229 Peachtree Street NE
Atlanta, GA 30303-1605
Phone: 404-656-3916
Fax: 404-656-6650
Suite 1000 - International Tower
GREC Close A Firm (01-2015)
Page 1 of 2
Georgia Real Estate Commission
Georgia Real Estate Appraisers Board
Email: grecmail@grec.state.ga.us
This form can be filled out online. Print TWO copies: one to sign and submit for processing and one for your records. Once the
completed application, including all supporting documents, is received it will be processed.
There is not a fee for this application. It may be submitted by fax, email, mail or in person.
All affiliated licensees, except for the Qualifying Broker (or Broker, if a Sole Proprietorship), must be released from the
Firm before this application can be processed. Licensees may be released online OR by submitting a Change Application
for each individual.
All Firm Trust Accounts must be closed. This may done in Section C of this application or prior to submitting this
application by using the online system, or by submitting the Trust Account Registration form.
Attach any supporting documentation, if required.
Application to Close A Firm
Section A
Firm Information
Firm Name:
Firm License #
Broker Information
Section B
Broker Name:
GA License #
Select ONE option below:
I will become an associate broker at another firm.
NOTE: Your new broker must complete and sign below:
Firm Name:
Firm License #
Broker Name:
Firm Phone:
New Broker Signature:
(1)
FOR OFFICE USE ONLY
LIC #INV
Codes
Proc By & Proc Dt
Fee
Rec By
Rec Dt
(3)
I am opening a new firm where I will be the broker. NOTE: Attach an 'Open a Firm Application'.
(2)
I am going to become a qualifying broker of an existing firm.
NOTE: Attach a 'Change of Qualifying Broker' application to affiliate with the firm.
No other changes need to be made to my individual broker record because I am already affiliated with another firm(s)
in addition to the one named on this application.
(5)
I am requesting to place my license on INACTIVE status.
(4)
Date:
Status Requested:
Closed
(Cannot be re-opened without submitting new 'Open A Firm' application and fee)
Inactive (License may be re-actived in the future, as long as renewal fees are paid)
Reason for Closing:
Voluntary
Broker Deceased (attach obituary or death certificate)
Other (specify): ______________________________________
Effective
Date:
(1)
(2)
(or place on Inactive status)
