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<ul><li><p>229 Peachtree Street NE </p><p>Atlanta, GA 30303-1605Phone: 404-656-3916</p><p>Fax: 404-656-6650 </p><p>International Tower, Suite 1000 </p><p>GREC Trust Account (07-2013) Page 1 of 2</p><p>Georgia Real Estate Commission Georgia Real Estate Appraisers Board Email: grecmail@grec.state.ga.uswww.grec.state.ga.us</p><p>This form may be used to: (1) Add new Trust Accounts to a Firm record, (2) Remove existing Trust Accounts from a Firm record, (3) Change the account number of a Trust Account already registered with GREC, (4) Change the bank name of a Trust Account already registered with GREC. New accounts should be registered with the Commission within one month of opening. Any account not registered within one month requires a $25.00 fee. The adding and removing of Trust Accounts may also be done online, by logging into the Firm record. (If updated online, this form is not required.)</p><p>FOR OFFICE USE ONLY</p><p>Section A Firm Information</p><p>Trust Account Registration Form </p><p>Firm License #</p><p>LIC#INVCodesProc By &amp; Proc DtFeeRec ByRec Dt</p><p>Register Trust AccountSection B</p><p>Effective DateAccount #</p><p>Licensee Name</p><p>Institution Name</p><p>Licensee Signature</p><p>I hereby certify the information provided in this application is true to the best of my knowledge and belief. </p><p>I hereby authorize the Commission to examine any of the firms real estate escrow / trust accounts at such times as it may direct. I certify that the above referenced account(s) are federally insured and are or use for only the deposit of the funds of others in real estate brokerage transactions, as required by law. </p><p>I hereby approve the above mentioned account as permitted by O.C.G.A. 43-40-20.</p><p>DateBroker Signature</p><p>License Number</p><p>Date</p><p>*Affiliated Licensees may open and maintain Trust Accounts only for properties owned by the Licensee with the permission of the Broker holding Licensee's license. (See Chapter 520-1-.08) If this account is to be used exclusively by a Licensee, provide the name and license number below:</p><p>Section D Broker Approval to Add Account</p><p>Affiliated Licensee InformationSection C</p><p>Firm Name:</p><p>Type of Trust Account:</p><p>Firm Email:</p><p>Firm (Skip to Section D) Affiliated Licensee* (Complete Sections C &amp; D)</p></li><li><p>229 Peachtree Street NE </p><p>Atlanta, GA 30303-1605Phone: 404-656-3916</p><p>Fax: 404-656-6650 </p><p>International Tower, Suite 1000 </p><p>GREC Trust Account (07-2013) Page 2 of 2</p><p>Georgia Real Estate Commission Georgia Real Estate Appraisers Board Email: grecmail@grec.state.ga.uswww.grec.state.ga.us</p><p>Remove Trust AccountSection E</p><p>Institution Name Account # Effective Date</p><p>If this account was registered as an Affiliate Account, to be used exclusively by a Licensee, provide the Licensee's name and license number below:</p><p>Licensee Name License Number</p><p>Broker Approval to Remove Trust Account Section F</p><p>Broker Signature Date</p><p>I hereby authorize the removal of the above mentioned account as permitted by O.C.G.A. 43-40-20 (f) &amp; (h).</p><p>Bank Name or Account # Change Section G</p><p>Broker Signature Date</p><p>I hereby authorize the above changes to our Firm Trust Accounts as required by O.C.G.A. 43-40-20.</p><p>New Bank NamePrevious Bank NameAccount #</p><p>Previous Account # New Account #Bank Name</p><p>Use this section to list any changes to existing Trust Accounts that have been previously registered with GREC, for which either the Bank Name or Account Number has been changed. </p><p>Bank Name Change:</p><p>Account Number Change:</p><p>229 Peachtree Street NE </p><p>Atlanta, GA 30303-1605</p><p>Phone: 404-656-3916</p><p>Fax: 404-656-6650 </p><p>International Tower, Suite 1000</p><p>GREC Trust Account(07-2013)</p><p>Page of</p><p>Georgia Real Estate Commission</p><p>Georgia Real Estate Appraisers Board</p><p>Email: grecmail@grec.state.ga.us</p><p>www.grec.state.ga.us</p><p>Certified License History Order Form </p><p>D:20041203150914- 08'00'</p><p>D:20041215084317- 08'00'</p><p>This form may be used to: (1)Add new Trust Accounts to a Firm record, (2)Remove existing Trust Accounts from a Firm record, (3)Change theaccount number of a Trust Account already registered with GREC, (4)Change thebank name of a Trust Account already registered with GREC.</p><p>New accounts should be registered with the Commissionwithin one month of opening. Any account not registered within one month requires a $25.00 fee. The adding and removing of Trust Accounts may also be done online, by logging into the Firm record. (If updated online, this form is not required.)</p><p>FOR OFFICE USE ONLY</p><p>Section A </p><p>Firm Information</p><p>Trust AccountRegistration Form</p><p>LIC#</p><p>INV</p><p>Codes</p><p>Proc By &amp; Proc Dt</p><p>Fee</p><p>Rec By</p><p>Rec Dt</p><p>Register Trust Account</p><p>Section B</p><p>I hereby certify the information provided in this application is true to the best of my knowledge and belief. </p><p>I hereby authorize the Commission to examine any of the firms real estate escrow / trust accounts at such times as it may direct. I certify that the above referenced account(s) are federally insured and are or use for only the deposit of the funds of others in real estate brokerage transactions, as required by law. </p><p>I hereby approve the above mentioned account as permitted by O.C.G.A. 43-40-20.</p><p>*Affiliated Licensees may open and maintain Trust Accounts only for properties owned by the Licensee with the permission of the Broker holding Licensee's license. (See Chapter 520-1-.08) If this account is to be used exclusively by a Licensee, provide the name and license number below:</p><p>Section D</p><p>Broker Approval to AddAccount</p><p>Affiliated Licensee Information</p><p>Section C</p><p>Type of Trust Account:</p><p>Remove Trust Account</p><p>Section E</p><p>If this account was registered as an Affiliate Account, to be used exclusively by a Licensee, provide the Licensee's name and license number below:</p><p>Broker Approval to Remove Trust Account </p><p>Section F</p><p>I hereby authorize the removal of the above mentioned account as permitted by O.C.G.A. 43-40-20 (f) &amp; (h).</p><p>Bank Name or Account # Change </p><p>Section G</p><p>I hereby authorize the above changes to our Firm Trust Accounts as required by O.C.G.A. 43-40-20.</p><p>New Bank Name</p><p>Previous Bank Name</p><p>Account #</p><p>Previous Account #</p><p>New Account #</p><p>Bank Name</p><p>Use this section to list any changes toexisting Trust Accounts that have beenpreviously registered with GREC, for which</p><p>either the Bank Name or Account Number has been changed. </p><p>Bank Name Change:</p><p>Account Number Change:</p><p>CurrentPage: PageCount: PrintButton1: ResetButton1: TextField18: TextField16: TextField22: TextField21: TextField17: TextField24: : TextField30: TextField26: </p></li></ul>

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