Mitchell & Associates Real Estate Buyer Referral Form printable pdf download

Mitchell & Associates Real Estate Buyer Referral Form

Mitchell & Associates Real Estate ~ Buyer Referral Form

Receiving Office:

Mitchell & Associates Real Estate

331 Bridge Street

Bigfork, MT 59911

Joyce Mitchell/Broker/Owner

Broker License #7857

Phone: 406-837-1800

Fax: 406-837-1808

Referring Office:

Company Name: ___________________________________________________________

Sales Associate/Broker Name: ________________________________________________

License#: _________________________

Address: ___________________________________________________________________

City: __________________________________ Province: ________________ Postal Code: ______________

Client Information

Name: _______________________________________________

Street Address: ____________________________________________________________________________

City: __________________________________ Province: ________________ Postal Code: ______________

Home Phone: ________________________________ Business Phone: _______________________________

Mobile Phone: _________________________________ Email address: _______________________________

Address of Property of Interest: _______________________________________________________________

Comments regarding Buyer’s interests: _________________________________________________________

REFERRAL ACKNOWLEDGMENT: Complete form and fax to 406-837-1808 or email:

Agreed upon fee of 30% from the Selling Commission.

I hereby accept the above referral: Signature: ________________________________ Date: ____________

FINAL DISPOSITION OF REFERAL RECEIVED: __________________________________________

Our Check# ________________ for $ _________________________ representing 30% of the commission

received on this transaction.

Sale Price: ________________________________ Selling Commission at Closing: _________________

Address of Property Purchased: _______________________________________________________________

__________________________________________________________________________________________

Mitchell & Associates Real Estate Buyer Referral Form