Yacht And Ship Brokers' Section Change Form printable pdf download

DEPARTMENT OF BUSINESS & PROFESSIONAL REGULATION

YACHT AND SHIP BROKERS’ SECTION

CHANGE FORM

Complete the applicable section of this form, return original license & remit with appropriate fee.

NOTE: A separate change form must be submitted for each licensee affected by the changes.

Return form to:

Department of Business & Professional Regulation

Yacht and Ship Brokers’ Section

1940 North Monroe Street

Tallahassee, FL 32399-1028

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COMPANY NAME OR ADDRESS HAS CHANGED:

Name of Licensee: ____________________________________ License #: __________________

Company Name:

New Address:

Phone Number: ____________________ Email: ________________________________________

Employing Broker’s Name: _______________________________License #

Employing Broker’s Signature: _______________________________________________________

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A SALESPERSON OR BROKER FROM ANOTHER AFFILIATION IS JOINING THIS COMPANY:

Name of Licensee: _____________________________________ License #: __________________

Our Company Name:

Address:

Phone Number: ____________________ Email: ________________________________________

Employing Broker’s Name: _______________________________ License #

Employing Broker’s Signature: _______________________________________________________

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EMPLOYING BROKER CHANGES:

Effective: ___________Our employing broker is: ________________________________________

License #: ________ Phone: __________________ Email: ________________________________

Company Name:

Address:

Employing Broker’s Signature: _______________________________________________________

Escrow Account #: ___________________ Name of Financial Institution: _____________________

Address: _________________________________________________ Phone #: _______________

Pursuant to Chapter 326, F.S., all Florida Yacht & Ship Broker’s/Salesperson’s licenses must reflect the

correct name, correct company affiliation, and correct company address, at all times during the two-year

licensure period. Any changes made after issuance of the original license shall be filed with DBPR (Yacht & Ship

Broker’s Program), along with the required $100 change fee. Upon receipt of the change notification and fee by

DBPR, a new license will be issued and mailed to the licensee. NOTE: Changes include licensee or company

name changes, address changes, suspension of a license due to surety bond termination, or cancellation of a

license due to affiliation changes.

Yacht And Ship Brokers' Section Change Form