Agent Inactivation Form

First Name *

Agent's First Name

Last Name *

Agent's Last Name

Texas RE License #: *

Organization *

Company Name:

Office MLS ID *

First Name *

Designated REALTOR®/authorized signatory

Last Name *

Email *

Please enter email of the authorized person signing this form.

Signature *

I am the above mentioned Designated REALTOR®/authorized signatory.

I accept: