APPLICATION FOR REALTOR® MEMBERSHIP
To the Logan County Board of REALTORS®, I hereby apply for REALTOR® Membership in the above-named Board. In the event of my election, I agree to abide by the Code of Ethics of the National Association of REALTORS®, which includes the duty to arbitrate, and comply with the Constitution, Bylaws and Rules and Regulations of the above named Board, the State Association the National Association, and if required, I further agree to satisfactorily complete reasonable and non-discriminatory courses on such Code, Constitutions, Bylaws and Rules and Regulations. I understand membership brings certain privileges and obligations that require compliance. Membership is final only upon approval by the Board of Directors and may be revoked should completion of requirements, such as orientation, not be completed within timeframe established in the association's bylaws. I understand that I will be required to complete periodic Code of Ethics training and Fair Housing training as specified in the association's bylaws as a continued condition of membership.
NOTE: Applicant acknowledges that if accepted as a member and he/she subsequently resigns from the Board or otherwise causes membership to terminate with an ethics complaint pending, the Board of Directors may condition renewal of membership upon applicant's certification that he/she will submit to the pending ethics proceeding and will abide by the decision of the hearing panel. If applicant resigns or otherwise causes membership to terminate, the duty to submit to arbitration continues in effect even after membership lapses or is terminated, provided the dispute arose while applicant was a REALTOR®.
Name:
Real Estate License #:
Licensed/certified appraiser:
Yes
No
Appraisal License #:
Office Name:
Office Address:
Phone:
Format: (000) 000-0000.
Fax:
E-Mail:
example@example.com
Residence Address:
Phone:
Format: (000) 000-0000.
Fax:
E-Mail:
example@example.com
Cell Phone:
Format: (000) 000-0000.
Preferred Mailing:
Home
Office
Preferred Phone:
Home/Mobile
Office
Are you presently a member of any other Association of REALTORS®?
Yes
No
If yes, name of Association and type of membership held:
Have you previously held membership in any other Association of REALTORS®?
Yes
No
If yes, name of Association and type of membership held:
Have you been found in violation of the Code of Ethics or other membership duties in any Association of REALTORS® in the past three (3) years or are there any such complaints pending?
Yes
No
If you are now or have ever been a REALTOR®, indicate your NAR membership (NRDS) #:
and last date (year) of completion of NAR's Code of Ethics training requirement:
Are you a principal, partner, corporate officer or branch office manager?
Yes
No
I agree to pay dues at the current LCBR rate which may include a voluntary RPAC contribution within 30 days of election. I hereby certify that the foregoing information furnished by me is true and correct, and I agree that failure to provide complete and accurate information as requested, or any misstatement of fact, shall be grounds for revocation of my membership if granted. I further agree that, if accepted for membership in the Board, I shall pay the fees and dues as from time to time established. NOTE: Payments to the Logan County Board of REALTORS® are not deductible as charitable contributions. Such payments may, however, be deductible as an ordinary and necessary business expense. There are No refunds.
By signing below I consent that the REALTOR® Associations (local, state, national) and their subsidiaries, if any, may contact me at the specified address, telephone numbers, fax numbers, email address or other means of communication available. This consent applies to changes in contact information that may be provided by me to the Association(s) in the future. This consent recognizes that certain state and federal laws may place limits on communications that I am.
Dated:
-
Month
-
Day
Year
Date
Signature:
(Optional Information): Date of Birth:
-
Month
-
Day
Year
Date
Specialty:
Residential
Commercial
Resort
International
Other
How long with current real estate firm?
Previous real estate firm (if applicable):
Number of years engaged in the real estate business:
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APPLICATION FOR REALTOR® MEMBERSHIP: PAGE 2 FOR DESIGNATED BROKERS/BRANCH MANAGERS
Company information:
Sole Proprietor
Partnership
Corporation
LLC (Limited Liability Company)
Other
Other, specify
Your position:
Principal
Partner
Corporate Officer
Majority Shareholder
Branch Office Manager
Names of other Partners/Officers/ of your firm:
Have you ever been refused membership in any other Association of REALTORS®?
Yes
No
If yes, state the basis for each such refusal and detail the circumstances related thereto:
Is the Office Address, as stated, your principal place of business?
Yes
No
If not, or if you have any branch offices, please indicate and give address:
Do you hold, or have you ever held, a real estate license in any other state?
Yes
No
If so, where:
Have you or your firm been found in violation of state real estate licensing regulations within the last three years? If yes, provide details:
Have you or you firm been convicted, adjudged, or otherwise recorded as guilty by a final judgment of any court of competent jurisdiction of a felony or other crime. If yes, provide details:
I hereby certify that the foregoing information furnished by me is true and correct, and I agree that failure to provide complete and accurate information as requested, or any misstatement of fact, shall be grounds for revocation of my membership if granted. I further agree that, if accepted for membership in the Board, I shall pay the fees and dues as from time to time established. NOTE: Payments to the [Name] Board of REALTORS® are not deductible as charitable contributions. Such payments may, however, be deductible as an ordinary and necessary business expense. No refunds.
By signing below I consent that the REALTOR® Associations (local, state, national) and their subsidiaries, if any (e.g., MLS, Foundation) may contact me at the specified address, telephone numbers, fax numbers, email address or other means of communication available. This consent applies to changes in contact information that may be provided by me to the Association(s) in the future. This consent recognizes that certain state and federal laws may place limits on communications that I am waiving to receive all communications as part of my membership.
Dated:
Signature:
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