BUYER'S REGISTRATION FORM

Date: ____________________ NAME OF SELLER AND SPOUSE: ____________________________________TAXPAYER IDENTIFICATION NUMBER: _____________________________RESIDENCE CERTIFICATE NO._____________________ISSUED AT: ______________________________________DATE OF ISSUE:__________________________________Date: _____________________

TO: _______________________ _______________________ Dear Sir/Madam Re: Property to sell _________________________________________________ I, the undersigned, would like to present to you ______________________________________________ as the buyer for the purchase of the subject property. I hereby register the said buyer with you of the and should the said buyer finally decide(s) and agree(s) to purchase the said property and you agree to sell the same to him/her, I shall be the sole broker who is entitled to receive the commission thereof in the terms and conditions as stipulated on the Authority to Sell duly signed by you and your spouse, if any, addressed to me on ________________________. It is understood and agreed upon that no other broker or agent can claim any commission in respect of the sale hereof with the same buyer who registered the said buyer after me. Your confirmation hereof specifically accept me as the sole rightful broker for the said buyer.

Conforme:

___________________________________ __________________________ Manuel R. Arengo Jr. Seller Licensed Real Estate Broker Real Estate License No.1185 Expiration Date: December 31, 2011