Agent Information
Agent Name
Company
Company Type
National
Independent
Discount
Address
City
State
Zip code
Home Phone
Work Phone
Fax
E-mail
1. Is your real estate license active and in good standing?
(Yes)
2. Has your license ever been suspended?
(Yes)
3. Total number of years your license has been active?
4. Please send me Buyers referrals
(Yes)
5. Please send me Seller referrals
(Yes)
6. Lowest acceptable commission
6%
5.5%
5%
4.5%
4%
3.5%
3%
2.5%
2%
Or flat fee of $
7. What is the approx. number of homes sold by you in the last 12 months?
8. Which MLS do you belong to?
9. Please list 4 zip codes you would like referrals from.
1:
2:
3:
4:
Agreement
For every listlow.com seller referral that closes, I agree to pay listlow.com a 20% referral fee of the listing side.
For a buyer referral that closes, I agree to pay listlow.com a referral fee of 25% for homes over $100,000 and 20% for homes under $100,000. Further, I agree to provide listlow.com with a progress report via fax, phone or E-mail prior to the 7th day of each month.
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