NJMLS Agent Transfer / Deletion Form

NJLMS Agent Transfer / Deletion Form

Please complete this form to notify NJMLS of agent transfer or deletion.
Select one*

TRANSFER: The agent named below has transferred to this office.DELETION: The agent named below should be deleted from this office for the following reason:
The Agent named below should be deleted from this office for the following reason:

Agent does not want to continue NJMLS membership.Agent is no longer affiliated with this office.
MEMBER INFORMATION:
Agent Name*
Agent #*
R.E. License #*
NRDS #*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Cell Phone*
Please enter a valid phone number.
E-mail*
REALTOR® Board*
Sales Associates who will list, show, or sell through the New Jersey Multiple Listing Service, must be registered with the Service. Unauthorized use/sharing of passwords is prohibited.
Date

MonthDayYear
Date
Should be Empty:

NJLMS Agent Transfer / Deletion Form