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:* MM slash DD slash YYYY End Date:* MM slash DD slash YYYY 7. 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.8. IntermediaryIntermediary* Intermediary Status No Intermediary Status11. Broker's FeesA. Commission: The parties agree that Broker will receive a commission calculated as follows:(1) Purchase Property*% of the gross sales price if Client agrees to purchase property in the market area(2) Lease Property* % of one months rent % of all rents to be paid over the term of the leaseAgreed Percentage:*This is a negotiable percentage. Typically agents enter 50% but accept what is paid by a listing broker as compensation. You could discuss this paragraph with a client and have them agree that they will pay any shortfall not paid by the listing agent.Agreed Percentage:*All rents are to be paid over the term of the lease. F. In addition to the commission specified under Paragraph 11A, Broker is entitled to the following fees.1. Construction3. OtherG. Protection Period:*I. County:*Amounts payable to Broker are to be paid in cash in16. 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 ProvisionsHiddenContract 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
