LAKE COUNTRY BOARD OF REALTORS®, INC

1041 Village Park Dr. Ste. 103, Greensboro, Ga. 30642

Phone: 706-453-0823/888-453-0823 Fax: 706-453-0923

Email:

MEMBERSHIP APPLICATION

I ______, hereby apply for the following type of membership in the LAKE COUNTRY BOARD OF REALTORS®, INC.

____ REALTOR® ___ SECONDARY ____ MLS ONLY ____ APPRAISER

Enclosed is my check in the amount of $______, which I understand will be returned to me in the event I am not accepted to membership. In the event my application is approved, I agree as a condition of membership to thoroughly familiarize myself with the CODE OF ETHICS of the National Association of REALTORS®, it’s Constitution, Bylaws, and Rules and Regulation of the Local, State and National Associations/Boards. As a REALTOR® member will abide by the Code of Ethics of the National Association specified by Article 17, of the Code of Ethics, and as further specified in the Code of Ethics and Arbitration Manual of the National Association of REALTORS® and as from time to time amendments and (2) that I consent that the Board, through its Membership Committee or otherwise, may invite and receive information and comments about applicants from any member or other person, and that I agree that any information and comment furnished to the Association/Board by any person in response to the invitation shall be conclusively deemed to be privileged and not form the basis of any action for slander, libel, or defamation of character.

NOTE: Applicant acknowledges that if accepted as a member and he/she subsequently resigns or is expelled from membership in the Association/Board with an ethics complaint or arbitration request pending, the Association/Board may condition renewal of membership upon applicant’s verification that he/she will submit to the pending ethics by arbitration proceeding and will abide by the decision of the Hearing Panel; or if applicant resigns or is expelled from membership without having complied with an award in arbitration, the Board of Directors may condition renewal of membership upon his/her payment of the award, plus any cost that have previously been established due and payable in relation thereto, provided that the award and such costs have not, in the interim been otherwise satisfied.

I hereby certify that I have read and understood the above statements and that, if accepted, I shall pay the fees and dues as from time to time established and that the following information furnished by me for your consideration and use in true and correct. I further agree that the failure to provide complete and accurate information as requested, on any misstatement of fact, shall be grounds for revocation of my membership if granted.

I Authorize LCBR to fax and email information concerning my membership and participation in the BOARD AND MLS.

SIGNATURE:______DATE:______

LAKE COUNTRYBOARD OF REALTORS® MEMBERSHIP APPLICATION

REVISED: Sept 25, 2017.

APPLICATION FOR MEMBERSHIP

The followinginformation is required to be provided for Local, State and National records.

PERSONAL INFORMATION:

NAME ON LICENSE:______

NAME ON ROSTER: ______NICKNAME:______

HOME ADDRESS:______CITY: ______STATE:____ZIPCODE:______

PHONE: ______CELL: ______FAX:______

CONTACT PHONE PREFERRED: OFFICE___ HOME___ CELL___

EMAIL ADDRESS:______

PERSONAL WEBSITE:______

SOCIAL SECURITY NO:______DATE OF BIRTH:______

(last four numbers)

MOTHER’S MAIDEN NAME:______SPOUSE’S NAME:______

EDUCATION: HIGH SCHOOL____ COLLEGE ______DEGREE(S) ______

LANGUAGE(S): ______

HOBBIES/SPECIAL INTEREST:______

PROFESSIONAL BACKGROUND:______

PLEASE LIST ALL PROFESSIONAL/CIVIC ORGANIZATIONS THAT YOU PARTICIPATE IN AND POSITION THAT YOU HOLD(CHAIR,DIRECTOR, PTO,COMMERCE,ETC.)______

______

MAILING ADDRESS PREFERENCE: OFFICE____ HOME____ P.O. BOX _____ APT.______

P.O. BOX______APT.#______

CITY:______STATE ______ZIPCODE:______

DO YOU HOLD ANY REALTOR® DESIGNATIONS? ____YES ____NO LIST:______

COMPANY INFORMATION: ALL INFORMATION REQUIRED.

Do you have a current real estate/Appraiser license in Georgia? Yes____ No ____ If yes, please provide the following information: COPY OF REAL ESTATE LICENSE POCKET CARD.

Date Issued:______License No.:______Type License __ Salesperson ___Brokers ___Appraiser

First Licensed in Georgia: (mm/dd/year) ______Date established with Firm(mm/dd/year)______

NAME OF FIRM:______

COMPANY ADDRESS:______

PHONE:______FAX:______CO. LICENSE #______

COMPANY WEBSITE:______

Do you hold or have you held a real estate license in any other state? ___yes ___No If so, specify, state and date: ______

Has your real estate license, in this or any other state been suspended, or revoked ?

_____Yes ____No If yes, State ______

Do you now or have you previously held membership in any other Association? ___Yes ____No

If yes, Name of Association and type membership and dates______

Have you ever been refused membership in any other Association? ____Yes ___No. If yes state a basis for each refusal and circumstances related (attach)

Is the office address, as stated your principal place of business? ___Yes ___No

Have you ever been convicted of a felony? ___Yes ___No If yes give details(attach separate page).

