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Corporation Change Application Form. This is a California form and can be use in Department Of Real Estate Statewide.
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Tags: Corporation Change Application, RE 204, California Statewide, Department Of Real Estate
STATE OF CALIFORNIA
DEPARTMENT OF REAL ESTATE
Serving Californians Since 1917
BROKER CHANGE APPLICATION
(For Broker Licensees)
RE 204 (Rev. 6/09)
9
9
9
Received Date
This form is to be used by brokers only (including those working as broker-salespersons). Licensed salespersons must use
RE 214; corporations and corporation officers must use RE
204A.
Read instructions on reverse side before completing.
Note: License changes with an asterisk may be completed online by using eLicensing. (Refer to information on page 2.)
TYPE OF CHANGE
(Mark one or more boxes)
Mailing Address*
Main Office Address*
Personal Name
Add/Cancel Fictitious
Business Name
BROKER INFORMATION
1.
BROKER’S LICENSE NUMBER
DRE USE ONLY
2.
BROKER’S NAME (LAST)
(FIRST)
(MIDDLE)
3.
BROKER’S NEW PERSONAL NAME (LAST)
(FIRST)
(MIDDLE)
DRE USE ONLY
4.
DO YOU RESIDE IN CALIFORNIA? ...........................................................................................................................................
YES
NO
IF NO, AN “RE 234” MAY BE REQUIRED. SEE REVERSE SIDE.
5.
BROKER’S MAILING ADDRESS (STREET ADDRESS OR POST OFFICE BOX)
CITY
STATE
ZIP CODE
DRE USE ONLY
6.
BROKER’S MAIN OFFICE ADDRESS (STREET ADDRESS) — ENTER MAIN ADDRESS OR “NO BUSINESS ADDRESS"; DO NOT LEAVE BLANK.
CITY
STATE
ZIP CODE
CA
DRE USE ONLY
7.
9A.
RESIDENCE PHONE NUMBER (INCLUDE AREA CODE)
8.
BUSINESS PHONE NUMBER (INCLUDE AREA CODE)
FICTITIOUS BUSINESS NAME (DBA) — PRINT AS IT APPEARS ON FILING FROM COUNTY CLERK.
•
•
•
•
•
ADD OR
CANCEL
9B.
ADDITIONAL FICTITIOUS BUSINESS NAME, IF ANY
ADD OR
CANCEL
10.
ORIGINAL SIGNATURE OF BROKER (IF NAME CHANGE HAS OCCURRED, USE NEW LEGAL NAME.)
Refer to pages 2 & 3.
Enter one name per line.
Check “add” or “cancel” box.
Attach FBNS.
Broker-Salesperson’s — Do
not list your employer or your
employer’s DBA.
DATE
¾
FOR DRE USE ONLY
PROC. #
COMMENTS
DATE PROCESSED
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RE 204
Page 2 of 3
INSTRUCTIONS
Try eLicensing
9 Use eLicensing for expedited processing of your change.
It's easy, paperless and interactive. Renewal information
is posted immediately on DRE's Web site.
Licensees can perform the following transactions using
the eLicensing system at www.dre.ca.gov:
• Broker and salesperson renewals
• Duplicate license requests (broker, salesperson,
officer and branch)
• Salesperson additions/changes of em ploy ing
broker
• Broker discontinuation of salesperson employment
• Mailing address changes
• Broker main office address addition/changes
• Automated fee payment and processing
General Information
9 Type or print clearly in ink (black or blue; do not use
red).
When using the proper broker forms no reference should be
made to the name (or fictitious name) of the broker for whom
the broker-salesperson works. That type of information is
irrelevant as there is no reference in the DRE records that
such a working relationship exists. It is also imperative that
a broker-salesperson speak for himself or herself, meaning
that any requests for record changes be made by the brokersalesperson and not by anyone else on his or her behalf.
A broker-salesperson should never use salesperson forms or
applications when renewing or making changes to a broker
record. Doing so will cause delays in processing whatever
is requested. Remember — a broker is always a broker
regardless of any working relationship that may exist with
another broker.
Instructions
Check the appropriate “change” box(es) on page 1 and complete all information requested on the application.
9 Business and license mailing addresses are public information and as such are posted on the Internet and
available from DRE via telephone and written requests.
Please consider this when identifying a license mailing
address.
Change of Personal Name — Enter full new name (do not
refer to any other broker, DBA or company name). Attach
verification of name change (i.e., legible copy of drivers license,
marriage certificate, court order, etc.). Sign line #10 with your
new name. If you have a DBA on record, a Fictitious Business
Name Statement must be refiled with your new name.
