Form Re 214 – Fill Out and Use This PDF

RE 214 (Rev. 6/12)

DRE RECEIVED DATE

Broker salespersons must use RE 204.

[Check appropriate box(es)]

 SPONSORING BROKER/CORP.*

 Read instructions on reverse side before

EMPLOYMENT DISCONTINUED

completing.

 PERSONAL NAME

 Note: License changes with an asterisk may

be completed on-line by utilizing eLicensing.

 MAILING ADDRESS*

ACTIVATION*

(Refer to information on page 2.)

16. SIGNATURE OF NEW BROKER/LICENSED OFFICER — MUST BE ORIGINAL SIGNATURE, NOT PHOTOCOPY, ETC.

DATE



17. PRINTED NAME OF #16 SIGNER

18. BROKER/CORP. EXPIRATION DATE

19. BUSINESS TELEPHONE NUMBER

FORMER BROKER/CORPORATION INFORMATION

PROC. #

DATE PROCESSED

SENDER’S #

DATE SENT

FORM LETTER/COMMENTS

DOCUMENT DATE USED & TYPE (circle one)

Try eLicensing

Change of Personal Name – Enter full new name. Attach veriica-

 Use eLicensing for expedited processing of your change.

tion of name change (i.e., legible copy of drivers license, marriage

certiicate, court order, etc.). Sign this form with your new name.

Renewal information is posted immediately on DRE's public

A new license will be issued bearing the new name.

information.

Duplicate License – This form cannot be used to order a duplicate

Licensees can perform the following transactions using the

license. Use a Request for Duplicate License (RE 225).

eLicensing system at www.dre.ca.gov:

Mailing Address – The mailing address (post ofice box, residence

• Broker and salesperson renewals

or business address) is used to mail correspondence to you. If your

• License certiicate requests (broker, salesperson, oficer

mailing address is that of your broker, please note “c/o” (in care of)

and branch)

your sponsoring broker or corporation.

• Salesperson additions/changes of employing broker

• Broker discontinuation of salesperson employment

Non-California Residents – If residing outside the State of Cali-

• Mailing address changes

fornia, a Consent To Service Of Process (RE 234) is also required,

• Broker main ofice address addition/changes

if not already on ile.

Mailing Information

General Information

This application may be submitted in person at any district ofice

 Type or print clearly in ink (black or blue; do not use red).

or mailed to the Sacramento ofice.

 Receipt of this form will not be acknowledged.

Mail To: Department of Real Estate

 Business and license mailing addresses are public information

P.O. Box 187003

Sacramento, CA 95818-7003

and as such are posted on the Internet and available from DRE

via telephone and written requests. Please consider this when

Note To Sponsoring Broker/Corporation

identifying a license mailing address.

Sponsoring Broker/Corporation ID# and Name – If you are

 If you electronically re-create this form to facilitate completion

licensed both as an individual broker and as an oficer of a corpo-

on a computer, the form should not be altered in any manner.

ration, enter the appropriate ID# and name.

To do so, could result in disciplinary action. Also, please make

• If the salesperson will be working for you under your individual

certain you do not delete any preprinted information and are

using the latest version of the form.

license, enter the name and ID# from that license.

• If the salesperson will be working for you under your corporation

Type of Change

oficer’s license, enter the corporation name and ID# from that

Check the appropriate box(es) on page 1 and complete the item

license.

numbers listed below.

• Do not list DBA’s on this application.

Mailing address

#1–11

Personal name

#1–11

Activation

#1–19

Sponsoring broker

#1–19 (required) &

20-23 (optional)

Employment discontinued by broker...

#1, 2, and 20-23

Employment discontinued by sales

#1, 2, 4-11, & 20-22