CONTRACT AND XXXXXXX MONEY RECEIPT. Receipt of ❑Contract and ❑$ Xxxxxxx Money in the form of is acknowledged. Escrow Agent: Date: By: Email Address Telephone ( ) Address Facsimile: ( ) City State Zip Initialed for identification by Xxxxx and Seller BROKER INFORMATION Other Broker Firm represents ❑ Xxxxx only as Xxxxx’s agent License No. Listing Broker Firm License No. represents ❑ Seller as Listing Broker’s subagent ❑Seller and Buyer as an intermediary ❑ Seller only as Xxxxxx’s agent
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CONTRACT AND XXXXXXX MONEY RECEIPT. Receipt of ❑Contract and ❑$ Xxxxxxx Money in the form of is acknowledged. Escrow Agent: Date: By: Email Address Telephone ( ) Address Facsimile: ( ) City State Zip Initialed for identification by Xxxxx and Seller BROKER INFORMATION Other Broker Firm represents ❑ Xxxxx only as Xxxxx’s agent License No. Listing Broker Firm License No. represents ❑ Seller as Listing Broker’s subagent ❑❑ Seller and Buyer as an intermediary ❑ Seller only as Xxxxxx’s agent
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