OUTBOUND Referral Transaction Form

 

 

REALTOR INFORMATION                                                   

REFERRED CUSTOMER INFORMATION

 

 

ORIGINATING REALTOR

 

[  ] Listing           [  ] Lease           [  ] Buying

 

 

LN FL #3159330
E-Mail Address:      Belgeri@gmail.com  

Company Name: Coldwell Banker Residential RE

Phone No:  954 848 3540  Fax: 657 202-4773

Referring Associate:  Michael Belgeri

Phone No: 954 465 6069  Fax: 657 202 4773         

 

Customer Name:                                                                                

 

Company Name:                                                                                               

Address:  ___________________________________

 

Home Phone: ______________Office Phone:

Referral Needs: _____________________________________            

__________________________________________________

 

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DESTINATION REALTOR

 

 

PC #:                        E-Mail Address: _____________________                                                                              

Company Name:                                                                                                               

 

Address:                                                                                                               

 

                                                                                                                                               

 

                               

 

Assigned Associate:                                                                           

 

Phone #:                                       Fax #:____________________

 

Referral Coordinator: ________________________________

 

Phone #:                                       Fax #:____________________

 

***********************************************************************************************************

 

The referring company and sales associate agrees to accept and the receiving company and sales associate agrees to pay a referral fee in the amount of 25% percent of gross commission received as per the terms of this agreement.  Referral fee shall be paid directly to referring agent’s broker and only after a transaction is consummated and payment of subject commission has been received. In the event a transaction has not been consummated within 120 days of this date, or any written extension thereof, this referral shall expire.

 

In the event the Company is obligated to pay a referral fee to a third party on the above named client, by virtue of a prior written agreement, this referral agreement will become null-and-void.  The receiving sales associate will be only obligated to pay a referral fee to the third party identified within the written agreement with the Company.

 

REFERRAL ACCEPTANCE

 

Referring Associate Signature: _Michael Belgeri

 

                Date: ______________

                                                                                               

Receiving Associate Signature:  _________________________

 

 

                Date: ______________

 

 

 

INBOUND Referral Transaction Form

 

 

REALTOR INFORMATION                                                   

REFERRED CUSTOMER INFORMATION

 

 

ORIGINATING REALTOR

 

[  ] Listing           [  ] Lease           [  ] Buying

 

 State Real Estate License No:  _________________

E-Mail Address:   _________________________

 

Company Name: _________________________

 

Phone No:  ______________

 

 Fax: __________________

 

Referring Associate:  ________________________

Phone No: _______________  Fax: ______________        

Customer Name:                                                         

 

Company Name:                                                                     

Address:  ___________________________________

 

Home Phone: _______ Office Phone:___________________

 

Referral Needs: _____________________________________ _______ _________________________________________

 

************************************************************************************************************

 

DESTINATION REALTOR

 

 

E-Mail Address:      Belgeri@gmail.com  

Company Name: Coldwell Banker Residential RE

 

Address: 1760 Bell Tower Ln, Weston FL 33326        

 

LN FL #3159330
Assigned Realtor:  Michael Belgeri

Phone No:  954 848 3540  Fax: 657 202-4773

Referring Associate:  Michael Belgeri

Phone No: 954 465 6069  Fax: 657 202 4773         

 

 

***********************************************************************************************************

 

The referring company and sales associate agrees to accept and the receiving company and sales associate agrees to pay a referral fee in the amount of 25% percent of gross commission received as per the terms of this agreement.  Referral fee shall be paid directly to referring agent’s broker and only after a transaction is consummated and payment of subject commission has been received. In the event a transaction has not been consummated within 120 days of this date, or any written extension thereof, this referral shall expire.

 

In the event the Company is obligated to pay a referral fee to a third party on the above named client, by virtue of a prior written agreement, this referral agreement will become null-and-void.  The receiving sales associate will be only obligated to pay a referral fee to the third party identified within the written agreement with the Company.

 

REFERRAL ACCEPTANCE

 

Receiving Associate Signature:       Michael Belgeri

 

               Date: ______________

                                                                                               

 

Referring Associate Signature:  _________________________

 

 

               Date: ______________