LIBERTY REALTY LLC
Sales Rentals Investment Commercial
3444 John F. Kennedy Blvd
Jersey City, NJ 07307
BROKER - TO – BROKER
REFERRAL CONFIRMATION FORM
We refer you the following customer who is interested in SELLING/ BUYING/ RENTING
property in your area. Should the customer buy, sell or rent through your firm within 2 years of
the date of this referral form, you agree to pay the referral fee to the ORIGINATING BROKER.
Our referral agreement is outlined below. Kindly indicate your acceptance by signing and
returning a copy of this letter. You may return it via facsimile.
ORIGINATING BROKER DESTINATION BROKER
Company Name: LIBERTY REALTY, LLC Company Name:
TAX ID #:
Street Address: Street Address:
City, State, Zip Code: City, State, Zip
Referral Agent: Referral Agent:
MLS # MLS #
Cell Phone: Cell Phone:
Customer Name: ____________________________ Customer Address: __________________________________
Customer Phone/ E-mail/ Cell:____________________/___________________/__________________________
Housing requirements and price range: ________________________________________________________
The Brokers named herein agree if a transaction is fully executed by the Destination Broker, to the
customer named herein, the commission received by the Destination Broker shall be divided as follows:
1) Normal prevailing Board or Multiple listing fees shall be deducted from the commission in
accord with the listing Broker’s local Board practice.
2) The total commission received shall first be divided into selling and listing commission in
accord with normal split prevailing in the Broker’s multiple listing area.
3) The Referring Broker shall receive 30% of the listing OR selling commission from the
Destination Broker only after total commission has been computed as detailed above.
4) Status report updates in writing each week. Sales or rental information within 24 hours.
5) Completed referral form and referral fee to ORIGINATING BROKER within 5 days of close.
Originating Broker/ Manager Date Destination Broker Date
Referral Agent(s) Date Recipient Agent(s) Date
43 Montgomery Street, Jersey City, New Jersey 07302
525 Washington Street, Hoboken, New Jersey 07030
1 Marine View Plaza Corporate Center, Hoboken, New Jersey 07030