ARE YOU CURRENTLY UNDER CONTRACT WITH ANOTHER REAL ESTATE AGENT?

YOUR INFORMATION - TENANT 1

YOUR COMPLETE NAME

This should match the ID you will use.

EMAIL (1)

PHONE (1)

(###)

###

####

YOUR CURRENT ADDRESS (1)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

INFORMATION - TENANT 2

COMPLETE NAME - TENANT 2

This should match the ID that tenant 2 will use.

EMAIL (2)

PHONE (2)

(###)

###

####

CURRENT ADDRESS (2)

If same as above, leave blank.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

IS ANY EMPLOYER, RELOCATION COMPANY, OR OTHER ENTITY THAT WILL PROVIDE BENEFITS TO CLIENT WHEN ACQUIRING PROPERTY IN THE MARKET AREA?

If you are not sure what this question means, answer: "I'm not sure".

IF YOU ANSWERED YES, PLEASE NAME THE COMPANY PROVIDING BENEFITS:

Who pays us?

No tricks, no funny business. It is common for our clients buying or renting homes to enjoy our services without paying a commission. If you have questions about this, please feel free to ask us.

REPRESENTATION

Who pays us?