Confirmation 1I confirm that the real estate professional disclosed the special legal duties owed to clients.YesNoConfirmation 2I confirm that the real estate professional disclosed the differences between a client and unrepresented party.YesNoConfirmation 3I confirm that the real estate professional disclosed the risks of being an unrepresented party.YesNoConfirmation 4I confirm that I choose to (check one)be a client represented by the real estate professional under designated agency.be a client represented by the real estate professional under brokerage agency.be an unrepresented party.Consumer Name First Last Email Date Date Format: MM slash DD slash YYYY Additional Consumer Name First Last Δ
