MEMBER DELETION FORM

EO/Secretary Name

E-mail Address

Board Name State Board # NAR Board #


Member Types: ... DESIGNATED REALTOR = DR ... REALTOR = R ... SALESPERSON (NON-MEMBER) = SA


Reason for deletion codes: ... A = Deceased ... B = Suspended ... C = License Returned


NOTE: MEMBER CANNOT BE PROCESSED WITHOUT THEIR INDIVIDUAL FILE #

Member #1 Name (Last, First, MI)

Member File # Member Type

Company

Reason Code Other reason if not listed above


NOTE: MEMBER CANNOT BE PROCESSED WITHOUT THEIR INDIVIDUAL FILE #

Member #2 Name (Last, First, MI)

File # Member Type

Company

Reason Code Other reason if not listed above


NOTE: MEMBER CANNOT BE PROCESSED WITHOUT THEIR INDIVIDUAL FILE #

Member #3 Name (Last, First, MI)

File # Member Type

Company

Reason Code Other reason if not listed above


NOTE: MEMBER CANNOT BE PROCESSED WITHOUT THEIR INDIVIDUAL FILE #

Member #4 Name (Last, First, MI)

File # Member Type

Company

Reason Code Other reason if not listed above


NOTE: MEMBER CANNOT BE PROCESSED WITHOUT THEIR INDIVIDUAL FILE #

Member #5 Name (Last, First, MI)

File # Member Type

Company

Reason Code Other reason if not listed above


NOTE: MEMBER CANNOT BE PROCESSED WITHOUT THEIR INDIVIDUAL FILE #

Member #6 Name (Last, First, MI)

File # Member Type

Company

Reason Code Other reason if not listed above


NOTE: MEMBER CANNOT BE PROCESSED WITHOUT THEIR INDIVIDUAL FILE #

Member #7 Name (Last, First, MI)

File # Member Type

Company

Reason Code Other reason if not listed above


NOTE: MEMBER CANNOT BE PROCESSED WITHOUT THEIR INDIVIDUAL FILE #

Member #8 Name (Last, First, MI)

File # Member Type

Company

Reason Code Other reason if not listed above


NOTE: MEMBER CANNOT BE PROCESSED WITHOUT THEIR INDIVIDUAL FILE #

Member #9 Name (Last, First, MI)

File # Member Type

Company

Reason Code Other reason if not listed above


NOTE: MEMBER CANNOT BE PROCESSED WITHOUT THEIR INDIVIDUAL FILE #

Member #10 Name (Last, First, MI)

File # Member Type

Company

Reason Code Other reason if not listed above


ohio association of realtors...200 e. town st....columbus, oh 43215...phone: 614.228.6675...fax: 614.228.2601