NATION WIDE REAL ESTATE INC/ LARRY T. GIDDENS
3799 S. Suncoast Blvd.
Homosassa Fl 34448
Phone: 1-352-628-7600
runaluck@tampabay.rr.com

BROKER PARTICIPATION FORM

For Property Address: 6697 W. Ray Ct. Homosassa Florida- Being a Vacant Lot.

 Date: _____________________ Broker Registration.

____________________________________________________________ (Brokerís Name) wishes to register.

Agents Name__________________________________________________ ( Wishes to Register )

____________________________________________________________ (Buyer Name) for property being offered in the

auction indicated above. The broker/agent shall be deemed to have earned a commission if all of the following conditions

have been met:

1. Broker must be licensed in the State of which the auction property is located.

2. Broker/agent registers prior to last business day of bidding.

3. Broker/agent shows the property to client or verifies that client has viewed the property or that agent has viewed
 the property as representative of the Client.

4. Broker/agent remains in contact with the client and processes sale until closing is complete.

5. Broker/agentís client is the highest and best bidder, places required deposit and signs real estate sales contract.

6. Broker/agent is not acting as a principal in this transaction.

7. Broker/agentís client closes the transaction in full in terms under the contract.

8. Broker/agent agrees that he/she will not claim any exceptions to the foregoing procedures.
9. Agent or Broker must state that buyer is aware of a Premium of $500.00 to be added to the winning bid.

Provided the above listed conditions are met in full at closing the undersigned broker will collect a commission of

$1,000.00   ( ONE THOUSAND DOLLARS ) for purchase made by the undersigned buyer.

Client Name_______________________________________________________________.
Address_________________________________________________________________
City, State, Zip Mailing Address_______________________________________________
Phone __________________________________________________________________
Email Address_____________________________________________________________


Client Signature____________________________________________________________
 Client is aware of a premium is to be added to His/Her/Their/ Bid if client is the winning bidder.
  Brokerís Firm Name_______________________________________________________
 Broker's Mailing Address____________________________________________________
 _______________________________________________________________________.
Phone_________________________________

Brokers Real Estate License Number________________ and Agent License number_________________
Agents Phone Number___________________________
Agents Name_____________________________________
City, State, Zip_______________________________________________________
Agents Email Address_____________________________________________________________
Agents Phone___________________________________.

Date Broker/Agent Signature__________________________________ Date__________/ ________

Agency Relationship to customer/client: ___________________________________________.

Opening Bid: ________________________________ (Required for Broker/agent to receive fee if selected as highest and best bid.

written opening bid.)
Click on BID CONTRACTS to print your Contracts pre-prepared for your use.( BID CONTRACTS )
FAX YOUR PRINTED AND SIGNED BID TO: LARRY T. GIDDENS/NATION WIDE REAL ESTATE INC.
1-352-628-0902

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