Broker Referral

Real Estate Broker Participation Form

Auction *

Auction Date *

Auction Property Address

Street Address

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Opening Bid *

Buyer Information

Buyer Name *

First Name

Last Name

Buyer Address *

Street Address

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Buyer Daytime Phone *

Area Code

Phone Number

Buyer Cell Phone *

Area Code

Phone Number

Buyer Email *

Buyer Fax

Area Code

Phone Number

Real Estate Broker Information

Broker Name *

First Name

Last Name

Broker Address *

Street Address

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Company Name *

Real Estate Broker Name and License *

State *

Tax ID *

Broker Daytime Phone *

Area Code

Phone Number

Broker Cell Phone *

Area Code

Phone Number

Broker Email *

Broker Fax

Area Code

Phone Number

Broker Acknowledgement

I expressly acknowledge and agree to the following Terms and Conditions: 1. I have read, signed, and agree to be bound by, the Terms and Conditions of Participation for the Auction Sale of the above Property; 2. Two percent (2%) of the Bid Price(s) will be paid to a qualified Licensed Real Estate Broker (“Broker) whose registered Buyer’s offer(s) is accepted by the Seller and closes on the Property(s). To qualify for a commission, the Broker must first register their prospect on this MANDATORY REAL ESTATE BUYER BROKER PARTICIPATION REGISTRATION form. this form must be received by the office 24 hours prior to the auction. NO LATE REGISTRATIONS WILL BE ACCEPTED. Brokers/Agents are required to attend the auction with the registered client(s) as well as any open houses or private showings he/she attends. Prospects who have had previous contact with the auction company of the Seller are not eligible. Commissions will be paid only after closing and after Circle C Auction Company LLC has been paid in full. If a cooperating Broker has not met all of these requirements, no commission will be paid to the cooperating Broker, even if the cooperating Broker’s client purchases the Property(s). No oral registrations will be accepted. Under no circumstances whatsoever will any commission be paid if the sale does not close for any reason. IF the total sales commission is reduced in order to negotiate a successful sale, the 2% Broker Participation will be reduced on an equal pro-rata basis. 3. The Licensed Real Estate Broker above acknowledges that it represents the Buyer, not the Seller, in the above referenced Auction and agrees to indemnify and hold harmless the Seller, and Circle C Auction Company LLC from any claims, costs, and expenses, including attorney’s fees, arising out of any acts performed or representations made by them in connection with the participation at the Auction of the purchase and sale of the above references Property(s) purchased at the Auction or otherwise. By checking this box, I acknowledge that I have read and understood the Broker Acknowledgement above.

Terms and Conditions Acknowledgement *

I acknowledge that I have read and understand the Broker Acknowledgement

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