Commission
Jayhawk Tower
700 SW Jackson St Ste 404
Topeka, KS 66603-3785
krec@ks.gov (785) 296-3411
Fax: (785) 296-1771 www.krec.ks.gov
Public access is available by appointment only
CLOSE COMPANY OR BRANCH OFFICE FORM | REC-440
Revised Oct-19
COMPANY BEING CLOSED THIS IS A FILLABLE FORM
COMPANY NAME
COMPANY NUMBER
FRANCHISE NAME
ADDRESS
CITY
STATE
ZIP
ADDRESS WHERE TRANSACTION FILES WILL BE MAINTAINED
CUSTODIAN NAME
PHONE NUMBER
ADDRESS
CITY
STATE
ZIP
ATTACH REL-300 FORM AND FEE IF APPLICABLE
Submit the attached License Change Form (REL-300) to do any of the following:
- Deactivate a license
- Change affiliation from this company to another company ($15)
- Remove affiliation from this company but continue affiliation at a different company
To find a list of licensees affiliated with a company and access the REL-300 form, visit the KREC website at www.krec.ks.gov.
TRUST ACCOUNT
Does the company maintain a trust account(s)? No If no, sign below. Skip next page.
Yes If yes, the current trust account(s) must be closed prior to closing this company. Sign below and include next page.
SUPERVISING/BRANCH BROKER CERTIFICATION I declare under penalty of perjury under the laws of the State of Kansas that I
have read and understand this form and that the information provided is true, correct and complete to the best of my knowledge.
PRINTED NAME OF SUPERVISING OR BRANCH BROKER
LICENSE NUMBER
SIGNATURE OF SUPERVISING OR BRANCH BROKER
DATE SIGNED
BRANCH CERTIFICATION Complete the following information only if you are submitting this form to close a branch office.
PRINTED NAME OF MAIN OFFICE SUPERVISING BROKER
LICENSE NUMBER
SIGNATURE OF MAIN OFFICE SUPERVISING BROKER
COMMISSION
USE
ONLY
I
NITIALS
:
D
ATE
E
NTERED
:
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signature
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signature
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Kansas Real Estate Commission
Jayhawk Tower
700 SW Jackson St Ste 404
Topeka, KS 66603-3785
krec@ks.gov (785) 296-3411
Fax: (785) 296-1771 www.krec.ks.gov
Public access is available by appointment only
CLOSE COMPANY OR BRANCH OFFICE FORM | REC-440
Revised Oct-19
REPORT ON CLOSING TRUST ACCOUNT
If there are funds in the account which you are unable to disburse, contact KREC before closing the trust account
and submitting this form. If the funds have been in the account for five or more years, they may qualify for disbursement
to the real estate recovery fund [K.S.A. 58-3061(i)]. You may mail copies of contracts and any other documentation which
reflects the date that such funds were deposited, along with any information pertaining to efforts to disburse the funds to
KREC at the address listed above. After review of the documentation, we will notify you whether or not the money can be
disbursed to the recovery fund.
INSTRUCTIONS
Complete the trust account information below and sign. This form is fillable online.
If more than one account has been closed, complete a separate form for each account.
THE TRUST ACCOUNT NAMED BELOW HAS BEEN CLOSED:
T
RUST
A
CCOUNT
N
AME
A
CCOUNT
N
UMBER
B
ANK
,
S
AVING AND
L
OAN
A
SSOCIATION
,
OR
C
REDIT
U
NION
N
AME
REASON FOR CLOSING TRUST ACCOUNT
CLOSING OFFICE USING 3
RD
PARTY ESCROW OTHER: _________________________________________
SUPERVISING/BRANCH BROKER CERTIFICATION I declare under penalty of perjury under the laws of the State of Kansas that I
have read and understand this form and that the information provided is true, correct and complete to the best of my knowledge.
