Ed Smith School, LLC
FAX to 410-213-2638
Student Affidavit for Online Courses
I certify that I have personally completed each assigned module of instruction and that my work in this course
will be based on my own personal efforts, unassisted by any unauthorized individual or resource.
I understand that receiving unauthorized assistance or tampering with course results
will invalidate my course credit and may be a cause of action under
the real estate laws and regulations of Maryland.
Student Name - Please print as it appears on your license
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License Number: _______________
Broker Trade Name :___________________________________________________________________
Course Name(s)
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Student Signature: ______________________________________ Date:__________________________