One To Four Family Residential Contract Resale Page 9

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Contract Concerning
Page 9 of 9
12-05 -2011
(Address of Property)
BROKER INFORMATION
Other Broker Firm
License No.
Listing Broker Firm
License No.
represents
Buyer only as Buyer’s agent
represents
Seller and Buyer as an intermediary
Seller as Listing Broker’s subagent
Seller only as Seller’s agent
Licensed Supervisor of Associate
Telephone
Licensed Supervisor of Associate
Telephone
Associate
Telephone
Listing Associate
Telephone
Other Broker's Address
Facsimile
Listing Broker’s Office Address
Facsimile
City
State
Zip
City
State
Zip
Associate Email Address
Listing Associate’s Email Address
Selling Associate
Telephone
Selling Associate’s Office Address
Facsimile
City
State
Zip
Selling Associate’s Email Address
Listing Broker has agreed to pay Other Broker
of the total sales price when the Listing Broker’s
fee is received. Escrow agent is authorized and directed to pay other Broker from Listing Broker’s fee at closing.
OPTION FEE RECEIPT
Receipt of $
(Option Fee) in the form of
is acknowledged.
Seller or Listing Broker
Date
CONTRACT AND EARNEST MONEY RECEIPT
Receipt of
Contract and
$
Earnest Money in the form of
is acknowledged.
Escrow Agent:
Date:
By:
Email Address
Telephone (
)
Address
Facsimile: (
)
City
State
Zip
Initialed for identification by Buyer
and Seller
TREC NO. 20-11

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