Fillable DE-964 TDLR Parent Taught Driver Education Certificate Order (Texas Real Estate Contracts)

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DE-964 TDLR Parent Taught Driver Education Certificate Order (Texas Real Estate Contracts)

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The DE-964 TDLR Parent Taught Driver Education Certificate Order (Texas Real Estate Contracts) form is 1 page long and contains:

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Country of origin: US
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The Texas Real Estate Commission (TREC) is an agency that governs real estate practices in the state of Texas USA. I its headquarters are located in Ausin Texas at 1700 North Congress.

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TDLR DE-964 (03/2016)
FOR TDLR STAFF USE ONLY - TDLR Parent Taught Course Provider DE-964
PT Course Provider Number: Number of certs ordered: ______________________________
Prepared by: Certificate numbers: __________________________________ to ___________________________________
Pick-Up or E-mail date/time:
DE-964 – TDLR Parent Taught Driver Education Certificate Order Form
(For Use by Parent Taught Course Providers Only)
ALL FEES ARE NON-REFUNDABLE
ALL UN-USED CERTIFICATES, NUMBER ORDERS ARE NON-TRANSFERABLE
Parent Taught Course Name: _____________________________________________________ CP#
Certificates: _________ X $1.00 each
Original Signature of Parent Taught Course Owner Printed Name Date
Check one box and enter the applicable address:
HARD COPIES (3-part paper completion certificates ready to issue)
Delivery Address:
Overnight Delivery of hard copies is not available. Out-of-state shipments are not available.
WALK-IN or PICK-UP service from 920 Colorado St., Austin, Texas 78701 will require 72 hours to process.
Call (512) 463-6599 for details.
NUMBERS* (Identifying numbers for completion certificates printed and issued by the PT course provider)
* A certificate proof must be submitted and approved by the Texas Department of Licensing and Regulation before certificate numbers
will be sold.
E-mail Address:
MAIL-IN ORDERS
Certificates: _________ X $1.00 each Total enclosed $_________________
Make check or money order payable to TDLR. Cash is NOT accepted. Mail payment and this original completed and signed
order form to:
Texas Department of Licensing and Regulation
P O BOX 12157
Austin Texas 78711
Orders will be processed only when fees and this signed order form have been received by TDLR office. No exceptions.
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DE-964 TDLR Parent Taught Driver Education Certificate Order (Texas Real Estate Contracts)

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Completed 5 August 2021

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