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<br />" <br />Uc~ l~ US 11:~7a <br /> <br />ani~a burns <br /> <br />l636J 5~7-7760 <br /> <br />p.? <br /> <br />'2.77 21. REl.A TIONSHIP DISCLOSURE. <br /> <br />12605782 <br /> <br />2780 <br />279 <br />'ZeG <br /> <br />281 <br />262 <br /> <br />283 <br />264 <br />255 <br />2BS <br />287 <br />Z66 <br /> <br />269 <br />290 <br />Z91 <br />2'92 <br />293 <br />294 <br />295 <br /> <br />Z95 <br /> <br />297 <br /> <br />298 <br />299 <br /> <br />300 <br />301 <br /> <br />Burar and Seller c:onfirm thet c1isclcsunr of the licensee's relationship Willi m<lde no later th:m <br />the first showing of the property, upon lirst contact, or immediately upon tho occurrence of a change <br />to !he relationship. <br /> <br />Note: Under MREC RUles and Regulations, one bolt must ba checked In each of ttle <br />fcllowtng !WO secaons by Ole Selling Ucens_. <br /> <br />Ucens.. asslstrng Seller Is a:. (Check appropriate boA) <br />1:1 Sellar's Agent Licensee is acting on behalf of 1I1e Seller. <br />e Buye(1S Agent Lioonsee is acting on behalf of the Buyer. <br />o Dual Agent Uamsee is acting on behalf of both Soller and Buyer. <br />o Designated Agent Licensee has been design=tI!ld to act on behalf of uie Seller. <br />D Tr:msaction Broker A5Sistinll' Seller: Licensee 15 not 3e1ing on behalf of either Seller or Buyer. <br /> <br />Ucen__ :Isslstlng Buyer Is a: (Cheok appropriate boll;J <br />o Buyer!> Agent Licenseo is acting on behatfof th& Buyer. <br />o SOllers Agent Uc:onsea is acling on behalf of the 5ellllr, <br />o Dual Agent Uct!nSge is acting on behalf of bottll3uyer and Seller, <br />o Designa'lcd Agent Licensee has been deEigna1eCl 'lD act on behalf of the Buyer. <br />a TTClnsadlon Broker AssiS1ing Buyer: Lics~ i5 not acting on behalr of ei1her Buyer or Seller. <br />o Subagent of Seder: Uc.MSltIl is acting em behalf of tho SeUer. <br /> <br />o Seller 0 Buyer is Q real OSlEIta licensee and is ac1ing n a prlneilXl1 party in this contn;lc:t <br /> <br />Commissicn will be paid by Se Her <br /> <br />..... <br /> <br />Buyer and Seller acknawledge that they have received gne! re..d thlil Missouri Real E~te Commiasian <br />Broor DisclO6lJre Fonn. <br /> <br />By signing below, the licensees confirm making discfo&ure of the brokerage rel9tion~hip to the <br />appropriate p1Irliell. <br /> <br />30Z <br />303 <br /> <br />Selling BroQr's FIrm <br /> <br />Usllng Brakllr's Firm <br /> <br />304 <br /> <br />By (S!;nalUie): <br /> <br />By (SlgnaiiJre): <br /> <br />305 <br /> <br />Date: <br /> <br />on.: <br /> <br />PubJlc ID <br /> <br />Public ID <br /> <br />306 <br /> <br />OFFER to be aceepll!!d by S..ler 1Iy: <br /> <br />m or <br /> <br />:301 <br />:lO8 <br /> <br />:lO9 <br /> <br />BUYER-BY(7"';/Itljer FNfI/( oll~flJot-Ff' DATE <br />Seller', Printed Name <br /> <br />BUYER <br /> <br />DATE <br /> <br />310 SELLER ACCEPTS THE TERMS SET FORTH IN THIS CONTRACT. <br /> <br />311 <br />:512 <br /> <br />313 <br /> <br />SELLER <br />OR <br /> <br />TIME and DATE SELLER <br /> <br />TIME and [)ATE <br /> <br />31'" <br />315 <br /> <br />316 <br /> <br />(initialS) WE REJECT THIS OFFER AND MAKE A COUNTEROFFER (use #2164 S..I_ <br />Contrao;t Counterotrer Form). <br /> <br />l~. '.3- <br /> <br />OR <br /> <br />. .~\:. <br /> <br />31, (initial"> WE REJECT THIS OFFER. <br /> <br />31S NOlle: Unless otherwise 1l9rw_d In writing, -Acceptance Deadlinll" is defined as the date for accBpt.uU:. <br />319 whlC!h was provided to 'ltae last purty wholle al9nature resulteQ In II c:ontr.lc:t (even If that signature was <br />320 obtained before the d..dllne). <br /> <br />8of6 <br />I r'rbN:d ~r.v p_tonaJ COm_ l'uI,"" C<o Onol 1m _. ~ 'UIUII <br />