Referral Sheet Template

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Your Company Name
Your address
Your Phone number/fax/email etc.
REFERRAL SHEET
The following information should be completed and faxed to Your Company Name when a
Realtor is referring a client interested in a rental property, rent with option to buy or in leasing their
property .
Referring Agent:
Phone:
Real Estate Office:
Fax:
Address:
Date of Referral:
REFERRAL INFORMATION:
Name(s):
Address:
Phone:
(day)
Phone:
(evening)
Referral is a Prospective…
____
Te nant
____
Landlord
____
Othe r _________________________________
Please give us a little information on the prospect’s needs or situation:
A referral fee of $200.00 will be paid to the above agent/broker when a contract/lease is signed.

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