Real Estate Transaction Verification Form Page 3
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4Date of Transaction:______________________
Location of Property:___________________________________________________
Type of Transaction:
Commercial
Residential
Land
Multi-Family
Other
(Explain)_____________________ (Please Note: Rentals for Residential and Multi-Family Transactions are
not acceptable, except for Property Managers who deal exclusively in rentals of residential properties.)
Applicant’s Agency/Non-Agency Relationship:_______________________________________________
Were There Other Licensees Involved? _____ Yes _____No. If Yes, in What Capacity?__________________________
Description and Significance of Applicant’s Involvement: (Significance shall be interpreted to mean that the licensee’s
involvement was equal to or greater than 50% of the overall brokerage involvement)______________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Date of Transaction:______________________
Location of Property:_______________________________________________________
Type of Transaction:
Commercial
Residential
Land
Multi-Family
Other
(Explain)_____________________ (Please Note: Rentals for Residential and Multi-Family Transactions are
not acceptable, except for Property Managers who deal exclusively in rentals of residential properties.)
Applicant’s Agency/Non-Agency Relationship:_______________________________________________
Were There Other Licensees Involved? _____ Yes _____No. If Yes, in What Capacity?__________________________
Description and Significance of Applicant’s Involvement: (Significance shall be interpreted to mean that the licensee’s
involvement was equal to or greater than 50% of the overall brokerage involvement)______________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
PAGE 3
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