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<br />277 21. RELATIONSHIP DISCLOSURE. <br /> <br />37745645 <br /> <br />278 Buyer and Seller confirm that disclosure of the licensee's relationship was made no later than <br />279 the first showing of the property, upon first contact, or immediately upon the occurrence of a change <br />280 to the relationship. <br /> <br />2131 Note: Under MREC Rules and Regulations, one box must be checked in each of the <br />282 following two sections by the Selling licensee. <br /> <br />283 Ucensee assisting Seller is a: (Check appropriate box) <br />284 0 Seller's Agent: Licensee is acting on behalf of the Seller. <br />285 0 Buyer's Agent Licensee is acting on behalf of the Buyer. <br />286 0 Dual Agent: Licensee is acting on behalf of both Seller and Buyer. <br />287 0 Designated Agent: Licensee has been designated to act on behalf of the Seller. <br />288 0 Transaction Broker Assisting Seller: Licensee is not acting on behalf of either Seller or Buyer. <br /> <br />289 Ucansee assisting Buyer is a: (Check appropriate box) <br />290 IK1 Buyer's Agent: Licensee is. acting on behalf of the Buyer. <br />291 0 Seller's Agent: Licensee [s acting on behalf of the Seller. <br />292 0 Dual Agent: Licensee is acting on behalf of both Buyer and Seller. <br />293 0 Designated Agent: Licensee has been designated to act on behalf of the Buyer. <br />294 0 Transaction Broker Assisting Buyer: Licensee is not acting on behalf of either Buyer or SeUer. <br />295 0 Subagent of SeUer: Licensee is acting on behalf of the Seller. <br /> <br />296 0 Seller 0 Buyer is a real estate licensee and is acting as a principal party in this contract. <br /> <br />297 Commission will bel paid by Buyer <br /> <br />298 Buyer and SeUer acknowledge that they have received and read the Missouri Real Estate Commission <br />299 Broker Disclosure Form. <br /> <br />300 By signing below, the licensees confirm making disclosure of the brokerage relationship to the <br />301 appropriate parties. <br /> <br />302 <br />303 <br /> <br />Robinson Realty <br />Selling Broker's Firm <br /> <br />N/A <br /> <br />Usting Broker's Firm <br /> <br />304 <br /> <br />By (Signature): <br /> <br />By (Signature): <br /> <br />305 <br /> <br />Date: -APr:i1 22, 2005 Public 10 <br /> <br />Date: <br /> <br />Public 10 <br /> <br />306 <br /> <br /> <br />TIME and DATE <br /> <br />m of <br /> <br />307 <br />308 <br /> <br />309 <br /> <br />310 <br /> <br />DATE <br /> <br />BUYER <br /> <br />. DATE <br /> <br />311 <br />312 <br /> <br />313 - <br /> <br />314 MAKE A COUNTEROFFER (use #2164 Saie <br />315 <br /> <br />316 OR <br /> <br />317 (initials) WE REJECT THIS OFFER. <br /> <br />318 Note: Unless otherwise agreed in writing, "Acceptance Deadline" is defined as the date for acceptance <br />319 which was provided to the last party whose signature resulted in a contract (even if that signature was <br />320 obtained before the deadline). <br /> <br />6of6 <br /> <br />Prin18d Using Proiessianal Compule' Forms Co. On-Un. Forms Software 10104 <br />