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.
____________________________________________________________ (Broker’s 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/agent’s 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/agent’s 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.
Broker’s 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