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Withdraw/Transfer Form for All Properties

REQUIRED FOR ALL CHANGES

Date:

GAMLS#:

PropertyAddress:

Company Name:

Broker Code:

Phone:

Fax:

This addendum becomes part of the Exclusive Right to Sell Listing Contract between (Company Name) ,

(Broker) and (Owner(s))

and said provisions shall supersede any provisions of like or contradictory intent within the original contract.

Withdrawals can be submitted online by administrators and brokers on the GAMLS homepage.

This shall authorize Georgia MLS (GAMLS) to assign a withdrawn status to the above referenced listing for the following

reason(s):

Owner’s Signature ( Not Required) Owner’s Signature ( Not Required)

GAMLS will bill a $25 withdrawal fee to Broker’s account. DO NOT accompany this form with payment. If this listing

is being withdrawn and will be re-entered with a new GAMLS member company, complete the section below and the

withdrawal fee will be waived. The name of the company accepting the listing must be included with the reason for the

withdrawal and will be verified.

Releasing Broker’s Signature (Required)

Listings should only be transferred due to an undue hardship on the receiving company re-entering them. Transfers will be

processed only after all the proper paperwork, including the transfer request signed by the releasing broker and the accepting

broker, is received by GAMLS If the transferred listing is to be re-entered by the accepting Broker as new, with a new

listing number, check the box below.

Releasing Company

Company Name:

Broker Code:

Owner’s Signature (Not Required)

New Company

Company Name:

Broker Code:

GAMLS AgentID:

 Accepting Broker will re-list referenced

property with a new listing number.

Releasing Broker’s Signature (Required) Accepting Broker’s Signature (Required)

Complete and send to:

compliance@gamls.com

Georgia MLS • 1414 Montreal Road • Tucker, Georgia 30084

Phone: 770-493-9000 • Fax: 770-934-4918 G -R051622

TRANSFER SECTION

WITHDRAW SECTION

GENERAL INFORMATION SECTION

Bolst, Inc.

BOLS01

Cathryn Childs

Bolst, Inc.

404-482-2293