Are you an independent contractor and need to know about the Re 435 form? You’ve come to the right place--in this blog post, we’ll discuss what it is, why it’s important, and how you can fill out your own copy of the form. As a business owner or independent contractor, having a good grasp on tax forms like this one can save you plenty of headache in the future as they contain vital information that must be filled out correctly. To make sure everything goes smoothly when filing this particular document, buckle in and get ready for a deep dive into all things related to the Re 435 form!
| Question | Answer |
|---|---|
| Form Name | Re 435 Form |
| Form Length | 12 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 3 min |
| Other names | www.dre.ca.govfilespdfExam/License Application Checklist - California Department of ... |
State of California
Department of Real Estate
Exam/License Application Checklist
RE 216B (Rev. 10/21)
GENERAL INFORMATION
This checklist may be used for eitherthe salesperson or broker exam/license paper applications.
Read appropriate license instructions carefully (RE 435A or RE 436A).
Application must list your legal name.
Itemstobeincludedinyourpacketarelistedbelow.Check off each item as you assemble your packet.
Mail completed application package and fee to: Department of Real Estate
P.O. Box 137001 Sacramento, CA
Titles of forms referenced by number. All of these forms are available on DRE’s Web site at www.dre.ca.gov.
RE 206 Exam & Licensing Fees
RE 226 Licensed Experience Verification
RE 227
RE 228 Experience Certification
RE 237 Live Scan Service Request (Applicant)
RE 237B Fingerprint Information
RE 423 Examination Qualification Requirements
RE 435 Salesperson Exam/License Application
RE 435A Salesperson Exam/License Instructions
RE 436 Broker Exam/License Application
RE 436A Broker Exam/License Instructions
RE 243 License Application Demographic Survey
(Voluntary)
RE 909 Credit Card Payment
SALESPERSON APPLICANTS |
BROKER APPLICANTS |
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Required documents… |
Required documents … |
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RE 435 — Completed and signed by applicant. |
RE 436 — Completed and signed by applicant. |
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Official transcripts or course completion certificates Documentation to establish examination course
for Real Estate Principles, Real Estate Practice and/or |
requirements have been met. Refer to RE 423 for current |
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one other required course — not needed, if previously |
requirements. |
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submitted. |
Official transcripts. |
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RE 237 (See below.) — Completed by applicant and |
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Course completion certificates. |
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live scan service operator. |
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Documentation showing experience requirements |
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License fee — Refer to RE 206 for current fees. Do not |
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send cash. |
have been met. Please note that depending on your |
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circumstances, one or more of the forms listed below may |
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Cashiers’check,check,ormoneyordermadepayable |
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be required. |
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to: Department of Real Estate. |
RE 226 — Documenting licensed experience. |
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RE 909 — If paying by credit card. |
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RE 227 — Documenting |
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RE 228 — Two RE 228's are required if unable to |
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obtain broker's signature on RE 226 form. |
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RE 237 (See below.) — Completed by applicant and |
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live scan service operator. |
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License fee — Refer to RE 206 for current fees. Do not |
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send cash. |
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Cashiers’check,check,ormoneyordermadepayable |
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to: Department of Real Estate. |
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RE 909 — If paying by credit card. |
Make two photocopies of the copy provided. After fingerprints are completed the live scan service operator will retain the original. You should return the second copy to DRE and keep the third copy for your records.
State of California |
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Department of Real Estate |
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Salesperson Exam/License Application |
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RE 435 (Rev. 11/21) |
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DRE RECEIVED DATE |
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GENERAL INFORMATION
Apply for the real estate salesperson examination and the real estate salesperson license at the same time.
Do not submit photocopies of this form or fax this form.
Read enclosed instructions (RE 435A) before completing and submitting this application to ensure that you understand the requirements and that the proper qualifying documentation and exam/license fee are submitted. Note: Fees submitted with this application are not
refundable or transferable. If you fail to qualify for or pass the examination within two years of the date this application is filed, the fees will not be applied to any future applications.
