Buyer Representation Request

Buyer Representation Request
Please fill in the details below for the drafting of your contract. This is an additional $25 service due upon submission of this form.

All options are below but only fill out what you need. Some of the fields will be filled in with the information defaulted if not updated for your convenience.
Agent Email address
example@example.com
Deadline for Offer

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Buyer 1 Full Name
Buyer 1 Email
Buyer 1 Phone Number
Buyer 2 Full Name
Buyer 2 Email
Buyer 2 Phone Number
Address for Buyer if any
Market Area (counties, address, etc)
Term for Contract Beginning

MonthDayYear
Term for Contract Ending

MonthDayYear
Brokers Fee Sale % or $ (3% if blank)
Brokers Fee Lease % or $ (30% if blank)
Additional Compensation if any
Protection Days (60 if blank)
County (Broker's address county if blank)
Representations: employer, relocation company, etc if any
Intermediary Status
Addenda Needed (IABS always and will confirm broker required documents)

Other
Special Provisions
Any other details needed?

Buyer Representation Document Draft

$25.00

Enter coupon

Total

Payment Methods

Debit or Credit Card

ACH Bank Transfer