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DISCLOSURE AND CONFIRMATION OF <br />REAL ESTATE AGENCY RELATIONSHIP <br /> <br />(This disclosure statcmcm should bc £ull)' cxcoutcd by all parties prior to t~te consummation of any 'lense or pu~hasc agreement. T~S <br />DISCLOSU~ DOCUM ENI' 1~ NO 1' AN ADDENDUM TO OK MADE A P~T OF THE LEAgE O~ PURC~gE AG~ERMENT.) <br /> <br />Subject Property: . Si~of the.~rrus C~unty.Fai~, Co,cord. NC Tax par~.el ~62~0~-7234. <br /> <br />S~ltcr/l,nadlord: ~abar~s Coue~a~ba~s County Boa~ o~.~f~o~ <br /> <br />BuycnT=nnnt: <br /> <br />The followins agency relationships are he,by disclosed and concord for th~s transact~n: <br />Listing A~enQ' <br /> ~ Acl{n~ ~xclusiwl7 as the Sel[er's~,andlord's Agent <br /> . ~ Act~8 in a Dual Agency capacity <br /> <br /> Selling/Leasing Agancy ia: <br /> Acting as a Subagent of Listing Agency rcpr~senttn§ only thc Seller/Landlord <br /> Acti,g exclusively as thc Buyc~s~nnnt~s Agent <br /> Acting ~ a Dual Agency capacity <br />~ER~.~DLOII DD Individuul <br /> <br /> Date: <br /> <br />(SEAL) <br /> <br /> Bu~ine,- l~nlity / <br />Onte: .... 05]0.l. Ok._ <br /> <br />LISTING AGENCY: <br />Datc ... <br /> <br />BUY ER/TENANT: <br /> <br /> Individual <br /> <br />Date: <br /> <br /> (SEAl.) <br /> <br /> (Name of Firm) <br />By: ; ' .') (SEAL) <br /> <br />(SEAL) <br /> <br /> Busipess Entity <br /> <br />Date: _._04/25/_02. <br /> <br />S ELl.! N G/LEAS lNG AGENCY: <br />DATE: 04/25/02 <br /> <br /> Pa~,' I of ! <br /> rf~ NORTH CAROLINA ASSOCIATION OF REALTORS~, INC. <br /> ~&kTOR" <br />T~ ~ rmtu~d ~ FDnllulator~Fm~ ~m v3 1~0-131-1027 <br /> <br />.... .~R~_J~.~ge ProDet~/es. Inc. <br /> <br />.~. ~ Oeome L Maloomlan ' <br /> <br /> (Namc of' Firm) <br /> <br />Standard Form No. 540 <br /> Copyright~} 7/112001 <br /> <br />8d W~90:60 ~00~ I0 'riehl ~989-9~8 : 'ON XU~ d~iqWg : wo~ <br /> <br /> <br />