FEES REQUIRED |
Exam |
$ 60 |
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License |
$245 |
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Total due to DRE |
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with this application |
$305 |
DRE USE ONLY DRE USE ONLY
EXAMID |
LIC. ID |
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EFFECTIVE DATE |
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EXPIRATION DATE |
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DATE EXAM PASSED |
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APPLICANT INFORMATION
1. SOCIAL SECURITY NUMBER OR INDIVIDUAL TAXPAYER ID NUMBER (REQUIRED – REFER TO PRIVACY NOTICE ON RE 435A) 2. BIRTH DATE (MM/DD/YYYY) (required)
3. Have you ever applied for a California real estate exam? |
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YES |
NO |
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If YES, list examination ID#. (If known) |
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____________________________________ |
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4. APPLICANT’S NAME (MUST BE YOUR LEGAL NAME) - LAST |
FIRST |
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MIDDLE |
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SUFFIX |
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5A. MAILING ADDRESS – STREET ADDRESS OR POST OFFICE BOX |
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5B. CITY |
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5C. STATE |
5D. ZIP CODE |
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6. Do you reside in California? |
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YES |
NO |
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If NO, an “RE 234” is required (Refer to RE 435A). |
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7. CURRENT PHONE NUMBER (required) |
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8. CURRENT EMAIL ADDRESS (required - PRINT CLEARLY) |
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9. BUSINESS CELL PHONE NUMBER |
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10. BUSINESS TELEPHONE NUMBER |
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11A. ARE YOU CURRENTLY SERVING IN THE U.S. MILITARY? |
11B. ARE YOU CURRENTLY MARRIED TO, IN A DOMESTIC PARTNERSHIP, OR IN A LEGAL UNION WITH AN ACTIVE |
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YES |
NO |
DUTY SERVICE MEMBER? |
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YES |
NO |
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(see RE 435A for expedited processing instructions) |
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12A. HAVE YOU PREVIOUSLY SERVED IN THE U.S. MILITARY? |
12B. IF YES, WERE YOU HONORABLY DISCHARGED? |
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YES |
NO |
YES NO (see RE 435A for expedited processing instructions) |
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13. Do you now hold or have you ever held a California real estate license? |
YES |
NO |
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If YES, complete 13A, B, C, and D below. |
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13A. TYPE OF LICENSE
13B. IDENTIFICATION NUMBER
13C.EXPIRATIONDATE 13D. NAME ON LICENSE
EXAMINATION INFORMATION
14.When you are qualified for the examination would you prefer to use
eLicensing to schedule your own examination date?
YES – Please notify me by email when I am qualified for the examination.
NO – Proceed to item 15.
15. EXAM AREA PREFERENCE
SACRAMENTO 
FRESNO
OAKLAND |
SAN DIEGO |
LOS ANGELES VICINITY
OTHER:
16. TIME PREFERENCE |
17. EARLIEST DATE YOU CAN TAKE EXAM |
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(dd) |
(yyyy) |
A.M. |
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P.M. |
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I am requesting a reasonable
accommodation; RE 413 & supporting documents are attached.
DRE USE ONLY
RESTRICTED VIOLATIONS
FORM LETTER / NOTES
EXAM PROCESSOR
DATE PROCESSED
SENDER/DATE SENT
LICENSE PROCESSOR
DATE PROCESSED
RE 435 |
Page 2 of 3 |
NAME OF APPLICANT
LICENSE INFORMATION
18. HAVE YOU USED ANY OTHER NAMES (I.E., MAIDEN NAME, FORMER MARRIED NAMES, AKA’S, ETC.)?
YES — IF YES, LIST ALL NAMES USED: ____________________________________________________________________________ NO
19. INITIAL WORKING STATUS (Must check one) |
NO. I DO NOT HAVE A RESPONSIBLE BROKER/CORPORATION AT THIS TIME. |
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YES. PLEASE ISSUE MY LICENSE INAWORKING STATUS WITH THE RESPONSIBLE |
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BROKER OR CORPORATION INDICATED ON ITEMS |
PLEASE ISSUE MY LICENSE IN A |
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ITEMS |
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ITEMS |
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BROKER/OFFICER. |
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20. BROKER OR CORPORATION ID #
DRE USE ONLY
21. BROKER/CORP. EXPIRATION DATE
22. BUSINESS TELEPHONE NUMBER
()
23.RESPONSIBLE BROKER OR CORPORATION NAME (Print name as it appears on license – Do not list DBA’s)
24.MAIN OFFICE ADDRESS OF RESPONSIBLE BROKER OR CORPORATION
Broker Certification
I hereby certify under penalty of perjury that I am a licensed real estate broker, and that I have read the applicant’s answers to all questions in the application, and that upon the applicant being issued the license there will be a written agreement on file in my office covering the material aspects of affiliation relationship including supervision, duties, and compensation of the applicant named on this form under the affiliation provisions of Section 2726 of the Regulations of the Real Estate Commissioner.
