Trust Account Notification Form for Idaho Real Estate Brokers

TRUST ACCOUNT NOTIFICATION

INSTRUCTIONS: Idaho Code 54-2041 through 54-2046 sets forth requirements for trust accounts and handling entrusted funds. Use this form to advise the Real Estate Commission of your brokerage's plans for handling entrusted funds and to notify the Commission when you open a trust account. Complete a separate form for each real estate trust account. Forms that are illegible or incomplete will be RETURNED immediately without processing.

BROKERAGE INFORMATION

Designated Broker's Name: _________________________________________________________________________

Brokerage Name: _________________________________________________ Company License No.: _____________ Mailing Address: __________________________________________________________________________________

Address City State Zip I will not hold entrusted funds. I am not opening a real estate trust account at this time. I understand that it is my obligation to notify the Commission if I open a real estate trust account in the future.

I will hold entrusted funds, and my real estate trust account information is below. (You must complete this entire form.)

Designated Broker's Signature (required): ____________________________________________________________ Trust Account Depository Information

Name of Bank, Title Company, or other Depository: _________________________________________________________ Mailing Address of Depository: ________________________________________________________________________ ________________________________________________________________________________________________

City State Zip

Account No.: ______________________________ Phone: ________________________ Fax: ____________________ Is this an interest-bearing real estate trust account? YES* NO *If yes, transaction number and expected closing date: _____________________________________________________ Accounts closed? (check one): NO YES, date closed: _________________

Agreement and Authorization to Inspect

1. The real estate trust account is under the full control of the broker, and the funds deposited in the real estate trustaccount are subject to withdrawal on demand at the order of direction of the broker at all times. (Idaho Code
   54-2042(3) and 54-2042(5))

2. The real estate trust account will have a separate and complete set of records, consisting of monthly accounting,deposits, charges, and withdrawals or checks. The broker is responsible for ensuring that these separate account
   records are provided by the depository. (Idaho Code 54-2042(4))State of Idaho 3. The Real Estate Commission is hereby authorized to inspect the account upon request. (Idaho Code 54-2042(6))

Division Of Occupational and Professional Licenses Name and Title of Official of Depository: _________________________________________________________________________ BRAD LITTLE 11341 W Chinden Blvd. P.O. Box 83720 Governor Real Estate Commission Depository Signature: _________________________________________________________ Date: __________________________ RUSSELL BARRON Boise, ID 83720-0063 (208) 334-3233 Administrator dopl.idaho.gov