Personal Interest Disclosure
  • Personal Interest Disclosure and Consent From Licensee Buying Property

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    PERSONAL INTEREST DISCLOSURE AND CONSENT
    FROM LICENSEE BUYING PROPERTY

    [ As Required by Tennessee License Law ]

    On occasion, a real estate licensee may become involved in a real estate transaction both as a licensed real estate professional and as a party - directly or indirectly - to the transaction. Tennessee License Law [ Section 62-13-403 7(A) ] requires that a licensee's personal interest in any real estate transaction be disclosed in writing to all parties to the transaction.

    [ As used in this Disclosure Form: "Buyer" shall mean Buyer or Tenant and "Seller" shall mean Seller of Landlord. ]

    DISCLOSURE AND CONSENT AS TO LICENSEE'S PERSONAL INTEREST

    THE LICENSEE SHALL DISCLOSE THE NATURE OF HIS/HER PERSONAL INTEREST IN THIS REAL ESTATE TRANSACTION BY CHECKING THE APPROPRIATE STATEMENT BELOW.

    In Buying Property:

    [   ] the prospective buyer of the property is the licensee;

    [   ] the prospective buyer of the property is an immediate family member of the licensee;

    [   ] the prospective buyer of the property is an individual, organization or business entity in which the licensee has a personal interest.

    The SELLER of the property located at ____________________________________________

    Consents to the continued involvement of the Licensee in this transaction.

    Seller's Signature: ____________________________________    Date:_________________

    Seller's Signature: ____________________________________    Date:_________________

    THIS PERSONAL INTEREST DISCLOSURE MUST BE SIGNED PRIOR TO THE EXECUTION OF A REAL ESTATE SALES CONTRACT

    Licensee's Signature:______________________________________ Date:­­­­­­­­­­­­­­­­­­­_________________

    Licensee's Printed Name: _______________________________________

     

     

     
  • Personal Interest Disclosure and Consent When Licensee is Selling Property

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    PERSONAL INTEREST DISCLOSURE AND CONSENT
    FROM LICENSEE SELLING PROPERTY

     [ As Required by Tennessee License Law ]

    On occasion, a real estate licensee may become involved in a real estate transaction both as a licensed real estate professional and as a party - directly or indirectly - to the transaction. Tennessee License Law
    [ Section 62-13-403 7(A) ] requires that a licensee's personal interest in any real estate transaction be disclosed in writing to all parties to the transaction.

    [ As used in this Disclosure Form: "Buyer" shall mean Buyer or Tenant and "Seller" shall mean Seller of Landlord. ]

    DISCLOSURE AND CONSENT AS TO LICNSEE'S PERSONAL INTEREST

    THE LICENSEE SHALL DISCLOSE THE NATURE OF HIS/HER PERSONAL INTEREST IN THIS REAL ESTATE TRANSACTION BY CHECKING THE APPROPRIATE STATEMENT BELOW.

    In Selling Property:


    [   ] the seller/owner of this property is the licensee;

    [   ] the seller of the property is an immediate family member of the licensee;

    [   ] the seller of the property is an individual, organization or business entity in which the licensee
    has a personal interest.

    The BUYER of the property located at ______________________________________________, consents to the continued involvement of the Licensee in this transaction.

    Buyer's Signature: _______________________________   Date:___________________

    Buyer's Signature: _______________________________   Date:___________________

     

    THIS PERSONAL INTEREST DISCLOSURE MUST BE SIGNED PRIOR TO THE EXECUTION OF A REAL ESTATE SALES CONTRACT

    Licensee's Signature:________________________________________   Date:____________________

    Licensee's Printed Name: _____________________________________________

     

     
  • Personal Interest Disclosure and Consent from Licensee for Referral of a Service Vendor to a Buyer

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    PERSONAL INTEREST DISCLOSURE AND CONSENT FROM LICENSEE
    FOR REFERRAL OF A SERVICE VENDOR TO A BUYER

    [ As Required by Tennessee License Law ]

    On occasion, when asked by a party to a real estate transaction, a Real Estate Licensee may recommend the services of a service vendor:

    · Who may offer the Licensee a referral fee for that recommendation;

    · With whom a relative or family member of the Licensee may have personal interest;

    · With whom the Licensee has a personal interest ( indirect or direct ).

    Tennessee Law requires that a Licensee's personal interest in these situations be disclosed.

    [ As used in this Disclosure Form: "Buyer" shall mean Buyer or Tenant ]

    DISCLOSURE OF LICENSEE'S PERSONAL INTEREST IN A REFERRAL FOR SERVICES

    The Licensee named below has recommended that Buyer use the services of

    _________________________________________________________________________________

    Buyer has been advised of the Licensee's interest in the Provider of Services as

    _________________________________________________________________________________

    and /or that Licensee shall receive compensation of for this referral.

    TO BE SIGNED PRIOR TO THE USE OF THE RECOMMENDED SERVICE VENDOR

    Licensee's Signature_________________________________________ Date:_____________________

    Licensee's Printed Name______________________________________ Date:_____________________

    Buyer's Signature ___________________________________________ Date:_____________________

    Buyer's Signature ___________________________________________ Date:_____________________