Initiate – Buyer Representation Agreement"*" indicates required fieldsStep 1 of 333%Agent DetailsName:* First Last Email:* License Number:*Brokerages Printed Name*Brokers License No.*Brokers Phone:*Brokers Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 1. PartiesNumber of Buyers* 1 2Buyer One Name:* First Last Email:* Buyer Two Name:* First Last Email:* 3. DefinitionsMarket Area by County:*4. TermStart Date:* End Date:* 7. Broker CompensationBroker compensation or the sharing of compensation between brokers is not set by law nor fixed, controlled, recommended, or suggested, by the Association of REALTORS®, MLS, or any listing service. Broker compensation is fully negotiable. Brokers independently determine their fees. Broker is prohibited from receiving compensation for brokerage services from any source that exceeds the amounts stated in this agreement.A. Broker's Fee: When Earned and Payable, Client will pay Broker (Complete all that apply):* (1) (Purchases) ___% of the sales price or a flat fee of $____. (2) (Leases) ___% of one month’s rent OR ___% of all rents to be paid over the term of the lease OR a flat fee of $___.Purchases* ___% of the sales price Flat fee of $___% of the sales price*Flat fee of $*Leases* ___% of one month’s rent ___% of all rents to be paid over the term of the lease a flat fee of $___% of one month's rent*% of all rents to be paid over the term of the lease*a flat fee of $* F. In addition to the commission specified under Paragraph 11A, Broker is entitled to the following fees.1. Construction3. Other7. F. "Protection period" means that time starting the day after this agreement ends and continuing for ___ days*7. H. County: Amounts Payable to Broker are to be paid in cash in ____ County, Texas.*8. RepresentationsD. Name any employer, relocation company, or other entity that will provide benefits to Client when acquiring property in the market area:This is a common item when a prospect / client are being relocated by their company and company has contracted a relocation company to assist with the move.9. IntermediaryIntermediary* Intermediary Status No Intermediary Status16. Addenda and Other DocumentsCheck all that apply:Required addenda: Information About Brokerage Services Mold Remediation Consumer Protection Information Concerning Property Insurance General Information and Notice to a Buyer Protect Your Family From Lead In Your Home Information About Special Flood Hazard Areas For Your Protection Get A Home Inspection Wire Fraud Warning OtherOther:17. Special ProvisionsSpecial ProvisionsThis field is hidden when viewing the formContract Between Licensed Broker/Broker Firm NameLicense No.Email PhoneDesignated Broker of FirmLicense No.Email PhoneLicensed Supervisor of Sales Agent AssociateLicense No.Email PhoneSales Agent/ Associate's NameLicense No.Email Phone