Paragon: if you have a preferred Login and Password, please list or one will be assigned:

LOGIN:______PASSWORD:_Paragon will send a password link______

IF YOUR LICENSE HAS BEEN ON INACTIVE STATUS FOR MORE THAN THREE MONTHS , PLEASE SUBMIT A COPY OF BACKGROUND CHECK. IF YOU HAVE BEEN AMEMBER OF ANOTHER BOARD/ASSOCIATION PLEASE GET A LETTER STATING ANY OUTSTANDING DEBTS, COMPLAINTS IN THE PAST 3 YEARS. DATE CODE OF ETHICS TAKEN.

Lake Country Board of REALTORS 2016-2017 Dues Schedule
Distribution (Term) / Jan / Feb / Mar / Apr / May / Jun / Jul / Aug / Sep / Oct / Nov / Dec
REALTOR member
Board (Local) / $110.00 / $100.83 / $91.67 / $82.50 / $73.33 / $64.17 / $55.00 / $45.83 / $36.67 / $27.50 / $18.33 / $9.17
MLS / $147.00 / $134.75 / $122.50 / $110.25 / $98.00 / $85.75 / $73.50 / $61.25 / $49.00 / $36.75 / $24.50 / $12.25
GAR / $98.00 / $89.83 / $81.67 / $73.50 / $65.33 / $57.17 / $49.00 / $40.83 / $32.67 / $24.50 / $16.33 / $8.17
NAR / $120.00 / $110.00 / $100.00 / $90.00 / $80.00 / $70.00 / $60.00 / $50.00 / $40.00 / $30.00 / $20.00 / $10.00
NAR (Special assignment) / $35.00 / $35.00 / $35.00 / $35.00 / $35.00 / $35.00 / $35.00 / $35.00 / $35.00 / $35.00 / $35.00 / $35.00
RPAC / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00
TOTAL / $535.00 / $495.41 / $455.84 / $416.25 / $376.66 / $337.09 / $297.50 / $257.91 / $218.34 / $178.75 / $139.16 / $99.59
Secondary Member
(Dues paid through primary Board Affiliation) / $257.00 / $235.62 / $214.20 / $192.78 / $171.63 / $149.94 / $128.52 / $107.10 / $85.68 / $64.26 / $42.84 / $21.42
Affiliate Member
Local / $177.00 / $162.25 / $147.50 / $132.75 / $118.00 / $103.25 / $88.50 / $73.75 / $59.00 / $44.25 / $29.50 / $14.75
GAR / $98.00 / $89.83 / $81.67 / $73.50 / $65.33 / $57.17 / $49.00 / $40.83 / $32.67 / $24.50 / $16.33 / $8.17
RPAC / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00 / $25.00
$300.00 / $277.08 / $254.17 / $231.25 / $208.33 / $185.42 / $162.50 / $139.58 / $116.67 / $93.75 / $70.83 / $47.92
MLS Only Participant / $200.00 / $183.37 / $166.70 / $150.03 / $133.36 / $116.69 / $100.02 / $83.35 / $66.68 / $50.01 / $33.34 / $16.67
Additional Costs for BOARD Membership / Additional Costs for MLS ONLY
Broker pays $700 one-time fee / Broker pays $800 one-time fee
Broker pays $600 one-time fee to join MLS / Each Agent pays $100 one-time application fee
Each Agent pays $75 one-time application fee
Additional Monthly Costs / Equipment Costs
for Paragon mls-access dues: / eKeys on Smartphones are FREE
primary or secondary board member - $16.00 per month / Active Keys are $150
MLS only member - $20.00 per month / Lockboxes are $111
for Supra key:
all member categories - E-Key - $15.00 per month
all member categories - ActiveKey - $17.00 per month
all member categories - co-op key, hosted elsewhere - NO CHARGE
all member categories - unregistered for Supra key - $15.00 per month

The above sheet breaks down the cost per month if you join after the 1st of the year.

For a company to Join the MLS Only

$800.00 One time Company Registration Fee

$100 Application Fee (One Time Fee)

Each Agent

$75.00 Application Fee (One Time Fee per Agent)

200.00 Dues for entire year (or prorated amount)

$275.00 Total (MLS Only)

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For a Company to Join the BoardOnly

$700.00 One time Company Registration Fee

$100 Application Fee (One Time Fee per Company)

$800 Total (Board Only) There is NO MLS ACCESS WITH THIS OPTION

Each Agent

$110.00 Dues for entire year (or prorated amount)

$ 98.00 Dues to GAR (or Prorated Amount)

$155.00 Dues to NAR (or Prorated Amount)

$363 Total (Board only)

For a Company to Join Both the MLS and The Board

$600.00 One time Company MLS Registration Fee

$700.00 One time Company Board Registration Fee

$100 Application Fee (One Time Fee per Company)

$1375.00 Registration Fee

Each Agent to join both MLS and Board

$75.00 Application Fee

$110.00 Local Dues for entire year (or prorated amount)

$147.00 MLS Dues for entire year (or prorated amount)

$98.00 Dues to GAR (or Prorated Amount)

$155.00 Dues to NAR (or Prorated Amount)

$25 RPAC

$535.00 Total (MLS and Board)