Form 256

Landlord OR seller Self-Represented Party Acknowledgement and Consent

Form 256
for use in the Province of Ontario

    This is an Acknowledgement and Consent Form, not a service or representation client Agreement. This Self-Represented Party Acknowledgement and Consent Form is in addition to the prescribed and required Trust in Real Estate Services Act, 2002 Self-Represented Party form that is prepared by and available from the Real Estate Council of Ontario (RECO).
    Location Realty Inc
    647 892-7355
    The Brokerage will provide assistance to the Landlord or Seller as a self-represented party for the lease of the above described Property, to a tenant client and the Landlord acknowledges and consents to the terms as stated in this Form.
    [sign* Landlords/SellersInitials]
    (For the purposes of this Form:)
    “Landlord” includes lessor, Seller includes owner and “Tenant” includes a lessee, or a prospective lessee. “Self-represented assistance” shall mean assistance provided to a self-represented party. A lease shall be deemed to include the entering into of any rental / sale agreement, sub-lease or renewal of a lease. For purposes of this Form, anyone introduced to or shown the Property shall be deemed to include any spouse, heirs, executors, administrators, successors, assigns, related corporations and affiliated corporations. Related corporations or affiliated corporations shall include any corporation where one half or a majority of the shareholders, directors or officers of the related or affiliated corporation are the same person(s) as the shareholders, directors, or officers of the corporation introduced to or shown the Property. Commission shall be deemed to include other remuneration. This Form shall be read with all changes of gender or number required by the context
    The Landlord / Seller acknowledges that the Brokerage has provided the Landlord with written information explaining relationships, including information on Landlord Representation, Sub-Agency, Tenant Representation, Multiple Representation and Self-Represented Party assistance. The Landlord / Seller acknowledges that the Brokerage will be providing assistance to the Landlord / seller, as a service to a tenant / buyer client, and will not be representing the interests of the Landlord or Seller in a transaction.
    The Brokerage may or will be providing services and representing the interests of a tenant / buyer client in any transaction. When the Brokerage is representing a tenant / buyer as a client, the Brokerage’s primary duties are to protect and promote the interests of the tenant / buyer client. The Brokerage will disclose all pertinent information to a tenant client obtained from or about the Landlord / seller.
    Even though the Brokerage’s primary duties may be to a tenant or buyer, the Brokerage may provide assistance to the Self-Represented Party Landlord or seller. When providing assistance to the Self-Represented Parties, the Brokerage assistance includes:
    • The Ethical duty to deal fairly, honestly and with integrity
    • The Legal duty to exercise due care when answering questions and providing information
    • The Legal duty to avoid misrepresentation.
    The Landlord / seller understands and acknowledges that the Brokerage also provides representation to other landlords / sellers and tenants and potential assistance to other self-represented party landlords and tenants.
    If the Brokerage represents or provides self-represented assistance to more than one landlord, seller or tenant for the same trade, the Brokerage shall, in writing, at the earliest practicable opportunity and prior to any offer being submitted or conveyed, inform all landlords and tenants of the nature of the Brokerage’s relationship to each party.
    The Landlord / seller acknowledges the Brokerage has recommended to seek independent professional advice and any information provided by the Brokerage to any party is not to be relied upon as legal, tax, environmental or other advice. The Landlord is not to rely on the Broker’s or Salesperson’s skill or judgment in respect of a trade in real estate.
    The Landlord acknowledges that the Brokerage may be receiving a finder’s fee, reward and/or referral incentive, and the Landlord consents to any such benefit being received and retained by the Brokerage in addition to any commission payable.
    : The Landlord / seller will not hold the Brokerage and representatives of the Brokerage responsible for any loss or damage to the Property or contents occurring and caused by the Brokerage or anyone else by any means, including theft, fire or vandalism, other than by the Brokerage’s gross negligence or willful act. The Landlord / seller will indemnify and save harmless the Brokerage and representatives of the Brokerage from any liability, claim, loss, cost, damage or injury, including but not limited to loss of any commission payable, caused or contributed to by the breach of any warranty or representation made by the Landlord / seller in this Form. The Landlord / seller warrants the Property is insured, including personal liability insurance against any claims or lawsuits resulting from bodily injury or Property damage to others caused in any way on or at the Property and the Landlord indemnifies the Brokerage and all of its employees, representatives, salespersons and brokers for and against any claims against the Brokerage made by anyone who attends or visits the Property.
    The Landlord / Seller consents to the collection, use and disclosure of personal information by the Brokerage for the purpose of compiling, retaining and publishing any statistics including data which may be used by the Brokerage to conduct comparative market analyses; and make such other use of information as the Brokerage deems appropriate in connection with the listing, marketing, selling or leasing of real estate
    The Landlord / seller hereby warrants that spousal consent is not necessary under the provisions of the Family Law Act, R.S.O. 1990, unless the spouse of the Landlord has executed the consent hereinafter provided.
    If there is any conflict or discrepancy between any provision added to this Form (including any Schedule attached hereto) and any provision in the standard pre-set portion hereof, the added provision shall supersede the standard pre-set provision to the extent of such conflict or discrepancy. This Form, including any Schedule attached hereto, shall constitute the entire Form between the Landlord and the Brokerage. There is no representation, warranty, collateral agreement or condition, which affects this Form other than as expressed herein.
    This Form and any agreements, notices or other communications contemplated thereby may be transmitted by means of electronic systems, in which case signatures shall be deemed to be original. The transmission of this Form by the Landlord by electronic means shall be deemed to confirm the Landlord / seller has retained a true copy of the Form.
    : If this Form has been signed with an electronic signature the parties hereto consent to the use of such electronic signature with respect to this Form, and any other documents contemplated by this Form, pursuant to the Electronic Commerce Act, 2000, S.O. 2000, c17 as amended from time to time
    The Landlord / seller hereby consents by initialing this term of the Form that, upon the Landlord / Seller entering into a binding Agreement to lease the Property with a tenant client of the brokerage, the Brokerage is authorized to place the Brokerage’s leased sign on the Property.
    attached hereto form(s) part of this Form.
    SIGNED, SEALED AND DELIVERED I have hereunto set my hand and seal:
    SIGNED, SEALED AND DELIVERED I have hereunto set my hand and seal:

    The undersigned spouse of the Landlord hereby consents to the lease of the Property herein pursuant to the provisions of the Family Law Act, R.S.O. 1990 and hereby agrees to execute all necessary or incidental documents to further any transaction provided for herein.


    Bruno Costabile
    Name of Salesperson/Broker/Broker of Record)

    hereby declares that he/she is insured as required by the Trust in Real Estate Services Act, 2002.


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