Broker Referral Form

We always appreciate your referrals. Please complete the information below.

First name Last name Phone * Email Address * Office Address * What type of transaction is your client
looking to do? *

Broker License Number * Client's First Name Client's Last Name Client's Phone * Client's Email *

In consideration of the referral of the Client(s), Receiving Broker on behalf of themselves and the Receiving Brokerage Firm agrees that, in the event the Receiving Broker receives credit for any commission on any transaction conducted by the Client(s) within 12 months, Referring Broker is entitled up to 50% referral fee of that portion of the commission received by Receiving Broker (minus any marketing costs incurred by Receiving Broker) for representing the Client(s). Receiving Broker shall provide a completed W-9 upon request to the Referring Brokerage Firm.

Up to 50% Referral Fee

Broker Referral Form

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