SUPRA KEY INCIDENT REPORT

DATE: _________________________

My Supra Key # ___________ has failed. The failed mechanical error on my key reads:

_____________________________________________________________________________

(The failure to esync, update or charge a key is not considered a mechanical error)

The agent signing below agrees to loan me their key for the purpose of showing the following listings:

MLS #

ADDRESS

DATE

Agent loaning key signature: _______________________________ Key # ____________

In accepting the Supra Key of agent signed above, I acknowledge that I am in good-standing with the Knoxville Area Association of REALTOR®S and have paid all dues and fees and have no disciplinary action or sanction that would prevent me from using the Supra Lock Box Key.

Agent borrowing key signature: ________________________________________

This form is to be faxed immediately to the Knoxville Area Association of REALTOR®S at 588-8647 and a copy given to the Principle Broker of your office.