"Wise buyers and sellers don't want to be sold, they want to be informed". Unknown 
Jeri S. 314 S. Main St. Unit 2 Mt. Vernon, OH 43050
Phone: 740-392-8490 Email Jeri

Realtor Application




To the Knox County  Board of REALTORS®, I hereby apply for REALTOR® Membership in the above named Board and am enclosing my check in the amount of $ ___________    *for my 201______  Dues payable to Knox County Board of REALTORS®.  My dues will be returned to me in the event of non-election.  In the event of my election, I agree to abide by the Code of Ethics of the National Association of REALTORS®, which includes the duty to arbitrate, and the Constitution, Bylaws and Rules and Regulations of the above named Board, the State Association and the National Association, and if required, I further agree to satisfactorily complete a reasonable and non-discriminatory written examination on such Code, Constitutions, Bylaws and Rules and Regulations.  I understand membership brings certain privileges and obligations that require compliance. Membership is final only upon approval by the Board of Directors and may be revoked should completion of requirements.  I understand that I will be required to complete periodic Code of Ethics training as specified in the association’s bylaws as a continued condition of membership.

    NOTE:  Applicant acknowledges that if accepted as a member and he/she subsequently resigns from the Board or otherwise causes membership to terminate with an ethics complaint pending, the Board of Directors may condition renewal of membership upon applicant’s certification that he/she will submit to the pending ethics proceeding and will abide by the decision of the hearing panel.  If applicant resigns or otherwise causes membership to terminate, the duty to submit to arbitration continues in effect even after membership lapses or is terminated, provided the dispute arose while applicant was a REALTOR®.

NOTE:  Payments to the Knox County Board of REALTORS® are not deductible as charitable contributions.  Such payments may,however, be deductible as an ordinary and necessary business expense.  No refunds.*Amount shown is prorated according to month joining.  I hereby submit the following information for your consideration:

DATE: ________________________

I hereby apply for participation to the KNOX COUNTY BOARD OF REALTORS® as a REALTOR® member.  I agree that if my

membership is approved, I will abide by the constitution, by-laws and all other rules, regulations and resolutions adopted by the

association.  I also agree to adhere to the REALTORS’® Code of Ethics. I further agree to arbitrate all disputes arising out of my

relationship with other REALTORS® and the public in accordance with the by-laws of said association.

Name of Applicant:. ________________________________________________________________

Home Address: ___________________________________________________________________

City: _____________________________ Zip: ______________

Preferred Phone: __________________________

 Preferred Fax: ____________________________

 Date of Birth: _____________________________

E-mail Address: ________________________________________________________________

Website: ______________________________________________________________________

Name of Firm: __________________________________________________________________

Business Address: ______________________________________________________________


When was your license issued? ___________________

File Number: __________________________________

Do you hold a broker’s license __No __Yes, date issued? ______________________________________________

Are you presently a member of any other Association? __ No __ Yes, name of association and

Name & NRDS#:_______________________________________________________________________________

Are there outstanding complaints against you with the Ohio Real Estate Commission? __ Yes __ No (if yes, submit details on

separate sheet).


I understand that I must go through new agent orientation (via webinars and/or individual training upon request) within 60 days of submitting this application.

Applicant’s Signature: ___________________________________________________


I understand that, as the Principal Broker, I am responsible for the acts, dues and fees of the applicant, and I recommend this applicant for membership in the Knox County Board of REALTORS®.

Broker’s Signature: ____________________________________________________