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PERSONAL INFO
Here you will add personal and billing info for your zONE account, complete your change to Realty ONE Group Sterling and fill out your Independent Contractor Agreement.
CONTACT INFO
*
First
Last
PRIMARY EMAIL
*
PRIMARY PHONE
*
ADDRESS
*
Street Address
City
ZIP Code
WHAT IS YOUR BIRTHDAY?
*
This is Kept Confidential ; )
IT DOESN'T GET MORE PERSONAL THAN YOUR PHOTO
We want to make sure your zONE profile is as complete as possible. If you don't have a photo to upload we can arrange for a Professional Headshot. If not, skip this step. (max image size is 2MB)
Drop files here or
Select files
Accepted file types: jpg, png, jpeg, Max. file size: 2 MB.
EMERGENCY CONTACT INFO
This helps us notify someone in case of an emergency, hopefully we never need this.
EMERGENCY CONTACT NAME
*
First
Last
EMERGENCY CONTACT PHONE
*
MLS / LICENSE INFO
MLS ID #
*
NAME AS IT APPEARS ON YOUR R.E. LICENSE
*
R.E LICENSE NUMBER
*
Hidden
W9 INFO
Hidden
W9 NAME
Name (as shown on your income tax return).
Hidden
Business Name
Business name/disregarded entity name, if different from above
Hidden
Entity type
Check appropriate box for federal tax classification
Individual/sole proprietor or single-member LLC
C Corporation
S Corporation
Partnership
Trust/estate
Limited liability company
Hidden
IS YOUR W9 ADDRESS THE SAME AS YOUR PRIMARY?
Select yes if its the same, if not hit no and please enter W9 address.
YES
NO
Hidden
Address
please enter your W9 mailing address
Street Address
City
ZIP Code
Hidden
Taxpayer Identification Number (TIN)
SSN
TIN
Hidden
SSN Number
*Your data is encrypted and not stored on this website.
Hidden
Tax ID / EIN
*Your data is encrypted and not stored on this website.
Credit Card Payment Enrollment
Used to sign agent up for recurring credit payments.
*(Your Credit Card data is fully encrypted and stored in your zone account for monthly recurring payments )
BILLING NAME
*
Name as it appears on card.
Address
*
Please enter your billing address
Street Address
City
ZIP / Postal Code
CARD TYPE
*
Visa
Mastercard
American Express
Discover
CARD NUMBER
*
EXPIRATION DATE:
*
CSV (3 or 4 Digits)
*
Consent
*
I hereby authorize Realty ONE Group Sterling to initiate credit card charges and to charge my recurring monthly fee payments as set forth in the ROGS ICA and/or late fees (if applicable). A new authorization must be completed if I change my account, close my account, or change financial institutions. This authorization remains in effect until canceled in writing or upon termination.
I agree to the terms and conditions
Phone
This field is for validation purposes and should be left unchanged.