Unlicensed Staff Name
I authorize the above individual to check out, pick-up, transfer and return key boxes on my behalf using any deposits I have on file. I acknowledge that if I do not have sufficient deposits on file, I will send payment with them in order to pick up the key box(es). I also understand that I must be the listing agent or listing co-agent to check out key boxes in my name. I understand that I am ultimately responsible for the key boxes that are checked out in my name. I understand that it is my responsibility to notify Key Service Administrators immediately, in writing, should this individual no longer be affiliate with me.
Responsible Agent Name
Responsible Agent Signature
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