HTML Preview Client Referral Agreement page number 1.
26 Broadway, Suite 1608
New York, NY, 10004
T: 212-590-0540
F: 212-590-0549
www.elikaassociates.com
Please sign and fax referral agreement to 212-540-0549 or email to referral@elikaassociates.com
CLIENT REFERRAL FEE AGREEMENT
Date: / /
Client Information:
Name:______________________________________________________________________________
Address:_____________________________________City:_______________State:______Zip:_______
Home Phone:_________________WorkPhone:_________________Email:_______________________
Comments:__________________________________________________________________________
___________________________________________________________________________________
Broker Information:
REFERRING Broker/Agent Name:________________________________________________________
Real Estate License ID#:_______________________________________________________________
Brokerage Company:__________________________________________________________________
Principal Broker:______________________________________________________________________
Mailing Address:______________________________________________________________________
City:_________________________________State:____________________Zip:___________________
Office Phone:________________Email:____________________________________________________
Do you have an existing relationship with Elika Associates? – Yes / No
If yes, what is their name?_______________________________________________________
AGREEMENT:
In consideration for receipt of the referral of Principal from referring broker, Recipient Broker agrees to pay Referring
Broker as follows: 20% of the total net compensation earned by Recipient Broker (based upon the Principal’s side of
the transaction), OR $_______________, payable (through escrow, if used in Principal’s transaction) upon
recordation of deed or other evidence of transfer, if within 12 months from the date of this Agreement.
1. Proof of active license status is required of US, Canadian and Mexican agents and brokers and of all others in
countries or states requiring licensing to sell real estate.
2. Registrations are only valid for 12-months, unless renewed by Broker & re-signed by prospect. Renewal forms
available upon request.
Date:________________________ Date: / /
REFERRING BROKER: RECIPIENT BROKER:
_____________________________ Elika Associates
Company Name 26 Broadway, Suite 1608, NY, NY, 10004
By___________________________ By Gea Elika
Its Broker or Office Manager (circle one) Principal Broker
_____________________________ ___________________________
Gea Elika