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HANGE OF LICENSE TYPE DATE PROCESSED mm dd yy EFFECTIVE DATE mm dd PROCESSOR INITIALS yy (First, MI, Last) - DO NOT WRITE ABOVE THIS LINE - FOR REAL ESTATE LICENSING SERVICES USE ONLY - REINSTATEMENT OF UNRENEWED REFERRAL AGENT LICENSE $150.00 (See Instruction #5 below) CHANGE OF NAME $50.00 CHANGE OF LICENSE TYPE SALESPERSON / BROKER OR BROKERSALESPERSON TO REFERRAL AGENT $50.00 TRANSFER (within current license term) $25.00 INSTRUCTIONS 1. Application must be accompanied by.

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