Fillable PRLS Cash Deposit Security (California Department of Real Estate)

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PRLS Cash Deposit Security (California Department of Real Estate)

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________________________________________________________________________________ (ASSIGNOR),
a prepaid rental listing service licensee whose principal licensed location is at: __________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
hereby assigns to the Real Estate Commissioner of the State of California (ASSIGNEE) all of the ASSIGNOR’S right, title
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
Name and/or Number: _________________________________________________________
Depository/Issurer (name): _________________________________________________________
Address: _________________________________________________________
City and State: _________________________________________________________
ASSIGNOR has applied to the Department of Real Estate of the State of California for a license to act as a Prepaid
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ASSIGNOR’S SIGNATURE DATE
@
NAME OF LICENSEE IDENTIFICATION NUMBER
MAILING ADDRESS (STREET ADDRESS OR POST OFFICE BOX)
CITY STATE ZIP CODE


PRLS Cash Deposit Security
 Read instructions on reverse side before completing this form.
Instructions
 
 
 
Department of Real Estate



RE 275 — Reverse
Notice of Assignment Acknowledgment




We certify that we have received no notice of any lien,


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
of _____________________________________________


NAME OF ISSUER
ADDRESS OF ISSUER
BY: (NAME & TITLE OF OFFICER)
@
DATE
Assignment and Direction
to Pay Earnings Acknowledgment
        



REAL ESTATE COMMISSIONER OF THE STATE OF CALIFORNIA
@
DATE
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PRLS Cash Deposit Security (California Department of Real Estate)

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Completed 28 December 2021

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