Applicant acknowledges that if the applicant or any real estate firm in which the applicant is the sole proprietor, general partner, or corporate officer is involved in any pending bankruptcy on insolvency proceedings or has been judged bankrupt in the past three years, the MLS may require as a condition of membership that the bankrupt applicant pay cash in advance for MLS fees for up to one (1) year from the date that membership is approved or from the date that the applicant is discharged from bankruptcy (whichever is later) or, in the event that bankruptcy proceedings are initiated subsequent to obtaining membership in the MLS, the member may be placed on a “cash basis” from the date that the bankruptcy in initiated until one (1) year from the date member has been discharged from bankruptcy.

I HEREBY CERTIFY THAT THE FOREGOING INFORMATION FURNISHED BY ME IS TRUE AND CORRECT, AND I AGREE THAT FAILURE TO PROVIDE COMPLETE AND ACCURATE INFORMATION AS REQUESTED, OR ANY MISSTATEMENT OF FACT, MAY BE GROUNDS FOR REVOCATION ON MY MEMBERSHIP IF GRANTED.