Referral Request

Referral Request Application
San Jose Buyer

Thank you for your interest in receiving my client referral. Please complete the online form below.

Agent Information:

* Indicates required field

Agent Name *

First

Last

Email *

Confirm Email *

Cell Phone *

Confirm Cell Phone *

Agent's BRE Number: *

Agent Website: *

Agent's Office: (ex: Re/Max, Keller Williams, etc.) *

Office BRE Number: *

Office Address: *

Office City: *

Office Zip: *

Agent Experience:

Are you a full-time Realtor or do you have other jobs? *

How long have you been a full-time Realtor? *

Are you available to show homes days, nights and weekends? *

If you are not able to show homes/manage transaction (vacation, family emergency, etc.), is there another agent in your office that can take over for you? *

How many purchase transactions did you close in 2017 (all areas)? *

Average price of homes closed (purchases) in 2017 (all areas)? *

Highest price of homes closed (purchases) 2017 (all areas)? *

How many homes did you close (purchases) in San Jose in 2017? *

Do you reside in San Jose, CA? If so, how long? *

Are you a member of San Jose MLS (MLS Listings)? *

Are you able to send me a MLS print out of all of your 2017 San Jose closed sales? *

Do you have any reviews online? *

Zillow/Trulia Facebook Other (Please indicate in "Questions/Comments" box below)

About My Client Referral:

My referral is looking in the $850k range. They would like an agent that is located in San Jose, CA.

Referral Fee:

I require a 35% referral fee. I would request you credit 20% of my 35% referral fee to buyer for buyer's closing costs and send me the remaining 15% of referral fee upon close of escrow.

Referral Fee: *

How did you hear about this referral opportunity?

How did you hear about this referral? *

Your Questions / Additional Comments:

Do you have any questions or additional comments? (Optional) *

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