I am aware of the provisions of Section 3700 of the Labor Code which requires every employer to be insured against liability for workers’
compensation.
25. ORIGINAL OR ELECTRONIC* SIGNATURE (Responsible Broker / Licensed Officer) |
DATE |
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26. PRINTED NAME OF LICENSED OFFICER (If corporation on line 23.)
* Electronic signature must comply with California Uniform Transactions Act (CA Civ. Code section 1633.1 et.seq.)
BACKGROUND INFORMATION
Carefully read and provide detailed answers to questions
27.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 31.....................................................................................................
28.ARE THERE ANY LICENSE DISCIPLINARY ACTIONS PENDING AGAINST A BUSINESS OR PROFESSIONAL LICENSE YOU HOLD AT THIS TIME? IF YES, COMPLETE ITEM 31........................
29.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 32.........................................
30.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 ITEMS
YES |
NO |
YES |
NO |
YES |
NO |
YES |
NO |
31.DETAILED EXPLANATION OF ITEM 27, 28 AND/OR 30. IF NEEDED, EXPLANATION MAY BE PROVIDED BELOW.
31A. TYPE OF LICENSE
31B. LICENSE ID NO.
31C. LICENSE EXPIRATION DATE
31D. STATE
31E. ACTION (revoked, etc.)
31F. DATE OF ACTION
31G. DATE ACTION TERMINATED
31H. CODE SECTION VIOLATED
32.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 AND RESPONSIBLE BROKER, IF ANY.
RE 435 |
Page 3 of 3 |
NAME OF APPLICANT
SALESPERSON EXAM & LICENSE CERTIFICATION
Exam — I hereby certify under penalty of perjury that I am aware of and meet all examination requirements as set forth in Section
10153 of the B&P Code, and those set forth in RE 435A. I understand that the fees remitted will not be refunded or transferred under any circumstances per Section 10207 of the B&P Code. I also understand that subverting the examination will subject me to the penalties of Sections 123, 123.5, 496, 10153.01, and 10153.1 of the B&P Code.
License — 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 real estate license. 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. I
also understand that the Department may delay my renewal and toll the expiration date of my license pursuant to B&P Section 10177.
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34. DATE |
33. SIGNATURE OF APPLICANT (MUST BE ORIGINAL OR ELECTRONIC* SIGNATURE) |
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* Electronic signature must comply with California Uniform Transactions Act (CA Civ. Code section 1633.1 et.seq.) |
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State of California
Department of Real Estate
SalespersonExam/LicenseInstructions
RE 435A (Rev. 11/21)
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GENERAL INFORMATION |
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online using eLicensing at www.dre.ca.gov or by submitting |
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This combination application may be used for the following |
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a Salesperson Examination Change Application (RE 415A). |
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purpose: |
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Note: Changing your exam address online will not change |
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the address on your license record. You will need to submit |
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• Applying for the real estate salesperson examination and |
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a Salesperson Examination ChangeApplication (RE 415A). |
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the real estate salesperson license at the same time. |
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• Business, examinee, and licensee mailing addresses are public |
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The paper application must be mailed. Or you can apply using |
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information and as such are posted on the Internet and are |
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eLicensing. DRE will not accept a faxed RE 435. The paper |
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availablefromDREviadownload,telephone,orwrittenrequests. |
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RE 435 application must have the original signatures. It must |
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Please consider this when identifying a business, examinee, or |
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be mailed in; a faxed copy will not be accepted. |
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licensee mailing address. |
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Thefollowingfeesmustbeincludedwithyourapplication(fees |
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The examination is qualifying in nature. If you pass the |
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are subject to change): |
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examination, an actual score will not be released. |
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• The current examination fee is $60 and the current license |
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EXAMINATION SCHEDULING INFORMATION |
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fee is $245. Total due to DRE with this application: $305. |
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• Schedules and examination locations are subject to change. |
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• Note: Once the Department receives your application, |
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You must have an approved exam application on file before you |
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the fees for the examination and license are not |
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refundable or transferable to another application |
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can schedule yourself on eLicensing. |
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pursuant to B&P Code section 10207. |
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Salesperson examinations are administered: in Fresno, the |
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• Fee valid for two years — A new application, fee, and |
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LosAngeles vicinity, Oakland, Sacramento, and San Diego.At |
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www.dre.ca.gov you can view a calendar of examination dates |
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current qualifications will be required if you fail to qualify |
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and locations currently being scheduled. Since DRE allows |
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for and pass the examination during that two year period. |
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reschedule requests online, by phone, and through the mail, |
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The following must be submitted before your license can be |
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examination dates fill quickly and a particular date may not be |
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issued: |
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available; therefore, requests on paper applications cannot be |
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• Transcripts for Real Estate Principles, Real Estate Practice |
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guaranteed. |
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Once you are qualified, you can either schedule yourself for the |
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and/oroneotherrequiredcourse,ifnotpreviouslysubmitted |
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(refer to Education Requirements). |
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examination or DRE will schedule you. If you indicate on the |
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• A copy of the completed Live Scan Service Request (RE |
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application (item #14) that you want to schedule yourself for |
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the examination, an email will be sent to you advising you that |
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237) (refer to Fingerprint Information). |
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you are qualified and that you may use eLicensing to schedule |
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Please read all examination and license information/instructions |
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your examination. |
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before completing and submitting this application; for paper |
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If you do not provide a date in item #17, and do not request |
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applications type or print in ink. |
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the earliest available date in the area chosen. |
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GENERAL APPLICANT INFORMATION |
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Exam date notification — Processing timeframes are listed |
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You are scheduled for one salesperson examination date at a |
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at www.dre.ca.gov. These timeframes estimate when the |
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time. |
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processing of your application should be completed. |
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Name — To avoid delays in the processing of your exam/ |
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If you have not received an examination confirmation notice |
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license application(s) you must provide your legal name. |
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Further, the name listed as your legal name must appear |
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within the timeframes listed on our website, you can obtain |
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your scheduled date through eLicensing at www.dre.ca.gov. |
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on all accompanying documents, including Completion |
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Certificates. Provide documentation (i.e., copy of both new |
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If you have not yet been assigned an exam date or received a |
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and old drivers licenses, marriage certificate, etc.) for any name |
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deficiency letter and your application was submitted prior to |
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change or discrepancy between your legal name and the name |
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the processing timeframes, check with your bank or credit card |
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you used in applying for the examination or the name on your |
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company to assure that DRE has processed your fee. |
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transcripts or certificates. |
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Applicantswithlimitationsrequiringreasonableaccommodations |
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Mailingaddress— Use of a real estate school/business mailing |
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must submit a Reasonable Accommodation Request for |
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Examination (RE 413) as well as the required documentation as |
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address (item |
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notedontheRE413,withthisexamapplication.Donotattempt |
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you are not a resident of California, submit a notarized Consent |
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to schedule a reasonable accommodation via our website, |
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to Service (RE 234). You may change your mailing address |
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as eLicensing does not provide such a service. Compliance |
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RE 435A |
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Page 2 of 3 |
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with reasonable accommodation requests may be limited |
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• Must be completed by the sponsoring broker or licensed officer |
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by scheduling constraints |
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if you will be performing work in real estate for which a real |
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• Use eLicensing to submit an exam or exam/license application |
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estate license is required. Note: Only the sponsoring broker’s |
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or licensed officer’s signature is acceptable. Signatures of office |
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or for expedited processing to reschedule an examination, |
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reviewyourexaminationresultsandrecords,requestaduplicate |
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managers, other salespersons, secretaries or |
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schedule or result notice, and change your examination mailing |
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are not acceptable, and will delay the issuance of the license. |
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address. |
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• IfapplyingusingeLicnesing,anemailwillnotifytheprospective |
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All exam scheduling transactions done by the examinee in |
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responsible broker for certification. |
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eLicensing are final. |
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• If a corporation is entered on item #20, the licensed officer |
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should enter his/her printed name on item #26 and sign on item |
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EDUCATION REQUIREMENTS |
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#25 on behalf of the corporation. |
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In addition to this application and fee, salesperson applicants must |
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submit official transcripts only (unofficial transcripts are not accepted) |
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Items 27 through 34 |
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or credit certificate showing proof of completion of a three semester or |
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• ALL background information questions (items |
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answered and a full explanation must be provided if any of the |
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course in Real Estate Principles, Real Estate Practice and one |
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questions are answered “yes.” Insufficient or no explanations |
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additional course which should be chosen from the following list of |
