Fillable Credit Card Payment RE 909 (Rev. 10/20) GENERAL (California Department of Real Estate)

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Credit Card Payment RE 909 (Rev. 10/20) GENERAL (California Department of Real Estate)

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GENERAL INFORMATION
Fees may be charged to your VISA, MasterCard, American
Express, or Discover card.
Credit card information must be mailed with appropriate forms.
Forms and a variety of other information may also be obtained
by accessing DRE’s Web site at www.dre.ca.gov.
Exam or Combined Exam and License Application Fee
Complete the information requested below and mail to DRE with
your exam or combined exam/license application and supporting
documents.
Salesperson Examination Application (RE 400A)
Broker Examination Application (RE 400B)
Salesperson Exam/License Application (RE 435)
Broker Exam/License Application (RE 436)
Original (sales, broker, or corporation) License
Application Fee
Complete the information requested below and mail to DRE with
your license application and supporting documents.
Salesperson License Application (RE 202)
Broker License Application (RE 200)
Corporation License Application (RE 201)
METHOD OF PAYMENT (CHECK ONE) CARD NUMBER
VISA MC DSC AE
EXPIRATION DATE AMOUNT AUTHORIZED ZIP CODE OF CARDHOLDER
$
CARDHOLDER NAME (PLEASE PRINT)
APPLICANT/LICENSEE NAME (IF DIFFERENT, THAN CARDHOLDER)
PURPOSE OF TRANSACTION
EXAM/LICENSE FEE ORIGINAL LICENSE RENEWAL LICENSE
MORTGAGE LOAN ADVERTISING SUBDIVISION FILING SUPPORT OBLIGOR FEE
EDUCATION COURSE APPROVAL PETITION FEE PRLS
__________________________________________________________________________________________________
LICENSING INFORMATION (IF APPLICABLE) SUBDIVIDER – DRE FILE # (IF KNOWN)
SALESPERSON ID# ________________________________
CORPORATION/OFFICER BROKER
SIGNATURE DATE
PRINTED NAME (LAST, FIRST, & MIDDLE) DAYTIME TELEPHONE NUMBER
( )
MAILING ADDRESS
CERTIFICATION
I hereby certify that I understand
that the fee remitted is deemed
earned upon receipt (B&P Code
Section 10207).
CREDIT CARD INFORMATION
When charging fees to your VISA, MasterCard (MC), Discover Card (DSC), or American Express (AE) the following information
must be completed and submitted (with the appropriate form):
DRE Use Only
APPROVAL #
REFERENCE #
TRANSACTION DATE
INITIALS
Renewal (sales, broker, or ocer) Application Fee
Complete the information requested below and mail to DRE with
your renewal application and supporting documents.
Salesperson Renewal Application (RE 209)
Broker Renewal Application (RE 208)



Credit Card Payment
RE 909 (Rev. 10/20)
Support Obligor
Complete the Support Obligor Fee Notice (RE 288) and mail or
fax to DRE.
Prepaid Rental Listing Service (PRLS)
Complete the information below and mail to DRE with your PRLS.
application and supporting documents.
License Histories



License History Request (RE 293) or written request.
Petition Application Fee
Complete the information requested below and mail to DRE with
the Petition Application (RE 506) and supporting documents.
(General Information continued on page 2)
RE 909 — Reverse
Subdivision Filings
Complete the information requested below and mail with supporting
documents to the appropriate Subdivisions Office. Refer to
Subdivision Filing Fees (RE 605) for public report application

Education Course Approval Fee (CE & Pre-License)
Complete the information requested below and mail to DRE with
the appropriate application and supporting documents.
Pre-License Course Approval Application (RE 306)


CE Equivalent Activity Petition Information (RE 332)
PRIVACY NOTICE
individual has the right to review personal information maintained by this agency, unless access is exempted by law. Government Code Section 6162 and 6163 authorizes
the maintenance of this information. All information is voluntary; however, failure to provide requested information may cause your credit card payment request to be
delayed. The information requested in this form is used to verify the authenticity of the credit card you wish to use to pay for DRE transaction/service fees. There are no


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Credit Card Payment RE 909 (Rev. 1020) GENERAL (California Department of Real Estate)

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Completed 13 July 2021

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