TM Referral Agreement Request
Your Name:
*
First Name
Last Name
Your Email Address: (you will get a copy of this form once submitted)
*
example@azhomes.com
Is this Referral an:
*
Incoming Referral (is another agent sending you this client)
Outgoing Referral (are you sending this client to another agent)
Do we currently have a listing file for this seller or are we currently under contract for this Buyer?
*
Yes
No
If yes: What is the property address:
*
Receiving Brokerage Name:
*
Receiving Agent Name:
*
Receiving Agent's Office Address:
*
Receiving Agent Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Receiving Agent Email
*
example@example.com
Client Name:
*
Client Address
Client Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Client Email
example@example.com
Is this client a:
*
Buyer
Seller
Referral Fee Amount (in % of $):
*
Additional Terms or Conditions of Referral:
Term Start Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Term Expiration Date (may not be more than 1 year):
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Do you have the client's consent to initiate the referral:
*
Yes
No
Is the client represented by a Relocation Company:
*
Yes
No
Once document is signed, do you want TM Team to deliver to cross agent?
*
Yes
No
Additional info/notes for TM Team:
Attach additional documents here if we do not already have them. (If we have the documents, please do not upload) ie...contract, BINSR, Bids, etc.
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