CMOA-0 (06/20/2016)

*If Business entity: printed name and signature of Designated Broker is required.

CHANGE OF MAIN OFFICE ADDRESS BY BROKER, PROFESSIONAL INSPECTOR, EASEMENT OR RIGHT-OF-WAY REGISTRANT AND/OR REPRINT OF LICENSE

FEE RECEIPT NUMBER AMOUNT

Processing Fee $20.00

ALL INFORMATION BELOW MUST BE COMPLETED. THE INFORMATION MUST BE TYPED OR PRINTED IN INK.

This document is available on the TREC website at www.trec.texas.gov

The current license or registration reflects the following:

Texas Real Estate Commission P.O. Box 12188

Austin, Texas 78711-2188 www.trec.texas.gov (512) 936-3000

All TREC mail (except the TRECAdvisor) will be sent to your MAILING ADDRESS. A mailing address can be a P.O. Box or it may be the same as your business address. Please provide this information in the space provided.

The required fee to change an address is $20.00. The fee MUST be a SINGLE REMITTANCE. TREC will NOT issue a license without the fee. Please note that a license holder may change the main office address or reprint a license online at www.trec.texas.gov AT NO COST.

NEW BUSINESS ADDRESS (MUST BE FIXED STREET ADDRESS. A license will not be issued to an address which specifies a P.O. Box only)

Zip CodeStateCity

MAILING ADDRESS (May be a P.O. Box )

Business Address

Date

DO NOT WRITE ABOVE THIS LINE

License# Entity #

File# App#

Signature*Printed Name*

$ TYPE

Type of License or Registration: Broker Corporate or LLC Broker

Easement or Right-of-way -BusinessEasement or Right-of-way-Individual

Inspector Corp or LLC Professional Inspector

Please reprint

Please issue a main office license or registration for the following location:

license or registration number:

Zip CodeStateCity

Name as shown on license or registration

Zip CodeStateCity

Expiration date:

Phone Number

Email Address

Phone Number