Real Estate Referral Form

Client Referred
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Fax Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Client Particulars
Property Needs*
Is this property for the client’s personal use, or is it intended as an investment?*
Referring Broker/Agent Prior Experience with this client*
Comments
Signature

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By signing,you understand that a referral fee will be paid to you, the referring agent, only upon closing of a transaction relating to the information provided in this form. Under TREC rules, referral fees can only be paid to active real estate brokers/salespersons. Unless otherwise agreed to in writing, any referral fee will constitute exactly 20% of any one transaction.
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