RR Referral Form

RR Referral Form

Referral Form

Please fill out thoroughly and accurately.
Sending Office Name
Sending Agent Name
Sending Brokerage Name
Sending Brokerage City/State
Sending Office Phone

Area CodePhone Number
Sending Agent Cell Phone

Area CodePhone Number
Sending Agent Email
example@example.com
Sending Office Tax ID
Make Check Payable to
Receiving Office Name
Receiving Agent Name
Receiving Brokerage Name
Receiving Brokerage City/State
Receiving Office Phone Number

Area CodePhone Number
Receiving Agent Cell Number

Area CodePhone Number
Receiving Agent Email
example@example.com
Referral Client Information
Is the referral for a Buyer or Seller?
Seller Name(s)
Seller Phone Number

Area CodePhone Number
Seller Email(s)
example@example.com
Reason for Moving
Expected Launch Date

MonthDayYear
Date
Property Address
City/State
Number of Beds
Number of Baths
Square Footage
Year Built
Lot Size
Buyer Name(s)
Buyer Phone Number

Area CodePhone Number
Buyer Email(s)
example@example.com
Reason for Moving
Expected Move Date

MonthDayYear
Date
Date of Next Home Finding Trip

MonthDayYear
Date
Price Range
Have they been prequalified (yes or no)
Lender Name
Lender Phone

Area CodePhone Number
Lender Email
example@example.com
Requested # of Beds
Requested # of Baths
Requested Square Footage
Is client familiar with area?
Any additional requirements?
Agreed on Referral Fee?
Should be Empty: