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Azusa Agent Application





► Authorized Broker: YesNo
► Should we Offer a "Flat Fee Option" YesNo

► What the mimimum Flat Fee Fee Amount you charge?
► What would you be willing to pay for Flat Fee Fee referral?


Primary State Covered:
Primary State:
► Do you service a Second State? YesNo
► Service Offered: BuyerSellerBoth

Buyer Representation Information
► Do you offer a "Buyers Rebate" YesNo


Seller Representation Information
► Do you offer Full Service Listings?: YesNo

► What is your minimum Full Service Fee?:
► Will you accept 1% Full Service Listings YesNo
► Do you Have Listing Agents? YesNo?



Second State Covered:
Second State:
► Do you service a Third State? YesNo
► Service Offered: BuyerSellerBoth

Buyer Representation Information
► Do you offer a "Buyers Rebate" YesNo ?


Seller Representation Information
► Do you offer Full Service Listings?: YesNo

► What is your minimum Full Service Fee?:
► Will you accept 1% Full Service Listings YesNo
► Do you Have Listing Agents? YesNo?



Third State Covered:
Third State:
► Service Offered: BuyerSellerBoth

Buyer Representation Information
► Do you offer a "Buyers Rebate" YesNo


Seller Representation Information
► Do you offer Full Service Listings?: YesNo

► What is your minimum Full Service Fee?:
► Will you accept 1% Full Service Listings YesNo
► Do you Have Listing Agents? YesNo



Add Message or NotesYesNo