RE/MAX International Referral Form
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Receiving Agent Information |
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Referring Agent Information |
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Agent Name:________________________________ |
Agent Name:________________________________ |
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Office Name:________________________________ |
Office Name:________________________________ |
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Address:____________________________________ |
Address:____________________________________ |
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City:___________ State/Prov:_____ Zip/PC:______ |
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City:___________ State/Prov:_____ Zip/PC:______ |
Country:____________________________________ |
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Country:____________________________________ |
E-mail:_____________________________________ |
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E-mail:_____________________________________ |
Primary Phone:______________________________ |
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Primary Phone:______________________________ |
Cell Phone:_________________________________ |
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Cell Phone:_________________________________ |
Referring Office Tax ID Number:________________ |
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Client Information |
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Name:______________________________________________ |
Current Home Phone Number:__________________________ |
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Current Address:_____________________________________ |
Current Work Phone Number:___________________________ |
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City:____________________ State:______ Zip/PC:_______ |
Cell Phone Number:__________________________________ |
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Country:____________________________________________ |
Number of Adults in move:____________________________ |
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Additional Information:________________________________ |
Number of Children in move:___________________________ |
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___________________________________________________ |
Next Date of Home Finding Trip:________________________ |
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___________________________________________________ |
Expected Move Date:_________________________________ |
Current Property Information
Client is a:________________________________ Estimated property listing price:_______________ Must clients sell first:_____
Has client been pre-qualified?___________ Lender Information:______________________________________________________
Reason for move:____________________________________________________________________________________________
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Desired Property Information
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Price Range:_____________________ Est. Down Payment:_______________________ |
Desired Monthly Payment:___________ |
Preferred Home Style: |
Single Family Home_________ Condo/Town Home_________ Other__________________________ |
Number of Bedrooms:________________ Number of Baths:________________ |
Square Footage:_____________________ |
Familiar with the area:______________________ Preferred Area:_____________________________________________________
School Requirements: Elementary___________ Jr. High_____________ Sr. High____________ College_______________
Additional Requirements:______________________________________________________________________________________
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Referral Agreement Details
An agreed upon referral fee of________________________ will be paid by the receiving agent to the referring agent.
The referral fee will be based on: Listing____________ Selling____________ The Commission_____________
Referring Agent Signature:_________________________________________________________ |
Date:______________________ |
Receiving Agent Signature:_________________________________________________________ |
Date:______________________ |
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031153 |