Listing Transfer Authorization – Releasing Brokerage

Completed by the former office to confirm and approve the transfer.

Fields marked with an * are required.

Page 1/3

Broker Information

Name of Releasing Brokerage *

Managing Broker’s Full Name *

Managing Broker’s Email Address *

Office Phone Number *

Page 2/3

Agent's Listings Release

Agent's Full Name *

Who is the agent getting their listings transferred over?

MLS Number(s) *

What are the MLS Number(s) of the listings being released?

Page 3/3

Approval Statement
By entering your full name below, you confirm that you are the authorized managing broker of the above-named brokerage and approve the transfer of the listing(s) identified above. You understand that the listings will be reassigned in the MLS to the agent’s new brokerage, effective upon full processing by WCAR.

Acknowledgement *

By typing your full name below, you are providing your digital signature and confirming your approval of this request.

Date *

Please verify that you have checked the “I'm not a robot” checkbox.

Page 1/3

Page 2/3

Page 3/3