My Rental Tour Referral Agreement
This is a:
Rental Tour Referral
Buying referral
Client Information
Client Name #1
Client Name #2
Home Address
Home City
State
Home Phone
Zip
Mobile Phone
Additional Phone
Email Address #1
Email Address #2
REALTORS® ACCEPTANCE OF REFERRAL We accept this referral. Please complete, sign and return a copy of this agreement to the Sending Office. Office Sending Referral
Office Receiving Referral
Steven R. Rice, PLLC
Agent Name
Agent Name
Keller Williams Southern Arizona
Company Name 3264 N Country Club
Company Name
Address
Address
Tucson, AZ 85716
City/State/Zip
City/State/Zip
520.618.7331
Business Phone
Business Phone
Home Phone
Home Phone
520.306.5955
Fax Number
Fax Number
[email protected]
E-mail Address
E-mail Address
27-629664
Tax ID (if business)
Tax ID (if business)
SS# (if individual)
SS# (if individual)
Receiving Agent Signature Receiving Broker Approval (if applicable)
Date Date
Sending Agent Signature Sending Broker Approval (if applicable)
Date Date
Rental/Buyer Client Profile
Preferred Location Size and Type of Home Desired Price Range
Cash Available for Purchase
New Employer Contact Client at
Number of Adults in Family Number of Children in Family
Ages
Must Home be Sold First? Target Moving Date Any Other Special Needs/Wants Is a 3rd Party Relocation Company Involved?
Is This a "Next Move Help" Client?
Yes
No
Listing Client Profile
Subject Property Address Number of Bedrooms
Number of Bathrooms
Approx. sq footage
Property upgrades or amenities
Additional Comments
