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Realtor Disclosure Form
Realtor Name*
Agency Name*
Phone*
--
Client Name*
Client Name*
Phone*
--
Disclosure Information
Agency Relationship*
I/We have been informed of the 2024 changes to the real estate commission structure.*
Yes
No
Commission Structure*
*Explain the commission structure to be used*
Potential Conflicts of Interest*
No conflict of interest
I may represent clients with shared interest in a property
I may have personal interest in a property transaction
I may have financial interest in a property
I may be related to the buyer/seller
Buyer/Seller Signature*
Date*
Realtor/Broker Signature*
Date*

Realtor Disclosure Form