MLS Office Addition & Change Form

MLS Office Addition & Change Form

If you are a Broker of Record/Designated REALTOR®, and you have applied for a new office or you are making changes to your existing office, please fill out this form.
Date*

MonthDayYear
Date
Broker of Record/Designated REALTOR®*

First NameLast Name
NRDS ID#*
Designated REALTOR® License#*
Email*
example@example.com
New Broker of Record/Designated REALTOR® Upgrade Fee

If you are a REALTOR® member and you are upgrading your status to the Broker of Record/Designated REALTOR® membership, you will be contacted by our membership team to provide payment information for an upgrade fee of $50.
Please select all that apply*

New OfficeAdditional officeNew Office NameNew Office AddressNew Office Phone or Fax #Closing This OfficeNew Broker of Record/Designated REALTOR®
Office Name*
Office Address*

Street Address

Street Address Line 2

CityState

Zip Code
Office Address*
Office Phone Number*
Office Fax Number
Corporate of Branch License#*
Please attach a copy of your broker's license and/or a copy of the corporate or branch office license

Browse Files

Cancelof
Broker of Record/Designated REALTOR® Signature*

Clear
Should be Empty: