Realtor Registration Form & Commission Agreement

DSD Homes appreciates the important role that real estate professionals play in our success and is pleased to cooperate with the brokerage community. To circumvent any potential miscommunications and to ensure that you are credited for the clients you introduce to our homes, please fill out our client registration form below.

Date

2010-07-31

Have You Spoken With a Sales Rep? *

Yes No

If Yes, Which Sales Rep? *

Buyer(s)

Name*

Address

City

State

Zip

Office Phone*

Home Phone

Fax

Alternate Phone

Best Time to Call*

Broker/Agent

Email*

Name*

Address

City

State

Zip

Office Phone*

Home Phone

Fax*

Alternate Phone

License Number*

Location

Property covered by this Commission Agreement:

Commission Agreement

Please call DSD Homes directly for current commission offerings.

Signature

By typing your name in the above box, you are submitting your signature online.

The REALTOR warrants that the above named buyer is aware that the REALTOR is registering him/her with the Builder whose name appears below and that all requirements regarding agency disclosures and representation or no agency contracts between the REALTOR and the buyer have been satisfied.

Builder

Company Name:		DSD Homes Inc.
Builder's License No:		CBC1254123
Office Address:		5580 8th Street W Suite 6&7
City:		Lehigh Acres
State:		FL
Zip		33971
Phone		(239) 369-9122
Fax		(239) 303-7720

DSD Homes does not negotiate any reduction in the selling price on any home to any buyer based on the fact that there is no referral Broker/Agent participation.

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