Your Name * First Name Last Name Your email * What is the Buyer Agent Compensation? (numbers only - IE 2.5) * Please confirm to our Buyers Agent Admin Fee of $500 * I agree to pay $500 Is your buyer client paying any portion of the compensation? If so, please verify amount in box below. * Yes No Amount buyer client is paying. What is the Ratification Date? * mm/dd/yy MM DD YYYY Name of Lender * Email address of lender * Preferred Title Company Office Location (we will assume the office closest to the property if not specified) * Buyer 1 Name (nickname if they go by a name other than what is listed in the contract) * Buyer 1 Email Address * Buyer 1 Phone * (###) ### #### Buyer 2 Name (nickname if they go by a name other than what is listed in the contract) * Buyer 2 Email Address * Buyer 2 Phone * (###) ### #### Notes/Comments/Additional Information (please add referral information, transaction-specific notes, inspection details, etc) * Thank you for submitting the Contract to Close - Buyers Agent Form. A member of our team will be in touch with you within 24hrs. Contract to Close - Buyers Agent
