Maryland Department of Labor
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DO NOT WRITE IN THIS SPACE
RECEIVED
FEE $
CK ( ) MO ( )
Branch Office Lic Reg. Cert No_________
Date Issued: ________________
STATE OF MARYLAND
DEPARTMENT OF LABOR
DIVISION OF OCCUPATIONAL AND PROFESSIONAL
LICENSING
REAL ESTATE COMMISSION OF MARYLAND
500 NORTH CALVERT ST, 3RD FLOOR BALTIMORE, MD 21202
MREC e-mail dlmrec-dllr@
DO NOT SEND CASH
ALL FEES MUST BE PAID BY CHECKOR MONEY ORDER,
PAYABLE TO THE MARYLAND REAL ESTATE COMMISSION (MREC)
This application to be used only by a licensed Real Estate Broker who desires to maintain a Branch Office or offices in addition to
his/her principal place of business. A separate application must be submitted for each branch office request.
1. Name of Broker
First Middle Last
2. Trade Name
Type or Print
3. Main Office Address
Street and Number Telephone Number
4. State here the location of the offices for which Branch Office is requested:
Street and Number
City County Zip Code Telephone Number Fax Number
The Manager of the Branch Office must have at least three (3) years’ experience.
INDICATE WHO WILL MANAGE THIS OFFICE
First Middle Last License Type
License Registration Certificate No. Private Email Address
Public Email Address [pic]
Signature of Broker only[pic]
Date of Application Broker License Registration No.
DLLR/MREC/ 8/19/19
APPLICATION FOR BRANCH OFFICE LICENSE
LICENSE FEE $ 5.00
ALL ITEMS MUST BE COMPLETED IN ORDER TO PROCESS APPLICATION
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