Fillable AFFIDAVIT FOR HONORABLY RETIRED PEACE OFFICER (GC 411.199) (Texas Real Estate Contracts)

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AFFIDAVIT FOR HONORABLY RETIRED PEACE OFFICER (GC 411.199) (Texas Real Estate Contracts)

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Country of origin: US
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The Texas Real Estate Commission (TREC) is an agency that governs real estate practices in the state of Texas USA. I its headquarters are located in Ausin Texas at 1700 North Congress.

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AFFIDAVIT FOR HONORABLY RETIRED PEACE OFFICER
(GC §411.199)
LTC-84 (Rev. 11/19)
STATE OF §
(STATE WHERE NOTARIZED) §
§
COUNTY OF §
(COUNTY WHERE NOTARIZED)
BEFORE ME, the undersigned Notary Public, on this day personally appeared, and stated under oath:
“My name is and I am the of the
(Head of Law Enforcement Agency) (Title)
. I am over eighteen years of age, of sound mind, and capable of making this affidavit.
(Name of Agency)
hereinafter referred to as Applicant, before time of retirement,
(Applicant Name)
held the rank of__________________; held the status of ____________________________________.
(Title)
Provide a list of type of weapons the applicant demonstrated proficiency with during the last year of employment:
____________________, ____________________, ____________________, ____________________
(Type of Handgun) (Type of Handgun) (Type of Handgun) (Type of Handgun)
Was the Applicant accused of misconduct at the time of retirement? ___ Yes or ___ No
If yes, provide a brief statement of the misconduct or provide an attached addendum: ______________________________
__________________________________________________________________________________________________
Please describe the physical and mental condition of the applicant: _____________________________________________
Would the Applicant be eligible for reemployment with the Agency? ___Yes ___ No
If not, please provide reasons the applicant is not eligible: ___________________________________________________
Does the applicant holds a current certificate of proficiency under Section 1701.357, Occupations Code? ___Yes ___No
Is the Applicant recommended for issuance of a License to Carry a Handgun? ___Yes ___No
HEAD OF LAW ENFORCEMENT AGENCY Signature
SUBSCRIBED and SWORN TO before me on this day of , 20 .
(DAY) (MONTH) (YEAR)
NOTARY PUBLIC Signature
[seal] PRINTED NAME OF NOTARY PUBLIC (if not on seal)
My commission expires:
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AFFIDAVIT FOR HONORABLY RETIRED PEACE OFFICER (GC 411.199) (Texas Real Estate Contracts)

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Completed 5 September 2020

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