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will delay the processing of your license. |
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courses:Accounting,BusinessLaw,CommonInterestDevelopments, |
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• Read the Salesperson Certification and sign and date items #33 |
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Computer Applications in Real Estate, Escrows, Legal Aspects |
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of Real Estate, Mortgage Loan Brokering & Lending, Property |
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and #34. |
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Management, Real Estate Appraisal, Real Estate Economics, Real |
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Estate Finance, and Real Estate Office Administration. |
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FINGERPRINT INFORMATION |
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The three |
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Completion & Submission of RE 237 |
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completed through a regionally accredited college or university |
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One set of classifiable electronic fingerprints is required from every |
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or an approved DRE private course sponsor. Course(s) completed |
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through a foreign institution of higher learning must be evaluated |
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realestatelicenseapplicant. Fingerprintsmustbesubmittedthrough |
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by a foreign credentials evaluation service approved by DRE. Refer |
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the California Department of Justice (DOJ) Live Scan Program. |
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to the Examination Applicant Foreign Education Information (RE |
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A Live Scan Service Request (RE 237) may be obtained online at |
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223) for foreign education. |
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www.dre.ca.gov. |
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Refer to Instructions To License Applicants handbook and |
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After you have your fingerprints taken by the live scan service |
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Examination Description form (RE 425) for further information, |
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provider, either submit a completed copy of RE 237 with this |
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examination content and examination rules. These materials are |
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application or, if you choose to get your fingerprints taken at a |
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available on the DRE website at www.dre.ca.gov or from any |
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later date, submit a completed copy of RE 237 to the Department |
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DRE office. |
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of Real Estate, P.O. Box 137002, Sacramento, CA 95813, Attn: |
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Fingerprint Desk. Your license will not be issued until a report from |
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CURRENTLY OR PREVIOUSLY LICENSED? |
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the Department of Justice is received stating that there is no criminal |
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• If you currently have a real estate salesperson license in |
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history, or disclosing the existence of criminal history information. |
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California, or if your license expired less than two years ago, |
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If prior criminal information is disclosed in the report, further |
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you are not eligible to take a salesperson examination.You may |
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background inquiry may be required before your license is issued. |
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obtain a new license through the renewal process. |
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Fingerprint Services (Contact the facility for fees/hours) |
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GENERAL LICENSE INFORMATION |
Many California law enforcement agencies and other private |
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Application deficiencies such as failure to submit the proper fee, |
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providers provide electronic fingerprint services. You may obtain |
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educational requirements, or completed Live Scan Service Request |
a complete list of fingerprint service providers by visiting the |
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(RE 237) will delay processing. |
Department of Justice's website at www.ag.ca.gov. Please note that |
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You may check to verify that your license has been issued by |
thehoursofoperationforeachprovidermayvaryandanappointment |
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referencing the license status look up at www.dre.ca.gov. Current |
may be required. |
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processing timeframes for properly completed applications are |
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Forms referenced in these instructions can be obtained from the |
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fingerprints taken at a live scan service provider in California or get |
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DRE website. |
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Once you pass the exam and are issued the license, you may use |
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the Licensing Section at |
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eLicensing to retrieve a copy of your license certificate. DRE no |
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law enforcement agency for completion and submitted directly to |
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longer mails out license certificates. |
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DRE with the completed exam/license application, exam/license |
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Items 19 through 26 |
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application fee, and $49 fingerprint processing fee. |
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RE 435A |
Page 3 of 3 |
NOTICE ABOUT THE SAFE ACT
AllDRElicenseeswhoconductresidentialmortgageloanactivities, as outlined in the federal SAFE Act, must obtain a mortgage loan originator (MLO) license endorsement in order to perform these types of activities (SB 36, Calderon, Chapter 160, Statutes of 2009). MLO license endorsement applications must be submitted through the Nationwide Multistate Licensing System & Registry (NMLS)
and applicants must successfully complete the National test with uniform State content, submit a MLO license endorsement filing
through NMLS and pay required license endorsement fees, submit
fingerprints to NMLS, satisfy the 20 hour
requirement, and submit authorization for NMLS to obtain a
credit report. All MLO license endorsements expire on December 31st and must be renewed annually by submitting a renewal filing
through NMLS along with the appropriate fees, and evidence of completion of 8 hours of continuing education, as specified. Detailed
information regarding obtaining a MLO license endorsement can be found on our website.
