State of California Department of Real Estate Credit Card Payment RE 909 (Rev. 10/20)

GENERAL INFORMATION  Fees may be charged to your VISA, MasterCard, American Renewal (sales, broker, or officer) Application Fee Express, or Discover card. Complete the information requested below and mail to DRE with  Credit card information must be mailed with appropriate forms. your renewal application and supporting documents.  Forms and a variety of other information may also be obtained Salesperson Renewal Application (RE 209) by accessing DRE’s Web site at www.dre.ca.gov. Broker Renewal Application (RE 208) Officer Renewal Application (RE 207) Exam or Combined Exam and License Application Fee Complete the information requested below and mail to DRE with Support Obligor your exam or combined exam/license application and supporting Complete the Support Obligor Fee Notice (RE 288) and mail or documents. fax to DRE. Salesperson Examination Application (RE 400A) Broker Examination Application (RE 400B) Prepaid Rental Listing Service (PRLS) Complete the information below and mail to DRE with your PRLS. Salesperson Exam/License Application (RE 435) application and supporting documents. Broker Exam/License Application (RE 436) License Histories Original (sales, broker, or corporation) License For certified license histories (license requirements for other states) Application Fee or license history certifications (for legal purposes) complete the Complete the information requested below and mail to DRE with information requested below and mail to DRE with your Certified your license application and supporting documents. License History Request (RE 293) or written request. Salesperson License Application (RE 202) Broker License Application (RE 200) Petition Application Fee Corporation License Application (RE 201) Complete the information requested below and mail to DRE with the Petition Application (RE 506) and supporting documents. (General Information continued on page 2)

CREDIT CARD INFORMATION  When charging fees to your VISA, MasterCard (MC), Discover Card (DSC), or American Express (AE) the following information must be completed and submitted (with the appropriate form): METHOD OF PAYMENT (CHECK ONE) CARD NUMBER DRE Use Only  VISA  MC  DSC  AE EXPIRATION DATE AMOUNT AUTHORIZED ZIP CODE OF CARDHOLDER APPROVAL # $ CARDHOLDER NAME (PLEASE PRINT)

APPLICANT/LICENSEE NAME (IF DIFFERENT, THAN CARDHOLDER) REFERENCE #

PURPOSE OF TRANSACTION TRANSACTION DATE  EXAM/LICENSE FEE  ORIGINAL LICENSE  RENEWAL LICENSE  MORTGAGE LOAN ADVERTISING  SUBDIVISION FILING  SUPPORT OBLIGOR FEE INITIALS  EDUCATION COURSE APPROVAL  PETITION FEE  PRLS  ______LICENSING INFORMATION (IF APPLICABLE) SUBDIVIDER – DRE FILE # (IF KNOWN)  SALESPERSON ID# ______ CORPORATION/OFFICER  BROKER CERTIFICATION SIGNATURE DATE  I hereby certify that I understand PRINTED NAME (LAST, FIRST, & MIDDLE) DAYTIME TELEPHONE NUMBER that the fee remitted is deemed ( ) earned upon receipt (B&P Code MAILING ADDRESS Section 10207). RE 909 — Reverse Subdivision Filings Complete the information requested below and mail with supporting documents to the appropriate Subdivisions Office. Refer to Subdivision Filing Fees (RE 605) for public report application filing fees. Education Course Approval Fee (CE & Pre-License) Complete the information requested below and mail to DRE with the appropriate application and supporting documents. Pre-License Course Approval Application (RE 306) Continuing Education Offering Approval Application (RE 315) CE Offering Renewal Application (RE 314) CE Equivalent Activity Petition Information (RE 332)

PRIVACY NOTICE: Section 1798.17 of the Civil Code requires this notice be provided when collecting personal or confidential information from individuals. Each individual has the right to review personal information maintained by this agency, unless access is exempted by law. Government Code Section 6162 and 6163 authorizes the maintenance of this information. All information is voluntary; however, failure to provide requested information may cause your credit card payment request to be delayed. The information requested in this form is used to verify the authenticity of the credit card you wish to use to pay for DRE transaction/service fees. There are no known or foreseeable interagency or intergovernmental transfers of this information. For more information or access to this record, please contact the Fiscal Officer at (916) 576-8611 or you may write to Department of Real Estate, 1651 Exposition Blvd, Sacramento, CA 95815.