Rental Application Form - Four Star Realty Property Management Page 4
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One-Person Firm. If Broker is a real estate brokerage firm with only one licensed natural person, then any
references to Broker or Brokerage Firm mean both the licensed natural person and brokerage firm who shall serve as
Broker.
CHECK ONE BOX ONLY:
Customer. Broker is the landlord’s agent and Tenant is a customer. Broker is not the agent of Tenant.
Broker, as landlord’s agent, intends to perform the following list of tasks:
Show a property Prepare and Convey written offers, counteroffers and agreements to amend or extend the lease.
Customer for Broker’s Listings – Transaction-Brokerage for Other Properties. When Broker is the landlord’s
agent, Tenant is a customer. When Broker is not the landlord’s agent, Broker is a transaction-broker assisting in the
transaction. Broker is not the agent of Tenant.
Transaction-Brokerage Only. Broker is a transaction-broker assisting in the transaction. Broker is not the agent of
Tenant.
If Broker is acting as a transaction-broker, Tenant consents to Broker’s disclosure of Tenant’s confidential information to
the supervising broker or designee for the purpose of proper supervision, provided such supervising broker or designee
shall not further disclose such information without consent of Tenant, or use such information to the detriment of Tenant.
THIS IS NOT A CONTRACT.
If this is a residential transaction, the following provision shall apply:
MEGAN’S LAW. If the presence of a registered sex offender is a matter of concern to Tenant, Tenant understands that
Tenant must contact local law enforcement officials regarding obtaining such information.
TENANT ACKNOWLEDGMENT:
Tenant acknowledges receipt of this document on
.
Tenant
Tenant
BROKER ACKNOWLEDGMENT:
On
, Broker provided
(Tenant)
with this document via
and retained a copy for Broker’s records.
Four Star Realty and Property Management, Inc
Brokerage Firm’s Name:
Broker
Clear Form
BDT20-5-09. BROKERAGE DISCLOSURE TO TENANT
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