Form Re 271 PDF Details

Navigating through the process of obtaining or maintaining a professional license in the real estate domain necessitates a clear understanding of the associated paperwork, of which the RE 271 form is a prime example. Tailored specifically for individuals looking to apply for a Prepaid Rental Listing Service (PRLS) license in California, this document is an essential element provided by the State of California Department of Real Estate. The RE 271 form is a comprehensive application that gathers detailed information about the applicant to ensure compliance with state regulations. From basic identification details to more intricate questions regarding past professional conduct and criminal history, the form aims at scrutinizing applicants to safeguard public interest and uphold the standards of the real estate profession. It encompasses a declaration section where applicants certify the authenticity of the information provided, under the penalty of perjury, emphasizing the form’s significance in the licensing process. With clear instructions to type or print in ink, it's crucial for applicants to follow these guidelines meticulously to avoid delays. Moreover, the form highlights the necessity for those residing outside California to submit a Consent to Service of Process (RE 263), ensuring they comply with state requirements. This form is not only a step towards achieving a PRLS license but a testament to the commitment of the Department of Real Estate to ensure that only qualified and ethical individuals enter this profession. As such, understanding the nuances of the RE 271 form is crucial for any aspiring licensee.

QuestionAnswer
Form NameForm Re 271
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesre 202 pdf, california re individual application, california re prls fillable, salesperson license application re 202

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State of California

Department of Real Estate

PRLS Individual License Application

RE 271 (Rev. 10/20)

GENERAL INFORMATION

Thisformistobeusedbyindividualapplicantsonly.Corporation

Read page 3 before completing this application.

applicants must use Corporation Application (RE 272).

Type or print clearly in ink.

1.NAME OF APPLICANT (LAST, FIRST AND MIDDLE)

2.FICTITIOUS BUSINESS NAME, IF ANY (ATTACH CERTIFIED COPY OF FICTITIOUS BUSINESS NAME STATEMENT.)

3.MAILING ADDRESS (STREET ADDRESS OR POST OFFICE BOX, CITY, STATE, ZIP CODE)

4.MAIN OFFICE ADDRESS (STREET ADDRESS, CITY, STATE, ZIP CODE)

5.DO YOU RESIDE IN CALIFORNIA?

YES

NO

IF NO, A CONSENT TO SERVICE OF PROCESS (RE 263) MUST BE ON FILE WITH DRE.

6. BUSINESS TELEPHONE

7. RESIDENCE TELEPHONE

8. SOCIAL SECURITY OR INDIVIDUAL TAXPAYER ID NUMBER.

9. BIRTH DATE

 

 

 

 

 

 

10.HAVE YOU USED ANY OTHER NAMES (I.E., MAIDEN, AKA, ETC.)?

YES

NO

IF YES, LIST NAME(S) USED:

11.GENDER

M

F

12A. HAVE YOU PREVIOUSLY HELD A REAL ESTATE LICENSE IN ANY STATE, INCLUDING CALIFORNIA?

YES

NO

IF YES, COMPLETE 12B-12E.

12B. TYPE OF LICENSE

12C. EFECTIVE DATE

12D. ID NUMBER

12E. STATE

 

 

 

 

13. NAME OF DESIGNATED AGENT WHO WILL SUPERVISE MAIN OFFICE ADDRESS.

CHECK ONE

ID# — DRE USE ONLY

RE 256 ON FILE

RE 256 ATTACHED

BACKGROUND INFORMATION

Carefully read and provide detailed and accurate answers to questions 14-17. You must provide a "yes" or "no" response to all questions, Attach additional sheets if you need more space. Each additional sheet must be sign by applicant. Failure to disclose pertinent information may result in denial of your license application and/or delays.

14. HAVE YOU EVER HAD A DENIED, SUSPENDED, RESTRICTED OR REVOKED BUSINESS OR PROFESSIONAL

 

 

LICENSE (INCLUDING REAL ESTATE), IN CALIFORNIA, OR ANY OTHER STATE? IF YES, COMPLETE ITEM 18

YES

NO

15.ARE THERE ANY DISCIPLINARY ACTIONS PENDING AGAINST A BUSINESS OR PROFESSIONAL LICENSE YOU

HOLD AT THIS TIME? IF YES, COMPLETE ITEM 18

YES

NO

16.HAVE YOU EVER BEEN REQUIRED TO REGISTER AS A SEX OFFENDER PURSUANT TO THE PROVISIONS OF SECTION 290 OF THE CALIFORNIA PENAL CODE OR ANY COMPARABLE LAW OF ANY STATE OR

GOVERNMENTAL UNIT? IF YES, COMPLETE ITEM 19

YES

NO

17.HAVE YOU EVER BEEN ORDERED TO CEASE, DESIST AND/OR REFRAIN FROM DOING AN ACT(S), OR FROM VIOLATING A LAW, RULE OR REGULATION BY, OR CITED FOR A BREACH OF ETHICS OR UNPROFESSIONAL CONDUCT, BY AN ADMINISTRATIVE AGENCY OR PROFESSIONAL ASSOCIATION IN CALIFORNIA OR ANY OTHER

STATE? IF YES, COMPLETE ITEM 18 AND 19............................................................................................................................ YES NO

DRE USE ONLY

 

BOND APPROVAL

BOND NUMBER

VIOLATION

PRINTS SENT

 

 

 

 

 

 

 

 

CONTRACT APPROVED

DATE LICENSE SENT

COPY TO PRLS CONTRACT REVIEWER

 

 

 

 

 

 

 

 

 

IDENTIFICATION NUMBER

EFFECTIVE DATE

EXPIRATION DATE

PROCESSOR’S NUMBER

 

 

 

 

 

 

 

RE 271

Page 2 of 3

 

 

18.DETAILED EXPLANATION OF ITEM 14, 15, AND/OR 17. IF NEEDED, EXPLANATION MAY BE PROVIDED IN ITEM 19.

