Referral Agreement

Client Information NAME: _______________________________________________________________ ADDRESS: _____________________________________________________________ PHONE: _____________________________ EMAIL: _________________________ PRICE RANGE: ___________________ AREA DESIRED: ______________________ TYPE OF HOME:________________________________________________________

Referral Information REFERRING BROKERAGE: ______________________________________________ REFERRING AGENT: ____________________________________________________ ADDRESS: _____________________________________________________________ PHONE: _____________________________ EMAIL: _________________________ REFERRED BROKERAGE: ______________________________________________ REFERRED AGENT: ____________________________________________________ ADDRESS: _____________________________________________________________ PHONE: _____________________________ EMAIL: _________________________ *REFERRAL FEE: Referral Fee to be 25% based on the referral half of commission paid. Referring Agent Signature: __________________________________Date___________ Referred Agent Signature: __________________________________Date____________

Bolte Real Estate, Corporate Office, 134 E. Second St. Port Clinton, Ohio