RE 866 Filing Requirements
All DRE licensees must report to the Department of Real Estate if they make, arrange, or service loans secured by residential property, 1 to 4 units, under the authority of the Real Estate Law. The report must be made within 30 days of commencing such activity and must be completed online using Form RE 866 – Mortgage Loan
Activity Notification. Penalty fees can apply for failure to submit this required notification.
SUBVERSION OF EXAMINATION
It is a misdemeanor for any person to subvert or attempt to subvert any licensing examination. Sections 123, 123.5, 496, 10153.01 and 10153.1 of the Business and Professions (B&P) Code relate to test security and provide that DRE may deny, suspend, restrict or revoke the license of an applicant or licensee who subverts or attempts to subvert a licensing examination.
In addition to any other penalties, a person found guilty of violating Section 123 of the B&P Code shall be liable for the actual damages sustainedbytheagencyadministeringtheexaminationnottoexceed ten thousand dollars ($10,000) and the costs of litigation.
FEES, PAYMENT & MAILING INFORMATION
Fees are subject to change.
Fees – Salesperson |
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Exam |
$ 60 |
License |
$245 |
Total due to DRE |
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with this application |
$305 |
Fingerprint Fee |
$ 49 |
Fingerprint fee — Applicants who reside in California will pay a $49 fingerprint processing fee directly to the live scan fingerprint service provider. Applicants who reside out of state should submit the $49 fingerprint processing fee with their exam/license application, fingerprint card, and exam/license fee.
Missingrequirementsmaybesubmittedanytimewithinthetwoyear
period after DRE receipt of your application/fee.Anew application, fee, and current qualifications will be required if you fail to qualify
and pass the examination during that two year period.
The fees for the examination and license are not refundable or transferable to another application pursuant to B&P Code section 10207.
Acceptable payment methods — Cashiers’ check, money order, check or debit/credit card.
•Make check or money order payable to: Department of Real
Estate.
•If paying by credit card, you must complete a Credit Card Payment Form (RE 909).
Mail To — Department of Real Estate
P.O. Box 137001
Sacramento, CA
DRE Licensing can be contacted toll free at
EXPEDITED PROCESSING FOR U.S. MILITARY
HonorablydischargedveteransoftheU.S.ArmedForcesandspouses/ partners who meet the conditions under Business and Professions Code 10151.2 are eligible for expedited processing.
•In order to obtain expedited processing, please submit a copy
of your U.S. DD Form 214,
Discharge certificate to confirm your condition of discharge and for spouses/partners, please submit documentation of the relationship to the service member, real estate license from other jurisdiction, and current duty station orders for
California when submitting the application, supporting qualification documents, and fee.
•If you are applying online, documentation can be submitted as part of the online application process. If you are applying via mail, please utilize the mailing address below for expedited processing.
Mail To — Department of Real Estate
P.O. Box 137014
Sacramento, CA
Attn: Expedited Military Processing
Please note - Applications to this P.O. Box from
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: |
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).
State of California
Department of Real Estate
Live Scan Service Request (Applicant/Petitioner)
RE 237 (Rev. 7/20) |
Instructions on reverse. |
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Attention - Live Scan Service Providers
Please note the following information when processing Department of Real Estate (DRE) license applicants.
The Type of Application should indicate License, Certification, or Permit, and the Application Title should indicate Real Estate License.
The Department of Justice and FBI processing fee is to be paid by the applicant and should be collected at the live scan service provider site.
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CONTRIBUTING AGENCY |
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AGENCY ORI NUMBER |
AGENCY ADDRESS SET |
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A0075 |
CALIFORNIA DEPARTMENT OF REAL ESTATE |
09416 |
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APPLICATION TYPE |
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LICENSE, CERTIFICATION, OR PERMIT |
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APPLICATION TITLE |
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CONTACT TELEPHONE NUMBER |
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REAL ESTATE LICENSE |
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PART 2 |
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APPLICANT’S PERSONAL INFORMATION |
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APPLICANT NAME (LAST, FIRST, & MIDDLE INITIAL) |
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FORMER NAME/AKA’S (LAST, FIRST) |
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DATE OF BIRTH (MM/DD/YYYY) |
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FEMALE |
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EYE COLOR |
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SOCIAL SECURITY NUMBER |
CALIFORNIA DRIVER’S LICENSE NO. |
AGENCY BILLING NUMBER |
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RESIDENCE ADDRESS (STREET/P.O. BOX, CITY, STATE, ZIP CODE) |
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YOUR OCA NUMBER (USE SOCIAL SECURITY NUMBER) |
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CALIFORNIA DEPARTMENT OF JUSTICE / FBI
I have received and read the included Privacy Notice, Privacy Act Statement, and Applicant's Privacy Rights.
