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| Question | Answer |
|---|---|
| Form Name | Form Doc 180 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | TM, PMIC, scllr gov form180, R5 |
|
DOC#180 RA(R6/13) |
LLR REAL ESTATE COMMISSION |
FEE $10 PERSON LICENSED |
ATTENTION: OFFICE NAME/ADDRESS CHANGE |
WITH |
110 CENTERVIEW DRIVE – KINGSTREE BUILDING |
$250 PER OFFICE PAYABLE TO |
POST OFFICE BOX 11847 |
|
COLUMBIA, SC |
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TELEPHONE: (803) |
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COMPANY CHANGE OF ADDRESS/NAME APPLICATION
INSTRUCTIONS:
1.
2.Attach office and pocket cards.
3.Fee is $10 per person licensed with company (maximum of $250 per office.) Attach only one check for fee. Make payable to LLR – Real Estate Commission.
4.BIC/PMIC MUST ALSO COMPLETE A PERSONAL ADDRESS CHANGE FORM IF HOME AND BUSINESS ADDRESS ARE THE SAME.
_________________________________________________________________ |
______________________________ |
NAME OF |
OFFICE CODE – REQUIRED |
______________________________________________________________________________________________________
COMPANY NAME - - - - - FORMER NAME
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______________________________ |
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FORMER STREET ADDRESS |
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FORMER P O BOX NUMBER |
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______________________________________ |
________________________ |
_____________________ |
______________ |
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CITY |
COUNTY |
STATE |
ZIP CODE |
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******************************************************************************************************
__________________________________________________________________ |
________________________________ |
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COMPANY NAME - - - - - NEW NAME (LIMITED TO 30 SPACES) |
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BUSINESS PHONE NUMBER |
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__________________________________________________________________ |
_________________________________ |
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NEW STREET ADDRESS (LIMITED TO 23 SPACES) |
NEW P O BOX NUMBER |
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_________________________________________ _________________________ |
_________________ |
____________ |
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CITY |
COUNTY |
STATE |
ZIP CODE |
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____________________________________ |
______________________________________________________________ |
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ESCROW/TRUST ACCOUNT NUMBER |
BANK NAME & ADDRESS |
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TOTAL NUMBER OF LICENSEES |
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X $10 = TOTAL FEE SENT $ |
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(Include |
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____________________________________ |
________________________________________________________________ |
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DATE |
SIGNATURE OF BROKER/PROPERTY |
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