Timeshare Prelicense Verification Form - Tennessee

TENNESSEE REAL ESTATE COMMISSION

TIMESHARE SALESPERSON CANDIDATE

PRELICENSE VERIFICATION FORM

(PAGE 1 OF 2)

PLEASE PRINT OR TYPE ALL INFORMATION WITH THE EXCEPTION OF SIGNATURES

SECTION A: TO BE COMPLETED BY APPLICANT

1. NAME: Last

First

Middle or Initial

2. RESIDENCE ADDRESS: Street Address

CITY

STATE

ZIP

3. PHONE NUMBER

4. SOCIAL SECURITY#

DATE OF BIRTH:

I CERTIFY THE INFORMATION INDICATED ABOVE IS TRUE AND ACCURATE AND THAT I DID COMPLETE 30 CLASSROOM HOURS OF INSTRUCTION IN THE FUNDAMENTALS OF THE TENNESSEE TIME-SHARE ACT AND RELATED TOPICS.

APPLICANTS SIGNATURE:

DATE:

, 20

SECTION B: TO BE COMPLETED BY PRINCIPAL BROKER

1. TIME SHARE DEVELOPMENT:

2. REAL ESTATE FIRM:

FIRM ID# CITY:

FIRM MAILING ADDRESS: STATE:

(Street or P.O. BOX)

ZIP CODE:

3. PRINCIPAL BROKER NAME: PRINCIPAL BROKER ID# FIRM PHONE NUMBER:

I CERTIFY THAT THE FIRM INFORMATION INDICATED ABOVE IS TRUE AND ACCURATE.

PRINCIPAL BROKER SIGNATURE:

DATE:

, 20

TWO-SIDED FORM- MAKE SURE BOTH SIDES ARE COMPLETED

TIME SHARE SALESPERSON CANDIDATE PRE-LICENSE VERIFICATION FORM

(Page 2 of 2)

SECTION C: TO BE COMPLETED BY PRINCIPAL BROKER

TO BE COMPLETED BY PRINCIPAL BROKER:

I, (PRINCIPAL BROKER)

being first duly sworn, make oath

that

, applicant for license as a time share

(NAME OF APPLICANT)

salesperson, subject to the issuance of a license by the Tennessee Real Estate Commission, will

pursuant to Rule 1260-01.04 (5) be engaged by me to sell time share intervals at a duly registered

time share development. I, being aware of my responsibility, am willing to accept said

applicant's license upon issuance and am willing to train and supervise said applicant. I am of

the opinion that said applicant is honest and trustworthy.

FURTHER, I, as PRINCIPAL BROKER of (NAME OF FIRM)

DO HEREBY CERTIFY THAT SAID APPLICANT HAS COMPLETED 30 CLASSROOM HOURS OF INSTRUCTION IN THE FUNDAMENTALS OF THE TENNESSEE TIME SHARE ACT AND RELATED TOPICS as required by Title 62, Chapter 13, Section 303 (j) (4).

(SIGNATURE OF PRINCIPAL BROKER)

SWORN to and SUBSCRIBED BEFORE ME THIS , 20 .

DATE

DAY OF (SEAL or STAMP)

(SIGNATURE OF NOTARY PUBLIC)

MY COMMISSION EXPIRES:

INSTRUCTIONS: This completed form must be used for your admission to the examination at the test center. The form will be returned to you and must be submitted to the Tennessee Real Estate Commission as a part of your application.

TWO-SIDED FORM- MAKE SURE BOTH SIDES ARE COMPLETED

Revised 03/05/04

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download