Incoming Agent Referral Form

KELLER WILLIAMS REALTY REFERRAL INFORMATION FORM
Your Email (THIS DOES NOT GET PUT ON THE FORM)
example@example.com
YesNo
Which Team Member? (THIS DOES NOT GET PUT ON THE FORM)
How did you hear about us? (THIS DOES NOT GET PUT ON THE FORM)
SENDING AGENT OFFICE INFORMATION
Agent Name
Brokerage/Team Name
Street Address
City, State Zip
Office Phone
Format: (000) 000-0000.
Mobile Phone
Format: (000) 000-0000.
Email
example@example.com
Tax ID
What type of client is this?
SECTION 2 - SELLER INFORMATION
Seller Name
Seller Street Address
Seller City/State/Zip
Seller Office Phone
Format: (000) 000-0000.
Seller Mobile Phone
Format: (000) 000-0000.
Seller Email
example@example.com
When to Make Initial Contact
Property Address to Be Listed
Additional Helpful Information About Seller Referral?
SECTION 3 - BUYER INFORMATION
Buyer's Name
Buyer Street Address
Buyer City/State/Zip
Buyer Mobile Phone
Format: (000) 000-0000.
Buyer Email
example@example.com
Buyer Preferred Location
Price Range
Additional Helpful Information About Buyer Referral?
Anything else we need to know to be successful? (THIS DOES NOT GET PUT ON THE FORM)
WE ACCEPT THIS REFERRAL, AND WHEN THE SALE IS CONSUMMATED, WE AGREE TO SEND 25% (OF THE GROSS COMMISSION) REFERRAL FEE. WE WILL ENCLOSE DETAILS OF THE SALE WITH THE CHECK.
Should be Empty: