Application For Designated Realtor Form Page 2

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APPLICATION FOR PARTICIPATION
IN
NORTH TEXAS REAL ESTATE INFORMATION SYSTEM
NAME OF APPLICANT ___________________________________________________________
TEXAS BROKERS LICENSE NUMBER OR STATE CERTIFIED
APPRAISAL CERTIFICATE NUMBER _________________________________________
SOCIAL SECURITY NUMBER _____________________________________________________
NAME OF FIRM OR COMPANY ____________________________________________________
OFFICE STREET ADDRESS (NO P O BOX)___________________________________________
CITY ___________________________________________ST _________ZIP________________
OFFICE PHONE (
)_______________ OFFICE FAX (
)______________________________
MAILING ADDRESS ____________ _________________________________________________
CITY __________________________________________ST __________ZIP_________________
HOME ADDRESS ________________________________________________________________
CITY __________________________________________ST __________ZIP_________________
LOCAL MULTIPLE LISTING PROVIDER ARLINGTON BOARD OF REALTORS, INC. (ARBOR)
DATE __________________
1. This Application must be completed in full, legible and returned to ARBOR, with the
Participation Agreement attached and signed.
2. The Application Fee must accompany the Application ($150.00).
3. Attach a letter of good standing from your Primary Board/Association of REALTORS® for
yourself and each agent licensed under your firm/company.
4. Attach a photocopy of your Texas Real Estate Brokers License or Texas State Certified
Appraisal Certificate.
5. Attach a complete Status Report for each individual licensed either directly or indirectly with
you or your firm/company.
6. Attach a complete MLS Waiver Form for each individual in your firm/company who meets the
requirements set forth in such MLS Waiver Form.
The attached document(s) are made a part of this Application for all purposes

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