Submit this document to affirm your contact and identity verification for reporting the completion to the state regulators.

Please enter your email address in box 1,

name in box 2,

date of birth in box 3,

ssn in box 4 and

in box 5 enter the address matching your identification you will present when taking the real estate exam.


Thank you from Memphis Real Estate School.

(Information is sent directly to MRES; no data is saved online or in the form)

Confirmation of Student Data