Florida Property Solutions - Cash Reward Program Registration Form

PRINT, COMPLETE, SIGN & FAX TO (727) 898-7537

Florida Property Solutions


Phone:	(727) 528-4687
Fax:	(727) 898-7537

CASH REWARD PROGRAM REGISTRATION FORM

Name	Home Phone ( )
Mailing Address	Work Phone ( )
City State Zip	Cell / Pager ( )
Social Security #	Email Address

ACKNOWLEDGEMENTS

I hereby acknowledge and agree that:

I am not an employee of Florida Property Solutions. Therefore, I am responsible for any income tax liability and for notifying the IRS of my earnings.

Either, Florida Property Solutions or I may choose to terminate my participation in the CASH REWARDS PROGRAM at any time and for any reason.

If I earn $600 or more during any calendar year, Florida Property Solutions will issue a 1099 IRS Form for tax purposes as required by law. Further, I will cooperate fully with the preparation of this form by supplying my Social Security Number to Florida Property Solutions as indicated above.

Signature

Date