Referring Office
     * Required Fields
* From:
* Firm Name:
* Address:
* City: * State: * Zip:
* Business Phone:
Cell Phone:
Fax:
* E-mail:
 

  Buyers Information
     * Required Fields
* Buyer's Name:
* Current Address:
* Current City: * State: * Zip:
* Home Phone:
Cell Phone:
Business Phone:
Fax:
E-mail:

Future Property
Preferences:
   Property Type


   Price Range
$1-100K
$100-200K
$200-300K
$300-400K
$400-500K
$500-999K
$1,000,000+


Number of People
In Family

   Adults
   
   Children
New Employer:
Address:
City: State: Zip:
Phone Number:

Must current home
be sold first?


Expected Arrival Date:
Expected Moving Date:
Comments:


REALTOR'S ACCEPTANCE OF REFERRAL

Referring Office: Broker/Sales Associate Signature______________________________

Date:__________________

We accept this referral, and when sale is successfully closed, we agree to send 25%, plus bonus as indicated in payout scale. All referral and bonus payments will be based on the final HUD closed price. I will enclose details of sale with check.

A copy of this Realtor's Acceptance of Referral will be emailed back to you when a referral is received.

Jed. A. Shaw
Cedar Point Realty
PO Box 1401
Walker, MN 56484
218-547-0717
502 Minnesota Ave. - Walker MN 56484