Waiver Application: Hawaii Information Service Agreements, Applications, Forms, Documents - real estate, property listings, multiple listing service for hawaii, public records, parcel maps, business registrations, professional and vocational licenses, digital subscriber lines

Waiver Application
Print this completed form, sign, and FAX it to HIS at 888-628-3121 or 536-6499
(Or mail it to us, if you prefer)

2003 WAIVER APPLICATION

TO: Hawaii Information Service
FROM: (Principal Broker Subscriber)
RE: Waiver Application for (name of Licensee)

The Licensee listed above is a real estate Broker or Salesperson in the State of Hawaii, is associated with the Principal Broker Subscriber shown above as an independent contractor or as an employee, and is seeking a waiver of fees and services from Hawaii Information Service.

The Licensee is not, and will not for the current and/or forthcoming calendar year use Licensee's real estate license for the purpose of listing or selling property, is not and will not cooperate with any real estate licensee who is listing or selling real estate; has no current listings or any sales pending; does not receive any income from sales, referrals, splitting of fees with other licensees, etc.

The Licensee is a
		Property Manager/Timeshare Agents
		Corporate officer, director, and/or shareholder who does not actively participate in the sales activity of the firm
		Partner required to be licensed by law who does not actively participate in the sales activity of the firm
		Personal Assistant or Administrative Staff Support who do not actively list or sell property.

As set forth in Article VIII of the Hawaii Information Service Rules & Regulations, we certify that the applicant is eligible for a waiver. We agree that we will notify HIS immediately should the Licensee no longer qualify for a waiver of services. We understand that the waiver is valid for a calendar year only and a new application for waiver must be filed each calendar year.

Signature of Principal Broker: _________________________ Date: _________
(Sign after printing this form.)

Signature of Licensee: ______________________________ Date: _________
(Sign after printing this form.)

Print this completed form, sign, and FAX it to HIS at 888-628-3121 or 536-6499 (Or mail it to us, if you prefer)

Presented to the HIS Board of Directors on _______________

Signature of HIS: _________________________________ Date _______________
Approved Denied

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