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North Carolina Association of REALTORS
Revised 7/2022
© 7/2022
REFERRAL AGREEMENT
REFERRING FIRM INFORMATION:
Firm Name: _____________________________________________________________License# _________________________
Agent Name: ____________________________________________________________License# _________________________
Firm Address: ____________________________________________________________________________________________
Phone: _______________________ Fax: ____________________ Email: ___________________________________________
RECEIVING FIRM INFORMATION:
Firm Name: _____________________________________________________________License# _________________________
Agent Name: ____________________________________________________________License# _________________________
Firm Address: ____________________________________________________________________________________________
Phone: _______________________ Fax: ____________________ Email: ___________________________________________
PROSPECT INFORMATION:
Name: __________________________________________________________________________________________________
Address: ________________________________________________________________________________________________
Phone: _______________________ Fax: ____________________ Email: ___________________________________________
The Prospect is is not aware of the Referral. (Note: The rules of the North Carolina Real Estate Commission require the
Referring Firm to disclose to the Prospect that payment may be received.)
INFORMATION/NOTES: ________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
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COMPENSATION: In consideration of the referral of Prospect, Receiving Firm shall pay Referring Firm as indicated below
[insert “N/A” in blanks not used]:
_______________% of the monetary compensation (including but not limited to any commission, bonus or other consideration
of more than nominal value) received by Receiving Firm (or any of its agents) as listing agent for a closing on the sale of
Prospect’s property occurring on or before (insert date) _________________________________.
_______________% of the monetary compensation (including but not limited to any commission, bonus or other consideration
of more than nominal value) received by Receiving Firm (or any of its agents) as selling agent for a closing on the Prospect’s
purchase of property occurring on or before (insert date) ________________________________.
Other: _______________________________________________________________________________________________
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