Buyer Representation Agreement Request (New Jersey)
Kindly fill out the form below with the essential details to the best of your knowledge. Our Operations Team is available to assist during business hours (Monday–Friday, 9am–6pm). Please allow a 3-hour lead time for requests. Requests made after 3:00 pm may be processed the next business day.
Buyer's Agent Name
*
First Name
Last Name
Buyer's Agent Email:
*
example@example.com
Back
Next
BUYER INFORMATION
Buyer Type:
*
Please Select
Individual
Trust
Entity (LLC, Corp, Other)
Probate / Court Administration
Power of Attorney
Buyer's Full Name
*
First Name
Last Name
Buyer Email
*
example@example.com
Buyer's Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Trust Name:
*
Trustee is Successor?
*
Yes
No
Trust - Client title:
*
Trustee
Other
Entity Name:
*
Entity - Client title:
*
CEO
Partner
Managing Partner
Other
Estate Name:
*
Probate / Court Administration - Client title:
*
Administrator
Executor
Concervator
Other
Authorized Signer / Attorney in Fact:
*
First Name
Last Name
Authorized Signer / Attorney in Fact Email:
*
example@example.com
Is there more than one Buyer?
*
Please Select
No
Yes
Buyer #2 name:
First Name
Last Name
Buyer #2 email address:
example@example.com
Buyer #3 name:
First Name
Last Name
Buyer #3 email address:
example@example.com
Buyer #4 name:
First Name
Last Name
Buyer #4 email address:
example@example.com
Back
Next
AGREEMENT DETAILS
Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
Date
Commission Type:
*
Percentage
Dollar Amount
Buyer's Agent Commission:
*
Requests for agreements with 0% (zero) commission will not be processed. If the seller is paying the commission, you must still indicate a commission percentage. Should the seller offer a higher commission than the percentage you’ve specified, you will be responsible for rebating the difference.
Relationship with Buyer:
*
Exclusive basis
Non-exclusive basis
Restrict to location or properties?
Specific location or area.
Specified properties only.
Minimum Price
*
Maximum Price
*
Protection Period:
*
Specify the number of DAYS for the "Protection Period".
Agency Disclosure (choose one option):
*
Buyer's Agent Only
Buyer's Agent and Disclosed Dual Agent If the Opportunity Arises
Buyer's Agent and Designated Agent If the Opportunity Arises
Retainer Fee (choose one option):
*
Buyer will pay Broker NO retainer fee
Buyer will pay a non-refundable retainer fee
Non-refundable retainer fee amount:
*
If a Seller is offering to pay Broker an amount less than the commission Buyer has agreed to pay Broker, Buyer directs Broker to do the following (check all applicable instructions):
*
Introduce Buyer to all properties that Broker believes would be acceptable to Buyer, regardless of the commission being offered by Seller to Broker.
Do not introduce Buyer to any properties where the following condition(s) exist. Please specify these specific conditions in the "Additional Details field".
Include in any offer to Seller that Seller will pay the Broker's commission.
Other
Additional Details:
Add additional terms or notes about the agreement for your internal records
Back
Next
PROPERTY SEARCH PARAMETERS
Property Types:
*
Condo
Co-op
Single/Townhouse
Multi-unit
Other
Property Location(s):
*
Property Description:
*
Submit
Should be Empty: