…………………………………………………………………………………………………………………… CONSUMER NOTICE FOR TENANTS THIS IS NOT A CONTRACT
(Not to be used when licensee is subagent for the landlord, agent for the tenant or transaction licensee) Thomas S. Mitros (Licensee) hereby states that with respect to this property (describe property) _________________________________________________________________ I am acting in the following capacity: (check one) [ ] Owner/Landlord of the Property [ ] A direct employee of the Owner/Landlord; OR [ ] An agent of the Owner/Landlord pursuant to a property management or exclusive leasing agreement I acknowledge I have received this notice: ____________________________________________ __________________ (Consumer) (Date)
____________________________________________ ___________________ (Consumer) (Date)
I certify that I have provided this Notice: ____________________________________________ ___________________ (Licensee) (Date)
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