Agreement of prospective tenant to pay commission. [Realtor's name and address, and date] Data as to Prospective Tenant Furnished _________ Unfurnished _________ Family consists of _________ Date required _________ Name _________ Residence _________ Business _________ Phone (Res.) _________ Phone (Bus.) _________
Prospective Rentals Address Avail Rooms Price Key At
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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 _________