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Use the form below to notify Tri-County Suburban REALTORS® that you are cancelling your REALTOR® Membership.
I am a REALTOR®/Associate Broker submitting this request on my own behalf.I am a Broker/Office Manager/Administrator submitting this request on behalf of an agent.
First Name*
Last Name*
Email Address*
Phone*
Pennsylvania Real Estate License Number*
Escrow – The licensee has placed their license in Escrow/Inactive Status.Moved License to Referral Office – The licensee has hung their license with a Limited Function Referral Office as designated with the State Real Estate Commission.Leaving Jurisdiction – The licensee has affiliated with another REALTOR® Association.
The real estate license MUST already be in Escrow/Inactive Status in the Pennsylvania Department of State, State Real Estate Commission system BEFORE this request can be processed.
Membership cancellation requests submitted while a license is still displayed as Active will not be processed.
As of the date I am submitting this form, my license appears in Escrow/Inactive status in the Pennsylvania Department of State licensing system.
YesNo
STOP: In order to process your Membership Cancellation at the Association, your license MUST appear in Escrow/Inactive status at the Pennsylvania Department of State, State Real Estate Commission.
Your request for cancellation will not be recorded or processed until this is completed.
Once your license is properly reflected in the Department of State system, please return and resubmit this form.
For questions regarding Membership Cancellations please contact Tri-County Suburban REALTORS® via 610-560-4800.
If your license has been inactive or expired for five or more years, you must retake the licensing exams before you can reactivate your license. See additional regulations from the State Real Estate Commission.
