Real Estate Agency Disclosure Form

A written record confirming which party the real estate agent represents, buyer, seller, or both, before a transaction moves forward.

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Full Name of the Client

Nombre

Apellido

Property Address (If Applicable)

Dirección

Ciudad

Estado / Provincia

Código postal

I, undersigned, agree with the following statements:

The agent's relationship to each party was explained to me I understand no transaction outcome is guaranteed I understand the limits of confidentiality I acknowledge the possibility of dual agency

Date

Signature

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Real Estate Agency Disclosure Form

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