18A. TYPE OF LICENSE

18B. LICENSE ID NO.

18C. LICENSE EXPIRATION DATE

18D. STATE

18E. ACTION (REVOKED, ETC.)

18F. DATE OF ACTION

18G. DATE ACTION TERMINATED

18H. CODE SECTION VIOLATED

19.ADDITIONAL INFORMATION: SPECIFY WHICH LINES YOU ARE REFERRING TO. ATTACH EXTRA SHEETS IF MORE ROOM IS NEEDED. EACH ADDITIONAL

SHEET MUST BE SIGNED BY APPLICANT.

APPLICANT CERTIFICATION

I certify under penalty of perjury under the laws of the State of California that the foregoing answers and statements given in this application are true and correct, that at the time of license issuance I will be 18 years of age or older, that if licensed I will not violate any provisions of the Real Estate Law nor abuse the privileges of a Prepaid Rental Listing Service licensee. I understand that the Department of Real Estate cannot refund or transfer the fees submitted with this application if I

fail to qualify for the license for any reason or withdraw this application. I understand that it is my obligation to notify the Department upon licensure within 30 days in writing or by filing form RE 238 of any conviction, criminal complaint, information or indictment charging a felony, or disciplinary action taken by another licensing

entity or authority of this state or an agency of the federal government pursuant to Business and Professions Code Section 10186.2.

20. SIGNATURE OF APPLICANT (MUST BE ORIGINAL OR ELECTRONIC* SIGNATURE)

@

21. DATE

* Electronic signature must comply with California Uniform Transactions Act (CA Civ. Code section 1633.1 et.seq.)

RE 271

Page 3 of 3

READ AND RETAIN FOR FUTURE REFERENCE

General Information

•Complete all requested information on pages 1 and 2.

•Type or print clearly in ink. Penciled applications will be returned.

•This form is for individual applicants only.

•Refer to RE 254 for licensing information/requirements, and bond and/or rider information.

•Businessandmailingaddressesarepublicinformationandareavailable tothepublic.Pleaseconsiderthis,especiallywhenidentifyingamailing address.

•If you electronically recreate this form to facilitate completion on a computer, please be advised that 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.

Completion Information

•Enter your legal name.

•All questions must be answered and fully explained. Insufficient or no explanations will result in a significant delay in processing your license application.

Fingerprint Requirement

One set of classifiable electronic fingerprints is required from every license

applicant.FingerprintsmustbesubmittedthroughtheCaliforniaDepartment

of Justice (DOJ) Live Scan Program which involves the electronic taking and transmission of fingerprints to DOJ.

Completion & Submission of Live Scan Service Request (RE 237)

Complete the Live Scan Service Request according to instructions on the form. The electronic fingerprint service provider will complete the last

part of the form.

After you have your fingerprints taken by the live scan service provider, a

completed copy of RE 237 must be submitted with your completed original license application and the appropriate license fee.

Fingerprint Fees

Original license applicants who reside in California will pay a $49 fingerprint processing fee directly to the live scan fingerprint service provider.Aseparate fee will be charged for the service of taking the electronic fingerprints

by the live scan provider. That fee may vary depending on the live scan provider you choose.

Fingerprint Services (Contact the facility for fees and hours)

Many California law enforcement agencies and other private providers provide electronic fingerprint services. You may obtain a complete list of fingerprint service providers by visiting the Department of Justice's Web site at www.ag.ca.gov. Please note that the hours of operation for each

provider may vary and an appointment may be required.

Out-of-State Applicants

Out-of-state residents either need to make arrangements to get their fingerprints taken at a live scan service provider in California or get fingerprinted out of state using the FBIApplicant Fingerprint Card (FD-258 Rev. 5/99). A fingerprint card can be obtained by contacting the Licensing

Section at 877-373-4542. It should be taken to a local law enforcement

agency for completion and submitted directly to DRE with the completed exam/license application, exam/license application fee, and $49 fingerprint

processing fee.

Fictitious Business Name

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 (http://

www.dre.ca.gov) to determine if the name is already in use.

License Application Fees

Refer to form RE 254 PRLS License Information for information on fees.

Mailing Information

Submit the following documents before the license expiration date:

PRLS license application

License application fee

If appropriate, submit rider to bond, Additional Location Application (RE 274)

Make check or money order payable to:

Department of Real Estate

Mail to: Department of Real Estate

ATTN: PRLS UNIT

P.O. Box 137017

Sacramento, CA 95813-7017 (877) 373-4542

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

Assistant Commissioner

1651 Exposition Blvd.

Licensing & Administration

Sacramento, CA 95815

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 Sections 30, 31(e) and 494.5(d) require 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. The Franchise Tax Board will use your number to establish identification exclusively for tax purposes. These code

sections also require that each application for a new license or renewal provides notification on the application, that the Board of Equalization

and the Franchise Tax Board will share taxpayer information with the Department of Real Estate, and that failure to pay tax obligations may result in a suspension or denial of a license. The Board of Equalization

and Franchise Tax Board require the Department to collect social security numbers and federal taxpayer identification numbers for the

purposes of matching the names of the 500 largest tax delinquencies

pursuant to Section 7063 or 19195 of the Revenue and Taxation Code.

Your social security numbers and federal taxpayer identification number shall not be deemed public records and shall not be open to the public for inspection.

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 Enforcement 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 Business Oversight,

Department of Insurance, Department of Consumer Affairs, California

Bar Association).

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