Counts Real Estate Group, Inc - OUTGOING REFERRAL
2104 Thomas Drive, Panama City Beach, FL 32408 | OUTGOING ADMIN: Melita Brantley (850)231-1483
Receiving Broker Info
Date Received
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Month
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Day
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Broker Name
Receiving Agent
Receiving Contact Info
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Customer Information
Customer Name
Customer Phone
Current Home Info
Customer Address
Address, City, State, Zip
Referral Type
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Buyer
Seller
Reseller
If LISTING = Referral
Listing Address, City, State, Zip
Property Type
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Condo
Land
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My Referring Associate Info
Date Assigned
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Date
Referring Agent
Referring Office
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30A
Inlet Beach
PCB
Panama City
Agent Phone
Agent Email
IF Buyer Referral
Destination City, State
Property Type
SFR
Condo
Land
Multi
Bed/Bath/Other Requirement Notes
Children
Number of Children and Ages
Job Transfer?
If so, Employer?
ADDITIONAL NOTES
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