Listing Broker Firm License No represents ❑ Xxxxx only as Xxxxx’s agent ❑ Seller as Listing Broker’s subagent represents ❑Seller and Buyer as an intermediary ❑ Seller only as Xxxxxx’s agent Associate’s Name License No. Listing Associate’s Name License No. Team Name Team Name Associate’s Email Address Phone Listing Associate’s Email Address Phone Licensed Supervisor of Associate License No. Licensed Supervisor of Listing Associate License No. Other Broker's Address Phone Listing Broker’s Office Address Phone City State Zip City State Zip Selling Associate’s Name License No. Team Name Selling Associate’s Email Address Phone Licensed Supervisor of Selling Associate License No. Selling Associate’s Office Address City State Zip Disclosure: Pursuant to a previous, separate agreement (such as a MLS offer of compensation or other agreement between brokers), Listing Broker has agreed to pay Other Broker a fee ( Initialed for identification by Xxxxx and Seller ). This disclosure is for informational purposes and does not change the previous agreement between brokers to pay or share a commission. OPTION FEE RECEIPT Receipt of $ (Option Fee) in the form of is acknowledged. Escrow Agent Date XXXXXXX MONEY RECEIPT Receipt of $ Xxxxxxx Money in the form of is acknowledged. Escrow Agent Received by Email Address Date/Time Address Phone City State Zip Fax CONTRACT RECEIPT Receipt of the Contract is acknowledged. Escrow Agent Received by Email Address Date Address Phone City State Zip Fax ADDITIONAL XXXXXXX MONEY RECEIPT Receipt of $ additional Xxxxxxx Money in the form of is acknowledged. Escrow Agent Received by Email Address Date/Time Address Phone City State Zip Fax
Listing Broker Firm License No represents Buyer only as Xxxxx's agent represents Xxxxxx and Xxxxx as an intermediary Seller as Listing Xxxxxx's subagent Seller only as Seller's agent Associate's Name License No. Listing Associate's Name License No. Licensed Supervisor of Associate License No. Licensed Supervisor of Listing Associate License No. Other Broker's Address Fax Listing Broker's Office Address Fax City State Zip City State Zip Associate's Email Address Phone Listing Associate's Email Address Phone Selling Associate's Name License No.
