Bay Area Real Estate Information Services, Inc. |
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I hereby request an exemption for the following licensee who meets the above criteria. Name:_______________________________DRE#:__________ Agent:_____________ Reason for request: ___________________________________________________ ________________________________________________________________ The fee waiver is requested to be effective for the following time frame: Start Date:
________________________ Ending Date:_______________________ I certify that the above named licensee does not use any portion of the BAREIS Service. I agree that if the licensee intends to utilize any services, I will notify BAREIS and pay the required fees. I understand that if I fail to notify BAREIS, I may be found in violation of the MLS Rules and Regulations 7.4 and 7.5 and be subject to citations. |
Designated Broker:__________________________________________________________________ (Please Print) Designated Broker Signature:________________________________________Date:_____________ I, the above licensee, certify that I do not use the BAREIS Service in any way and understand that I must notify my Designated Broker if I have the need to utilize the Service in the future. Licensee
Signature: ______________________________________________
Date:______________ |
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Services, Inc.®
All rights reserved.
153 Stony Circle, Suite 200, Santa Rosa, CA 95401
(707) 575-8000 (800) 776-5252 (CA only) FAX (707) 577-0140