Offer Acknowledgment

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OFFER ACKNOWLEDGMENT & REGISTRATION FORM
If offer is to be presented complete Part A, B and C
If offer is to be registered as a backup complete Part A and C only
Agent Name:________________________ Cooperating Office:_____________________________
Agent Email Address_________________________________________
A
Office Phone:_______________________________ Office Fax:____________________________
The following offer is being made on the property located at:
Address:_________________________________________________________ML#____________
Listing Broker________________________________Phone________________Fax____________
B
1) Purchase Price
$_________________________________________
2) Good Faith Deposit
$_________________________________________
3) Down Payment
$_________________________________________
4) Subject to a Mortgage
$_________________________________________
5) Cash on Closing
$__________________________________________
Additional Terms and
Conditions:_____________________________________________________________________
In signing this form, Sellers are not accepting or rejecting this offer.
I/We__________________________________Homeowner (s) acknowledge that Listing Broker/Agent
(Print Seller’s Name)
____________________________________________has presented the above offer on our property.
(Print Listing Broker/Agent Name)
Acknowledgment of Offer by Seller/s _______________________________________ _________
(Seller’s Signature)
Date
C
If offer is not presented or accepted pursuant to Rule# 703.1, is offer to be registered as a backup offer?
Yes_____ No_______
Listing Broker must notify those with registered backup offers immediately if original deal falls through.
Form Received by ___________________________ ________________________________
______
Name
Listing Office
Date

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