SandboxStep 1 of 11 – To/From9%NameThis field is for validation purposes and should be left unchanged.This field is hidden when viewing the formBuyer Representation AgreementREQUEST FROM (Your details)Name:* First Last Email:* License Number:*DUE BY:Date* Time* Hours : Minutes AMPM AM/PM1. PartiesNumber of Buyers* 1 2Buyer One Name:* First Last Phone:*Email:* This field is hidden when viewing the formBuyer 2 InfoBuyer Two Name:* First Last Email:* Phone:*Current Residential Address: Street Address City State 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 ZIP Code Are you related to your client?* No YesRelationship (cousin, brother, sister, etc):*3. DefinitionsMarket Area:*“Market area” means that area in the State of Texas within the perimeter boundaries of the following areas: Collin County Dallas County Denton County Rockwall County Tarrant County OtherMarket Area Other:*4. TermStart and End Date. Adjust the term based on the level of trust the client has in you. Low trust, shorter term, high trust, longer term. Typical term is 6 months.Start Date:* End Date:* 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. IntermediaryYou can only give your opinion when Intermediary Status is selected. In all other situations, you can only state facts.*You can only give your opinion when Intermediary Status is selected. In all other situations, you can only state facts. Intermediary Status No Intermediary Status11. Broker's FeesA. Sale:*% of the gross sales price if Client agrees to purchase property in the market areaLease* if Client agrees to lease property in the market area a fee equal to % of one months rent % of all rents to be paid over the term of the lease.Agreed 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.F. In addition to the commission specified under Paragraph 11A, Broker is entitled to the following fees:1. Construction: If Client uses Broker’s services to procure or negotiate the construction of improvements to property that Client owns or may acquire, Client ensures that Broker will receive from Client or the contractor(s) at the time the construction is substantially complete a fee equal to:F. In addition to the commission specified under Paragraph 11A, Broker is entitled to the following fees:2. Service Providers: If Broker refers Client or any party to a transaction contemplated by this agreement to a service provider (for example, mover, cable company, telecommunications provider, utility, or contractor) Broker may receive a fee from the service provider for the referral.F. In addition to the commission specified under Paragraph 11A, Broker is entitled to the following fees:1. OtherG. Protection Period:*If for any reason the listing agreement is terminated, if you have shown the home to a prospective buyer, you are protected in the agreement if the buyer then purchases the home within the amount of days specified as the Protection Period from the day the listing agreement is terminated. The Protection Period is negotiable.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 – General Information and Notice to a Buyer Strongly recommended: – Protecting Your Home from Mold – Information Concerning Property Insurance – For Your Protection: Get a Home Inspection Required if the you will show homes built in or before 1978: – Protect Your Family from Lead in Your Home Information About Brokerage Services Protecting Your Home From Mold 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 OtherOther:*17. Special ProvisionsCheck with the Team Leader or Broker before inserting anything here:Typically left blankThis field is hidden when viewing the formSignaturesBrokerages Printed Name*Brokers License No.*Special Instructions, if anyEnter special instructions to your Transaction Coordinator:{all_fields}
