REALTOR® Application*
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Email *
Full Name *
Home Address *
Home Address (City, State, Zip) *
Office Name *
License Number *
Business Address *
Business Address (City, State, Zip Code) *
Office Phone Number (###)-###-#### *
Cell Phone Number (###)-###-#### *
Date of Birth (MM/DD/YYYY) *
Email Address *
Do you hold a real estate license in any other state? Y/N, if yes, where? *
Do you hold a brokers license? *
Do you or have you ever belonged to another association? Y/N, if yes provide name of association and NRDS# *
Are there any outstanding complaints against you with the Ohio Real Estate Commission? Y/N, if yes please provide details. *
Are there any outstanding complaints against you with any other REALTOR® Associations? Y/N, if yes please provide details. *
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