Broker/Client Registration Form

Brokerage Firm: ______________________________________ Lic. #_________________________

Broker/Salesperson: ___________________________________ Lic. #_________________________

Brokerage Address: __________________________________________________________________

Brokerage Phone: ______________________     Fax: __________________

Client’s Name: ___________________________________________________

Address: ______________________________________________________
 

The above brokerage firm and Broker/Salesperson hereby registers the above client as a potential purchaser of the following Homes to Ranches Realty, Inc., auction properties:

Auction Property:   10584 Oak Meadow Lane. Lake Worth, FL 33467

I understand that according to the terms and conditions of the sale, I will be paid a 3% commission on the final bid price at closing if my Client is the successful bidder who pays for and closes on the property. It is understood and agreed that the Client must acknowledge my representation by signing this agreement. I understand that to qualify for this commission, this registration form must be received by the Auction Company 48 hours prior to the day of the auction and that I must attend the auction with my client or as a representative for my client.

I understand that this property may be eligible for a short sale. If property sell by short sale commissions may vary.

As Broker/Salesperson, I am representing my Client, the buyer, and not the seller. I shall hold harmless and indemnify Homes to Ranches Realty, Inc., agent for the seller, and the seller from any and all claims, costs or expenses, including reasonable attorney’s fees, which may arise out of any actions or inaction’s or representations made by me in connection with the sale of this property.

The signatures below indicate acceptance of the above terms and conditions by both Broker/Salesperson and Client.

______________________________                         ___________________________

Broker/Salesperson                                                                          Date

______________________________                         ___________________________

Client                                                                                                     Date