Real Estate Agent Referral Form Receiving Agent Information Agent Name _______________________________ Office Name _______________________________ Address___________________________________ City ______________________________________ State ________________ Zip _________________ Email Address _____________________________ Phone ____________________________________ Fax ______________________________________ Client Information Name_____________________________________ Current Address ____________________________ City ______________________________________ State____________ Zip ______________ Additional Information ________________________ ____________________________________________ ____________________________________________ ____________________________________________
Referral Agent Information Agent Name _______________________________ Office Name _______________________________ Address___________________________________ City ______________________________________ State ________________ Zip _________________ Email Address _____________________________ Phone ____________________________________ Fax ______________________________________ Home Phone Number _______________________ Work Phone Number ________________________ Cell Phone Number _________________________ Email Address _____________________________ No. of Adults in move _______ No. of Children ____ Next Date of Home Finding Trip________________ Expected Moving Date _______________________
Current Property Information Client is a _________________ Estimated Property Listing Price ______________Client Must Sell ___________ Has Client been Pre-Qualified?___________________ Lender Information ______________________________ Reason for Moving ____________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Desired Property Information Price Range _______________ Estimated Down Payment___________ Desired Monthly Payment __________ Preferred Home Style: Single Family Home _____ Condo/Town Home _____ Other ______________________ Number of Bedrooms _______ Number of Baths ________ SquareFootage _____________________________ Familiar with the area?_______________ Preferred Area _____________________________________________ School Requirements: Elementary ________ Jr. High _________ Sr. High_________ College ________________ Additional Requirements _______________________________________________________________________ ____________________________________________________________________________________________ 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 _______ Commission ________ Referring Agent Signature________________________________________ Date________________________ Receiving Agent Signature________________________________________Date________________________
Real Broker, LLC accepts this referral once sale is complete. At that time we agree to send ____ % of gross buying / listing (circle one) side of the sale. Details of sale enclosed with referral check.