Overview

Preferred Broker Referral Form

Client Information
Name:
Address:
City:
State:	--Select From List-- N/A Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Comments:
Home Phone:
Work Phone:
Email:
Broker Information
Broker/Agent Name:
Brokerage Company:
Broker-In-Charge:
Mailing Address:
City:
State:	--Select From List-- N/A Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Office Phone:
Email:
Do you have an existing relationship with a Cliffs Sales Executive? Yes No
If yes, what is their name?:
Preferred Broker Referral Policy
Customer must be registered with The Cliffs Communities via Broker Referral Form prior to visiting The Cliffs Communities OR accompanied by the Broker upon their initial visit to The Cliffs Communities (registration processing-time takes up to 48-hours) . Clients, Customers and existing Cliffs Property Owners previously registered with The Cliffs Communities are not eligible for a Broker Referral. Customers not previously registered with The Cliffs Communities will then be registered in The Cliffs Communities database as a Broker Referral from the Preferred Broker.
Preferred Broker Referral Payment Schedule
Preferred Brokers and Agencies will be due a commission on original purchases by Prospects they have properly registered with The Cliffs in the following method: Cliffs Company and Re-Sale Homesite: 3% of land value as determined by net sales price Cliffs Company and Re-Sale Home/Shelter Packages: 3% of home/shelter value as determined by net sales price Registrations are only valid for 12-months, unless renewed by Broker & re-signed by prospect. Renewal forms available upon request.
Referring Broker/Agent:
Party Being Referred: (Signature Required)
Date:	(MM/DD/YYYY)
	(If the referring agent signs above for the party being referred, they are representing that they have a written agency/client relationship with the party being referred and/or the expressed permission of the party being referred, to sign on their behalf as agent-of.- Ex. John Doe, agent-of Bill Buyer)
Agreed to and Signed: (Cliffs Representative)
Date:	(MM/DD/YYYY)

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