PRINTED NAME OF SUPERVISING/BRANCH BROKER
LICENSE NUMBER
SIGNATURE OF SUPERVISING/BRANCH BROKER DATE SIGNED
BRANCH CERTIFICATION Complete the following information only if you are submitting this form to close a branch office.
PRINTED NAME OF MAIN OFFICE SUPERVISING BROKER
LICENSE NUMBER
SIGNATURE OF MAIN OFFICE SUPERVISING BROKER
DATE SIGNED
COMMISSION
USE
ONLY
Initials: Date Entered: ____
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signature
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signature
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Kansas Real Estate Commission
Jayhawk
Tower
700 SW Jackson St Ste 404
Topeka, KS 66603-3785
krec@ks.gov (785) 296-3411
Fax: (785) 296-1771 www.krec.ks.gov
Public access is available by appointment only
Revised Nov-19
LICENSE CHANGE FORM | REL-300
License Number
[as authorized by KSA 58-3047(b) and (c)]
THIS FORM IS FILLABLE ONLINE
I WANT TO MOVE MY LICENSE FROM ONE COMPANY TO ANOTHER (Deactivate and Reinstate)
($15 reinstatement fee is applicable).
I have notified my current supervising broker of my intent to terminate my affiliation and have
discussed any pending transactions and agreements.
I WANT TO REACTIVATE MY LICENSE (Change to Active Status) ($15 reinstatement fee is applicable). The
continuing education requirement has been met for the immediate past license renewal. If inactive two or more years, six
hours for each full year of inactive status are on record. If inactive five or more years, I’ve also re-passed the licensure exam.
I WANT TO DEACTIVATE MY LICENSE (Change to Inactive Status) (No fee applies). I understand I must continue
to renew my license in order to avoid its expiration and reactive the license within two years to avoid additional education and
exam requirements.
I WANT TO ADD OR REMOVE AN AFFILIATION WHILE MAINTAINING AN EXISTING AFFILIATION
(No fee applies)
TERMINATING COMPANY INFORMATION
Company Name
Company Number
NEW COMPANY INFORMATION
Company Name
Company Number
Address
Broker License Number
LICENSEE SIGNATURE
SIGNATURE
DATE
NOTE: If the licensee holds a Restricted license and if the terms require it, the proposed new broker must include a letter or email to the
Commission stating they have read the restriction Order and are willing to supervise the licensee on a Restricted basis. If approved, an
Order modifying the Restriction must be issued before the reinstatement or reactivation is processed.
NEW SUPERVISING/BRANCH BROKER CERTIFICATION
I hereby accept the responsibility of supervising the above-named licensee (or office, if you are the broker).
SIGNATURE
DATE
CONTINUED SUPERVISING/BRANCH BROKER CERTIFICATION (Maintaining Existing Affiliation)
I hereby acknowledge and agree to the additional company affiliation for the above-named licensee.
SIGNATURE
DATE
Licensee Name
Kansas Real Estate Commission
Jayhawk Tower
700 SW Jackson St Ste 404
Topeka, KS 66603-3785
krec@ks.gov (785) 296-3411
Fax: (785) 296-1771 www.krec.ks.gov
Public access is available by appointment only
R
evised Jan-19
PAYMENT AUTHORIZATION FORM
Option 1: CREDIT CARD PAYMENT INFORMATION
Licensee Name:
Email Address:
(optional for electronic receipt)
Zip Code:
Expiration Date:
Card Information:
Visa
MasterCard
Discover
American Express
Option 2: ELECTRONIC CHECK PAYMENT
Account Holder Name:
Email Address:
(optional for electronic receipt)
Transaction Type:
Personal
Business
Account Type:
Checking
Savings
Account Number:
Routing Number:
Email: krec@ks.gov
F
ax: 785-296-1771
I
f you prefer to provide your credit card or electronic
check information by phone, call 785-296-3411.
A
fter processing your payment, this document will be
shredded.
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CLOSE COMPANY OR BRANCH OFFICE FORM REC-440 (Kansas Real Estate Commission)

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Completed 28 December 2021

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