C-73.1, r. 2 - By-law of the Association des courtiers et agents immobiliers du Québec

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SCHEDULE 11
(s. 122)
SUMMARY OF DEPOSITS AND WITHDRAWALS FROM THE GENERAL TRUST ACCOUNT AND FROM THE SPECIAL TRUST ACCOUNTS
For the quarter covering the period from ____________________, 20 __________ to ____________________ 20 __________.
Information concerning my general trust account:

Account balance, as shown in accounting register
at beginning of quarter: $______ ;

PLUS: Total sums deposited during the quarter: $______ ;

MINUS: Total sums withdrawn during the quarter: $______ ;

Account balance as shown in accounting register at end of quarter: $______ .

Information concerning all my special trust accounts:

Account balances, as shown in accounting registers
at beginning of quarter: $______ ;

PLUS: Total sums deposited during the quarter: $______ ;

PLUS: Total interest deposited during the quarter: $______ ;

MINUS: Total sums withdrawn during the quarter: $______ ;

MINUS: Total interest withdrawn during the quarter: $______ ;

Account balances, as shown in accounting registers at end of quarter: $______ ;

Information concerning all my trust accounts:

Total balances of accounting registers at end of quarter: $______ .
IN WITNESS WHEREOF, I have signed in ____________________ on this __________ day of ____________________, 20 __________.
(certificate number of real estate broker)
(name and address of real estate broker)
______________________________________________________________
Signature of person authorized by real estate broker
O.C. 1865-93, Sch. 11.