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Applicant Signature |
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PART 3 |
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LIVE SCAN TRANSACTION |
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OPERATOR NAME |
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DATE COMPLETED |
TRANSMITTING AGENCY |
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AMOUNT COLLECTED (FOR ROLLING FEE) |
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AMOUNT COLLECTED (FOR DOJ/FBI PROCESSING) |
ATI NUMBER |
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PART 4 |
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LIVE SCAN RESUBMISSION TRANSACTION |
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ORIGINAL ATI NUMBER
LEVEL OF SERVICE REQUESTED FOR RESUBMISSION
CALIFORNIA DEPARTMENT OF JUSTICE
FBI
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Second Copy |
Third Copy |
Live Scan Operator |
Department of Real Estate |
Applicant |
RE 237 |
Page 2 of 4 |
APPLICANT INSTRUCTIONS
Fingerprint Requirement
One set of classifiable electronic fingerprints is required from every real estate license applicant. The fingerprint process is completed by a live scan service provider as noted below.
One set of classifiable electronic fingerprints is also required by licensees who hold a restricted license and who are petitioning for removal of restrictions or by individuals who have had their real estate license revoked and are petitioning for reinstatement of their license.
Applicants have the option of getting their fingerprints taken either after passing their examination or after they have submitted their examination application. However, fingerprint processing fees are not refunded if an applicant fails to pass the examination.
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 FBI Applicant Fingerprint Card
Completion of Form RE 237 Live Scan Service Request
The following information must be entered in Part 2 of the form:
•Your printed name and former names (if any).
•Date of birth, gender, height, weight, eye color, hair color, place of birth, social security number (SSN), drivers license number, residence address, and OCA number (same as SSN).
•Sign and date confirmation of receiving and reading the Privace Notice, Privacy Act Statement, and Applicant's Privacy Rights.
The electronic fingerprint service provider will complete Part 3 of the form.
Submission of Fingerprint Form
After you have your fingerprints taken by the live scan service provider, a completed copy of this form must be submitted with your original license application or petition application (RE 506). If you choose to get your fingerprints taken before passing your examination, submit a completed copy of this form to the Department of Real Estate, P.O. Box 137002, Sacramento, CA
Fees
Processing fee — A fee will be collected by the live scan provider for the processing of your fingerprints by the Department of Justice.
Service fee — A separate 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 & hours.)
Many California law enforcement agencies and other private providers provide electronic fingerprint services. You may obtain a complete list by checking the Web site of the California Department of Justice at http://ag.ca.gov/ fingerprints/publications/contact.php. Please note that the hours of operation for each provider may vary and an appointment may be required.
RE 237 |
Page 3 of 4 |
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Privacy Notice
As Required by Civil Code § 1798.17
Collection and Use of Personal Information. The California Justice Information Services (CJIS) Division in the Department of Justice (DOJ) collects the information requested on this form as authorized by Business and Professions Code sections
Providing Personal Information. All the personal information requested in the form must be provided. Failure to provide all the necessary
information will result in delays and/or the rejection of your request.
Access to Your Information. You may review the records maintained by the CJIS Division in the DOJ that contain your personal information, as
permitted by the Information Practices Act. See below for contact information.
Possible Disclosure of Personal Information. In order to process applications pertaining to Live Scan service to help determine the suitability of a person applying for a license, employment, or a volunteer position working with children, the elderly, or the disabled, we may need to share the information you give us with authorized applicant agencies.
The information you provide may also be disclosed in the following circumstances:
•With other persons or agencies where necessary to perform their legal duties, and their use of your information is compatible and complies with state law, such as for investigations or for licensing, certification, or regulatory purposes.
•To another government agency as required by state or federal law.
Contact Information. For questions about this notice or access to your records, you may contact the Associate Governmental Program Analyst at the DOJ's Keeper of Records at (916)
Department of Justice
Bureau of Criminal Information & Analysis
Keeper of Records
P.O. Box 903417
Sacramento, CA
Privacy Act Statement
Authority. The FBI's acquisition, preservation, and exchange of fingerprints and associated information is generally authorized under 28 U.S.C.
