LCCI-0 (06/20/2016)
TEXAS REAL ESTATE COMMISSION P.O. Box 12188
Austin, Texas 78711-2188 www.trec.texas.gov (512) 936-3000
LICENSE HOLDER CHANGE OF CONTACT INFORMATION
DO NOT WRITE ABOVE THIS LINE
FEE RECEIPT NUMBER AMOUNT
Processing Fee $20.00
THE INFORMATION MUST BE TYPED OR PRINTED IN INK.
This change of information is for a
This document is available on the TREC website at www.trec.texas.gov
The required fee to change contact information is $20.00. The fee MUST be a SINGLE REMITTANCE. TREC will NOT issue a license from this form without payment of the required fee.
Please note that a license holder may change contact information online at www.trec.texas.gov at no cost.
NEW MAILING ADDRESS
License # Entity #
File#App#
Sales Agent
Telephone Number
$ TYPE
Broker
Corporate or LLC Broker
Email address
License No:
Apprentice Inspector
Real Estate Inspector
Professional Inspector
Inspector Corporation or LLC
Easement or Right-of-way Registration for an Individual
Easement or Right-of-way Registration for an BusinessRegistration No:
This change of information is for a(n):
License No:
License No:
License No:
License No:
License No:
License No:
Registration No:
Expiration Date:
Expiration Date:
Expiration Date:
Expiration Date:
Expiration Date:
Expiration Date:
Expiration Date:
Expiration Date:
Expiration Date:
Please make the following changes to my contact information on file with the Texas Real Estate Commission. This does not change the business address shown on a license.
NEW MAILING ADDRESS (May be a P.O. Box)
Web site address
To change a business address or reprint a license, a broker or professional inspector must use the Change of Main Office Address by Broker, Professional Inspector, Easement or Right-of-Way Registrant and or Reprint of License or Registration form found at the TREC website www.trec.texas.gov.
*If Business entity: printed name and signature of Designated Broker is required.
DateSignature*Printed Name*