DISCLOSURE AND FEE AGREEMENT FOR NON-LISTED PROPERTY SALE (Form 573)
Broker Name
*
Broker Email
*
example@example.com
Co-Broker Name
Co-Broker Email
Seller Name
*
Seller - Business Entity
*
Seller is owner of property
*
TMP will be acting as
*
a Seller's Agent
a Buyer's Agent
With respect to (Buyer)
With respect to
any prospect Firm registers with Seller as evidenced by a registration document
Seller Fee
*
Percent of gross sales price
Expiration Date
*
-
Month
-
Day
Year
Effective end date
Seller Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Seller Telephone Number
*
-
Area Code
Phone Number
Fax Number
-
Area Code
Phone Number
Seller Email
*
example@example.com
Additional Notes
Form Needed By
*
-
Month
-
Day
Year
Date
Save
Submit
Should be Empty: