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Refer A Seller

On-line Real Estate Seller Referral

Referring Broker / Agent   Name       Address       City       State  -  Zip     -       Email Address       Day Phone     (ex: 203-555-1212)     Evening Phone     (ex: 203-555-1212)       Seller’s Information   Name       Address       City       State  -  Zip     -       Day Phone     (ex: 203-555-1212)     Evening Phone     (ex: 203-555-1212)       Property Information   Address       City       State  -  Zip     -       Type of Property   Residential       Condominium     Multi-family       Land     Other           Currently Listed   Yes       No     Listed By       List Price       Occupied   No       By Owner       By Tenant     Tenant’s Name       Tenant’s Phone     (ex: 203-555-1212)     Broker / Agent Pref       Comments

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All information is kept in strict confidence and is neither shared with nor released to any outside persons or agencies.

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