SRS BBA Single Property Form

BUYER-BROKERAGE REPRESENTATION AGREEMENT - SINGLE PROPERTY

EQUAL HOUSING OPPORTUNITY

This agreement is designed to allow a buyer to engage a qualified, licensed professional for the purpose of viewing property, and receiving contract negotiation and advocacy services throughout the entire real estate offer and purchase process, for the property described below.

1.      PROPERTY. The undersigned buyer (“Buyer”) engages the undersigned brokerage firm (“Broker”) to represent Buyer concerning the property located at:   *
(“Property”).

2.      LENGTH OF AGREEMENT. This agreement shall begin on the date last signed by Buyer and Broker, and will automatically end on Date* (at 11:59 p.m.), or upon the closing or termination of any then-pending transaction, whichever is later (the “Term”).

3. AGENCY DISCLOSURE. The agency relationship between Buyer and Broker determines how Broker will work on Buyer’s behalf. Broker’s agency relationship with Buyer is disclosed and documented in a separate disclosure/form.

4. BROKER FEE. Buyer agrees to pay the Broker Fee, as provided below (the “Broker Fee”). The Broker Fee is not set by law and is fully negotiable. The Broker Fee shall be due and payable upon successful closing. Broker will request to have the Broker Fee paid by the seller of the Property by including the Broker Fee as a part of any offer, if requested by Buyer. The Broker Fee will never exceed the amount specified below. If Buyer enters into an agreement to purchase the Property within Thirty (30) days following the expiration or earlier cancellation of this agreement, then Buyer shall pay the Broker Fee to Broker upon closing. The Broker Fee shall be in U.S. currency and paid at the time, and as a condition, of closing. This agreement shall act as escrow instructions for payment of the Broker Fee to Broker. This Section 4 shall survive the expiration or earlier cancellation of this agreement. The Broker Fee is (fill only one):

% of the gross purchase price of the Property (as reflected on the final settlement statement); or Exactly $ .

5. FOR BEST EXPERIENCE. Buyer is encouraged to work exclusively with Broker concerning the purchase of the Property; to be accompanied by Broker on the first visit to the Property; and to conduct all negotiations for the Property in good faith and exclusively through Broker.

Percentage %; orFlat Fee $

6. ADDITIONAL TERMS*

7. OTHER BUYERS Buyer acknowledges that Broker may represent multiple buyers interested in the Property listed above.

BY SIGNING BELOW, Buyer and Broker agree to the terms set forth in this agreement.

Buyer 1 Signature*

Buyer 1 Printed Name*

Date*

Date

Buyer 1 Telephone*

Format: (000) 000-0000.

Buyer 1 Email*

example@example.com

Buyer 2 Signature

Buyer 2 Printed Name

Date

Buyer 2 Telephone

Format: (000) 000-0000.

Buyer 2 Email

example@example.com

Broker: Shelby Realty Services (Firm Name)

Designated Agent Name*

Designated Agent Signature*

Date*

Date

Designated Agent Email*

example@example.com

Designated Agent License Number*

Designated Agent Phone*

Format: (000) 000-0000.

TD Email

example@example.com

Agent BBA Email

example@example.com