Community Development District Realtor Authorization Form

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COMMUNITY DEVELOPMENT DISTRICT
REALTOR AUTHORIZATION FORM
Homeowner:_____________________________________________
Property Address:_______________________________ Contact Phone Number:________________
Property Status:
For Sale
For Rent
Listing term FROM:_____________________________TO
:________________________(
)
MUST HAVE A DATE
st
If no term is filled in this document will automatically expire on December 31
Real Estate Agency:______________________________Agency Phone Number:_________________
Agent:_________________________________________ Agent Contact Phone #:_________________
Agent:_________________________________________ Agent Contact Phone #:_________________
Level of Authority Granted to Agent (
):
CHECK ONE ONLY
If more than one are checked or none is checked then NO call in Authority will be authorized.
 Authorized to call in Guests ONLY.
 Authorized to call in Services ONLY.
 Authorized to call in Other Realtors ONLY
 Authorized to call in Guests and Services.
 Authorized to call in Guests, Services, and Realtors
 NO CALL IN AUTHORITY
Homeowner Signature:_______________________________________ DATE:___________________
This form must be signed and dated by the homeowner to be valid.
Electronic Signatures will not be accepted
Return to any PMCDD Gatehouse or FAX 239-592-9021
This form supersedes all other forms prior to 05/2015

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