(2) Such disclosure may be given in combination with other disclosures or provided with other information, but if so, the disclosure must be conspicuous, printed in bold lettering, all capitals, underlined, or within a separate box. Any disclosure which complies substantially in effect with the following shall be deemed in compliance with this disclosure requirement:
"DISCLOSURE OF DUAL REPRESENTATION
"The undersigned do hereby acknowledge disclosure that:
"The licensee _______________
(Name of Broker, Firm, Salesperson or Property Manager as applicable) represents more than one party in this real estate transaction as indicated below:
_____ Seller(s) and Buyer(s)
_____ Landlord(s) and Tenant(s).
"The undersigned understands that the foregoing dual representative may not disclose to either client or such client's designated representative any information that has been given to the dual representative by the other client within the confidence and trust of the brokerage relationship except for that information which is otherwise required or permitted by § 42-1755(f), to be disclosed. The undersigned by signing this notice do hereby acknowledge their informed consent to the disclosed dual representation by the licensee.
____________ _______________
Date Name (One Party)
____________ _______________
Date Name (One Party)
____________ _______________
Date Name (Other Party)
____________ _______________
Date Name (Other Party)".
(6) Use of designated representatives in a real estate transaction shall be disclosed in accordance with the provisions of this section. Such disclosure may be given in combination with other disclosures or provided with other information, but if so, the disclosure must be conspicuous, printed in bold lettering, all capitals, underlined, or within a separate box. Any disclosure which complies substantially in effect with the following shall be deemed in compliance with such disclosure requirement:
"DISCLOSURE OF THE USE OF DESIGNATED REPRESENTATIVES
"The undersigned do hereby acknowledge disclosure that:
"The licensee _______________
(Name of Broker and Firm)
represents more than one party in this real estate transaction as indicated below:
_____ Seller(s) and Buyer(s)
_____ Landlord(s) and Tenant(s).
"The undersigned understands that the foregoing dual representative may not disclose to either client or such client's designated representative any information that has been given to the dual representative by the other client within the confidence and trust of the brokerage relationship except for that information which is otherwise required or permitted by the Real Estate Licensure Amendment Act of 1996 to be disclosed. The undersigned by signing this notice do hereby acknowledge their informed consent to the disclosed dual representation by the licensee.
"The principal or supervising broker has assigned __________ to act as Designated Representative (Licensee/Sales Associate) for the one party as indicated below:
_____ Seller(s) or _____ Buyer(s)
_____ Landlord(s) or _____ Tenant(s).
and
__________ to act as Designated Representative (Licensee/Sales Associate) for the one party as indicated below:
_____ Seller(s) or _____ Buyer(s)
_____ Landlord(s) or _____ Tenant(s)
____________ ____________
Date Name (Other Party)
____________ ____________
Date Name (Other Party)
____________ ____________
Date Name (Other Party)
____________ ____________
Date Name (Other Party)".