Agreement of prospective tenant to pay commission. [Realtor's name and address, and date] Data as to Prospective Tenant Furnished _________ Name _________ Unfurnished _________ Residence _________ Family consists of _________ Business _________ Phone (Res.) _________ Date required _________ Phone (Bus.) _________ Prospective Rentals Address Avail Rooms Price Key At ...................................... ...................................... ...................................... ...................................... ..................................... ...................................... ...................................... ...................................... ...................................... ..................................... ...................................... ...................................... ...................................... ...................................... ..................................... I acknowledge having received above information from _________ Company, and in consideration of it and in the event that I rent, lease or purchase any of the above-listed properties, I agree to do so through the office of _________ Company, and to pay them their regular commission as fixed by the _________ Real Estate Board. _________ Company By _________, Salesman Signed _________