534.Depending on the nature of your application, supplemental authorities include Federal statutes, State statutes pursuant to Pub. L.
Principal Purpose. Certain determinations, such as employment, licensing, and security clearances, may be predicated on
Routine Uses. During the processing of this application and for as long thereafter as your fingerprints and associated information/biometrics are retained in NGI, your information may be disclosed pursuant to your consent, and may be disclosed without your consent as permitted by the Privacy Act of 1974 and all applicable Routine Uses as may be published at any time in the Federal Register, including the Routine Uses for the NGI system and the FBI's Blanket Routine Uses. Routine uses include, but are not limited to, disclosures to: employing, governmental, or authorized non- governmental agencies responsible for employment, contracting, licensing, security clearances, and other suitability determinations; local, state, tribal, or federal law enforcement agencies; criminal justice agencies; and agencies responsible for national security or public safety.
RE 237 |
Page 4 of 4 |
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Noncriminal Justice Applicant's Privacy Rights
As an applicant who is the subject of a national
•You must be provided written notification1 that your fingerprints will be used to check the criminal history records of the FBI.
•You must be provided, and acknowledge receipt of, an adequate Privacy Act Statement when you submit your fingerprints and associated personal information. This Privacy Act Statement should explain the authority for collecting your information and how your information will be used, retained, and shared. 2
•If you have a criminal history record, the officials making a determination of your suitability for the employment, license, or other benefit must provide you the opportunity to complete or challenge the accuracy of the information in the record.
•The officials must advise you that the procedures for obtaining a change, correction, or update of your criminal history record are set forth at Title 28, Code of Federal Regulations (CFR), Section 16.34.
•If you have a criminal history record, you should be afforded a reasonable amount of time to correct or complete the record (or decline to do so) before the officials deny you the employment, license, or other benefit based on information in the criminal history record. 3
You have the right to expect that officials receiving the results of the criminal history record check will use it only for authorized purposes and will not retain or disseminate it in violation of federal statute, regulation or executive order, or rule, procedure or standard established by the National Crime Prevention and Privacy Compact Council. 4
If agency policy permits, the officials may provide you with a copy of your FBI criminal history record for review and possible challenge. If agency policy does not permit it to provide you a copy of the record, you may obtain a copy of the record by submitting fingerprints and a fee to the FBI. Information regarding this process may be obtained at
If you decide to challenge the accuracy or completeness of your FBI criminal history record, you should send your challenge to the agency that contributed the questioned information to the FBI. Alternatively, you may send your challenge directly to the FBI. The FBI will then forward your challenge to the agency that contributed the questioned information and request the agency to verify or correct the challenged entry. Upon receipt of an official communication from that agency, the FBI will make any necessary changes/corrections to your record in accordance with the information supplied by that agency. (See 28 CFR 16.30 through 16.34.) You can find additional information on the FBI website at
1 Written notification includes electronic notification, but excludes oral notification
2
3See 28 CFR 50.12(b)
4See U.S.C. 552a(b); 28 U.S.C. 534(b); 34 U.S.C. § 40316 (formerly cited as 42 U.S.C. § 14616), Article IV(c)
State of California
Department of Real Estate
License Application Demographic Survey
RE 243 (Rev. 7/20)
GENERAL INFORMATION
The Department of Real Estate is required to collect demographic information regarding applicants for licensure pursuant to Business
&Professions Code 480 et seq., if the applicant chooses to provide this information. Providing this information is voluntary, and providing responses will not impact the Department’s review of your license application.
GENDER:
Male |
Female |
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I choose not to identify |
ETHNIC IDENTITY:
BLACK OR AFRICAN AMERICAN
AMERICAN INDIAN OR ALASKA NATIVE
HISPANIC OR LATINO (ALONE OR IN COMBINATION WITH ANY OTHER RACE)
WHITE
MULTIPLE RACES*
I CHOOSE NOT TO IDENTIFY
ASIAN
MULTIPLE ASIAN**
INDIAN
CAMBODIAN
CHINESE
FILIPINO
JAPANESE
KOREAN
LAOTIAN
VIETNAMESE
OTHER ASIAN
PACIFIC ISLANDER
MULTIPLE PACIFIC ISLANDER***
GUAMANIAN
HAWAIIAN
SAMOAN
OTHER PACIFIC ISLANDER
*If you identify with more than one race that is
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Thank You For Completing This Questionnaire