§ 1. NOTICE OF INTENT TO SELL OR RENT.

Person Selling or Renting

   Name:                                                                                                               

   Address:                                                                                                           

   Telephone Number:                                                                                             

Agent, Broker or Salesperson

   Name:                                                                                                               

   Address:                                                                                                           

   Telephone Number:                                                                                             

   Address of Property:                                                                                            

   Rent:

   Sale:

Date(s) of Listing, Advertisement or Publication:                                                                                                            

                  Signature

                  (of owner or agent hired by owner)

(`95 Code, Ch. 94, App. C)