Certification Statement

NOTICE TO ALL STUDENTS:

You must submit this form to New York Real Estate Institute when you complete your lessons. You can fax this form to New York Real Estate Institute at 212-967-5435 or return it by mail to:

New York Real Estate Institute
132 West 36th Street 2nd Floor
New York, NY 10001
(212) 967-7508
fax (212) 967-5435

STUDENT CERTIFICATION STATEMENT

"I certify that I have personally completed each assigned lesson of instruction"

_________________________	___________________
Student's Signature	Date

____________________________
Print Name

List Course(s):
____________________________	____________________________

____________________________	____________________________

____________________________	____________________________

____________________________	____________________________

For more information call us at The New York Real Estate Institute, (212) 967 7508.