Application For Renewal Of Time Share Project Registration Form - North Carolina Real Estate Commission Page 2
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1
2BROKERS ASSOCIATED W ITH PROJECT
NOTE: This notification does not relieve the individuals listed below from personally reporting changes in their
employment status to the Commission.
1.
__________
Name
License No .
2.
__________
Name
License No .
3.
__________
Name
License No .
Exchange Programs
Purchasers have the opportunity to subscribe to the following exchange program(s).
Attach a current copy of the Exchange Disclosure Report for each program.
1.
_____________________________________________________________________________________
(Name of Exchange Program )
2.
__________
(Name of Exchange Program )
(ATTACH ADDITIONAL SHEET, IF NECESSARY)
If you have not notified the Commision of changes made in any registration documents, do so now following
the procedures set forth in the Commission’s “Amendment Rule” (B.0104).
AFFIDAVIT
STATE OF
)
COUNTY OF
)
, being duly sworn deposes and says:
That the statements and information contained herein and herewith submitted are true and that the information
contained in the registration and any amendment properly filed with the North Carolina Real Estate Commission are
accurate and current on the date of this renewal application.
FURTHER AFFIANT SAYS NOT.
_______________________________________________________________________________
If the Developer is a Sole Proprietor or Partnership, this application must be signed by the Sole Proprietor or
General Partner or the Developer’s Attorney.
If the Developer is a Corporation or LLC, this application must be signed by two Executive Officers of the
Corporation, two Managers of the LLC or the Developer’s Attorney.
_______________________________________________________
_______________________________________________________
Typed or Printed Name
Title
Typed or Printed Name
Title
____________________________________________________________________________________________
____________________________________________________________________________________________
Signature
Signature
Subscribed and Sworn
to before
me
this _______day
of______, 20___.
Subscribed and Sworn
to before
me
this _______day
of______, 20___.
____________________________________________________
____________________________________________________
Signature of Notary Public
Signature of Notary Public
Notary
Public
in
the State of_____________________________
Notary
Public
in
the State of_____________________________
County of___________________________________________
County of___________________________________________
My Commission Expires_________________________________
My Commission Expires_________________________________
(SEAL)
(SEAL)
2
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