New Agent Registration New Agent Registration Online Form 1Registration for Real Estate Association2Independent Contractor Agreement3Agent Fee Sheet - Schedule 14Addendum to Independent Contractor Agreement5Statement of Understanding6Statement of RESPA Policy7KWCB Credit Card Payment Form8W-9 Registration for Real Estate AssociateUsernamePassword Enter Password Confirm Password Name Legal First Name Legal Last Name How would you like your name to appear on our roster?This is important if it is different then your legal, such as a different last name, or if you go by your middle name. This field is hidden when viewing the formOrganizationOfficesALCREALTORS®─ Beeville─ Corpus Christi─ Kingsville─ North Padre─ Northwest─ Port Aransas─ Portland─ RockportStaffYour Contact InformationHome PhoneCell PhoneEmail Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code More InformationDriver License #License StateExpiration Date MM slash DD slash YYYY Birthday MM slash DD slash YYYY Social Security #Your Real Estate InformationType of LicenseSales AgentBroker AssociateAssistant (No License)Not ApplicableRE License #Expiration Date MM slash DD slash YYYY Designation(s)Emergency ContactEmergency Contact NamePhone NumberRelationship Independent Contractor Agreement Associate's NameAssociate's Social Security NumberAgreement Date MM slash DD slash YYYY Signature Agent Fee Sheet - Schedule 1The above picture is a screenshot of the form that will be filled out by the below information.SignatureDate MM slash DD slash YYYY Addendum to Independent Contractor AgreementThis field is hidden when viewing the formCompany Rollover Date MM slash DD slash YYYY Agent authorized activities permitted by Broker: Residential Short Sale Listings Commercial-Improved Commercial Unimproved Farm & Ranch REO Listings Commercial Tenant Lease Representation Each type of real estate must be initialed by Broker or Director of Risk Management to be valid. Payment of Commission: All payment of commissions will only be made payable to the agent or a TREC Broker licensed LLC or Corporation. A copy of the TREC licensed Corporation or LLC must be provided to the Broker. Texas Real Estate Commission (TREC) requirements for DBA’s or Assumed Names: All agents are required to file and record any DBA in any and all counties where they conduct business. They are required to provide the notice of the filed and recorded DBA to the Broker for submission to TREC. If an agent conducts advertisement in any name other than their license name, they are required to notify Broker. Agent advertises under the following and will provide DBA to Broker:DBA or Assumed NameTREC Requirement for updated information: Agent agrees to provide any updated information directly to the Broker for submission to TREC. TREC requires the agent provide accurate and current email addresses, phone numbers and any other contact information. Policy Regarding Agent/Owned Properties: Per the Errors & Omission Policy (E & O) and the Broker Policy for the Market Center, an agent is not permitted to act as their own listing agent on any property. The property would need to be listed with another associate within the Market Center to qualify for E & O coverage for the Broker/KW. Failure to comply with this policy will result in the agent/owner indemnifying Keller Williams for any claims, losses, damages, settlement and legal expenses for violation of this policy per the Independent Contractor Agreement and the broker returning their license to TREC. Property Management: Only agents with expressed written permission to conduct Property Management will be covered under our E & O policy. Any agent conducting Property Management activities without the Broker’s written permission will be subject to their license being returned to TREC and a fine assessment of $1000.00. Probationary License Status: Agent is acknowledging that their license is not subject to any probationary status by TREC. If the license is under any investigation for a complaint by TREC or Texas Association of Realtors of agent is involved in any dispute or lawsuit? Explain: Errors and Omissions Insurance: The associate will pay $85 per transaction for the risk management fee. The agent also agrees to comply with all Risk Management Criteria on each transaction to have the deductible waived and must be an agent in good standing with the Market Center at the time of the lawsuit, legal dispute or complaint. If the agent fails to comply, coverage may be declined by the E & O Company and the waiver of deductible may be rescinded. Agent also acknowledges that all activities may not be covered under the E & O policy. If coverage is declined, agent will indemnify the Market Center for any claims, losses, damages, settlements and legal expenses per the Independent Contractor Agreement. This fee is paid on personal transactions as well. *On REO Listings the Broker will not indemnify the seller under any circumstances; no seller or buyer is ever covered under our E & O Policy. If Listing Agent signs, they are indemnifying the seller not KW Market Center operation or broker. IF YOU ARE IN A TRANSACTION AND YOU ARE NOT SURE OF ANYTHING OR NEED ASSISTANCE YOU ARE REQUIRED TO CONTACT THE BROKER/RISK MANAGER IMMEDIATELY FOR SUPERVISION. I have read the above statements and agree to abide by all of its provisions:SignaturePrint NameDate MM slash DD slash YYYY Statement of UnderstandingConcerning the Independent Contractor Agreement Between Keller Williams Coastal Bend andPrint Name(1) I am a broker or salesperson duly licensed in the State of Texas and am affiliated as an independent contractor with the above-named Broker. Broker Salesperson (2) I have paid all my own license fees and membership dues required under the Independent Contractor Agreement with Broker and have not received reimbursement from Broker. (3) I have paid all of my own automobile and transportation expenses and have not received reimbursement from Broker. (4) I have paid all entertainment and other incidental expenses in connection with soliciting listings and procuring prospects and have not received reimbursement from Broker. (5) Broker has not required me to maintain any specific schedule. (6) I have not had to consult with Broker regarding scheduling of my vacations or working hours. (7) I have received no salary or sick pay and I am compensated on a commission basis. (8) I have paid my own income and FICA taxes. (9) My association with Broker may be terminated by either party at any time upon notice given to the other party; but the rights of the parties to any fees which accrued before termination are not divested by the termination.SignatureDate MM slash DD slash YYYY Statement of RESPA PolicyIt has always been the policy of Keller Williams Coastal Bend (KWCB) that the Market Center and all of its agents shall comply in all respects to applicable law. This policy continues in full force. In particular, KWCB wishes to direct the attention of all of its agents to the Real Estate Settlement Practices Act, commonly known as “RESPA”. RESPA provides in part that: “No person shall give and no person shall receive and fee, kickback, or thing of value pursuant to any agreement or understanding, oral or otherwise, that business incident to or a part of any real state settlement service involving a federally related mortgage loan shall be referred to any person.” RESPA is administered by the US Department of Housing and Urban Development (HUD). KWCB has been advised that HUD takes the position that accepting anything of value from a party providing settlement services (such as a title company) when that party hopes to obtain referrals is a violation of RESPA. SignaturePrint NameDate MM slash DD slash YYYY Credit Card Payment FormPayment is due on the 20th of each month. Please make a selection to indicate your agreement on method of payment. Payment Method Agreement* I authorize Keller Williams Realty to process a monthly automatic draft for payment of my office account on or around the 11th of each month. I will make payment arrangements each month by cash or check in-person. The below picture is a screenshot of the form that will be filled out by the provided information.Email Monthly Invoice DeliveryCredit Card Type Visa MasterCard American Express Discover Credit Card NumberExpiry DateCVVName as it Appears on CardSignatureDate MM slash DD slash YYYY Billing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code W-9 Request for Taxpayer Identification Number and CertificationThe above picture is a screenshot of the form that will be filled out by the below information.Name (as shown on your income tax return)Business name, if different from aboveCheck appropriate box: Individual/Sole proprietor Corporation Partnership Limited liability company Exempt payee Other Other NotesAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Tayper Identification Number (TIN) Social Security Number (SSN) Employer Identification Number (EIN) SSNEINSignatureDate MM slash DD slash YYYY