9 If you electronically re-create this form to facilitate completion on a computer, the form should not be altered in
any manner. To do so, could result in disciplinary action.
Also, please make certain you do not delete any preprinted
information and are using the latest version of the form.
Mailing Address — The mailing address (post office box,
residence or business address) is used to mail correspondence
to you.
Broker-Salesperson
Many real estate brokers elect to work for other brokers in a
capacity similar to the relationship existing between a licensed
real estate salesperson and an employing broker.
However, such broker-salespersons are still licensed by the
Department of Real Estate (DRE) as real estate brokers. Only
by written agreement with another broker are they acting as
broker-salespersons. Section 2726 of the Commissioner’s
Regulations requires that “… every real estate broker shall
have a written agreement with each of his salesmen, whether
licensed as a salesman or as a broker under a broker-salesman
arrangement.”
Even though a broker may act as a broker-salesperson in
a relationship with another broker, for Department of Real
Estate licensing and record-keeping purposes the licensee is
still a broker. This means that a broker-salesperson should
still communicate with DRE using only appropriate broker
forms and applications.
Non-California Residents — If residing outside the State of
California, a notarized Consent To Service Of Process (RE
234) is also required, if not already on file. If not maintaining an office in California, submit an Out-of-State Broker
Acknowledgment (RE 235).
Main Office Address — Enter the new primary business location. The main office address must be a California address. If
a street address is unavailable, indicate the physical location
(i.e., the nearest intersection and the distance to it). If you are
no longer working in real estate for which a California license
is required, enter “no business address” on line #6. No license
will be issued unless requested.
Fictitious Business Name — Do not list your broker’s DBA,
if you are working as a broker-salesperson.
To add a DBA to your broker license, enter the name exactly as
it appears on the Fictitious Business Name Statement (FBNS)
as filed with the County Clerk. The DBA must be filed in the
county of your main office address. Submit a copy of the FBNS
with the “filed stamp” from the County Clerk’s office.
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RE 204
•
•
Prior to filing your fictitious business name statement with
the county, you may wish to contact a local DRE district
office, or check our Web site (www.dre.ca.gov) to determine if the name is already in use by another broker.
The broker licensee’s name must appear as a registrant on
the FBNS. Refer to Section 2731 of the Commissioner’s
Regulations for restrictions.
•
Proof of Publication is not acceptable, unless it bears the
County Clerk’s “filed stamp.”
•
Photocopies are acceptable, if they are clear and legible.
To cancel a DBA, complete the entire application. Check
the cancel box on line #9A and list the DBA you wish to
cancel.
Page 3 of 3
License Certificates
A license certificate is automatically generated at no charge for
the following transactions:
•
Requests for personal name change.
•
Adding/deleting ficticious business names.
Mailing Information
This application may be submitted in person at any district
office or mailed to the Sacramento office.
Mail To: Department of Real Estate
P.O. Box 187004
Sacramento, CA 95818-7004
PRIVACY INFORMATION: Section 1798.17 of the Civil Code requires this notice be provided when collecting personal or confidential information from individuals. Each individual has
the right to review personal information maintained by this Agency, unless access is exempted by law.
Department of Real Estate
Managing Deputy Comm. IV
2201 Broadway
Licensing, Exam., & Education
Sacramento, CA 95818
Telephone: 877-373-4542
General powers of the Commissioner, Sections 10050, 10071, and 10075 of the Business and Professions Code authorizes the maintenance of this information.
Business and Professions Code Section 30, Chapter 1361, Section 1, requires each real estate licensee to initially provide to the Department of Real Estate his or her social security number
which will be furnished to the Franchise Tax Board. Your social security number shall not be deemed a public record and shall not be open to the public for inspection. The Franchise Tax Board
will use your number to establish identification exclusively for tax purposes.
The Real Estate Law and the Regulations of the Commissioner require applicants to provide the Department with specific information. If all or any part of the required information is not
provided, processing may be delayed. In addition, the Commissioner may suspend or revoke a license, or in the case of a license applicant, may deny the issuance for misstatements of facts
(including a failure to disclose a material fact) in an application for a license.
The information requested in this form is primarily used to furnish license status information to the Department’s Regulatory Section, and to answer inquiries and give information to the
public on license status, mailing and business addresses and actions taken to deny, revoke, restrict or suspend licenses for cause.
This information may be transferred to real estate licensing agencies in other states, law enforcement agencies (City Police, Sheriff’s Departments, District Attorneys, Attorney General, F.B.I.),
and any other regulatory agencies (i.e., Department of Corporations, Department of Insurance, Department of Consumer Affairs, California Bar Association).
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