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STATE OF FLORIDA COUNTY OF (___________________)
AFFIDAVIT OF COMPLIANCE
TO: FLORIDA REAL ESTATE COMMISSION
I, ____________________________, licensed real estate (broker / broker-sales
associate / sales associate) hereby petition the Real Estate Commission to reissue my
license number _______________ and first being duly cautioned and sworn deposes
and states as follows:
1. My license status was suspended for a period of
_______________________, effective the ______ day of __________, 20___, pursuant
to final order of the Florida Real Estate Commission.
2. In accordance with the provisions of said order, I commenced serving the
period of suspension on the _______ day of ____________, 20_____ and completed
the period of suspension on the __
day of ____ , 20 ____.
3. From the date set forth in paragraph 2 to and including the date hereof, I
have fully complied with the provisions of the Order of Suspension and have not
engaged in real estate brokering, as defined in Chapter 475, Florida Statutes.
4. I am fully informed as to the requirements for licensing as a real estate
broker, broker-sales associate or sales associate, and the continuation thereof, as set
forth in Chapter 475, F.S., and the rules promulgated by the Florida Real Estate
Commission, and state that I possess all such qualifications on the date hereof, and
know of no fact, or circumstance, which if known to the Commission would be grounds
for denial of the reissuance of my license status. I specifically understand that the
disciplinary action did not affect or postpone my obligations concerning post-licensing
education and/or continuing education.
5. I make these statements for use as evidence before the Florida Real
Estate Commission and to induce said Commission to reissue my license status in
accordance with the accompanying request form.
FREC Affidavit 0708
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Signature____________________________________________________
Address_____________________________________________________
____________________________________________________________
Phone Number (Home) _______________________
(Work)________________________
STATE OF FLORIDA, COUNTY OF_________________________________________
The foregoing instrument was acknowledged before me this ____ day of _ ,
20 _,
By______________________________________
Personally known , or produced identification_______
Type of identification produced
(Signature of Notary Public - State of Florida)
______________________________________________
(Print, type or stamp commissioned name of Notary Public)
______________________________________________
*NOTE
: The date of signature and notarization must be subsequent to the date of
completion of the suspension, as shown in paragraph 2.
FREC Affidavit 0708