NEBRASKA REAL ESTATE COMMISSION

Acknowledgement of Personal Jurisdiction

I,, understand and acknowledge,
               (
submitter)
that by obtaining a nonresident real estate license sufficient contact with the State of 

Nebraska shall be established for the exercise of personal jurisdiction over me in any

action arising out of my licensed activity in Nebraska.

Submission of this Acknowledgement of Personal Jurisdiction verifies that all statements and information provided herein are true and correct and may be used as necessary by the Nebraska Real Estate Commission if furtherance of assuring compliance with the laws it regulates.

          Dated
Name of Submitter