Resign Application {COM 3047}

REAL ESTATE RESIGN APPLICATION BY COMPLETING THIS FORM, YOU ARE PERMANENTLY SURRENDERING YOUR O HIO REAL ESTATE LICENSE. THIS FORM IS NOT INTENDED FOR THOSE RESIGNING FROM A REAL ESTATE COMPANY. You may type your responses directly onto the form and then print. The resignation of a license allows the licensee to permanently give up the license if the licensee no longer wishes to hold the license. The resignation of a license is considered to be final without the taking of any action by the superintendent. A licensee whose license is active, inactive or suspended (except due to disciplinary action) may request that the license be resigned. A resigned status is a permanent status. Once a license is resigned, it cannot be reactivated. A new license must be obtained in accordance with the requirements specified in Ohio Revised Code 4735.07 or 4735.09, as applicable. REASON FOR COMPLETING T HIS FORM PERMANENTLY RESIGN SALESPERSON LICENSE 226 FILE NUMBER: *Return original license 226 applies to active or suspended licenses; no fee. This action is considered to be final without the taking of action by the superintendent. PERMANENTLY RESIGN BROKER LICENSE 226 FILE NUMBER: *Return original company license and broker addendum 226 applies to active or suspended licenses; no fee. This action is considered to be final without the taking of action by the superintendent. Please note: Resigning your broker222s license will automatically resign your salesperson license, unless separate action is taken with respect to your salesperson license. Contact the Division for further details. A PPLIC A NT INFORM A TION F I RST NAME MIDDLE NAME LAST NAME SUFFIX (JR., SR.) HOME ADDRESS C I TY STATE ZIP CODE COUNTY HOME PHONE ( ) THE APPLICANT MUST COMPLETE THE FOLLOWING CERTIFICATION I INTEND TO PERMANENTLY GIVE UP MY LICENSE. I certify that all of the statements on this application and all of the attached materials are complete and accurate. I understand that any false statement on this form may subject me to criminal prosecution. I understand that this action is considered final without the taking of any action by the superintendent. SIGNATURE OF APPLICANT DATE NOTICE: This application and the information contained therein, except for the social security number, is public record pursuant to Ohio Revised Code 149.43. COM 3047 (Rev. 02/2010) 223An Equal Opportunity Employer and Service Provider224 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com