Form 300, Buyer Representation Agreement, Authority for Purchase or Lease Instructions
This form contains 50 fields organized into 20 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Acknowledgement Date | ||
| Acknowledgement Day | Text |
Provide the day of the month for the date of acknowledgement.
|
| Acknowledgement Month | Text |
Provide the month number for the date of acknowledgement.
|
| Acknowledgement Year | Number |
Provide the year for the date of acknowledgement.
|
| Agreement Commencement | ||
| Commencement Month | Text |
Please provide the month when the agreement commences.
|
| Commencement Day | Text |
Please provide the day of the month when the agreement commences.
|
| Commencement Time | Time |
Please provide the specific time when the agreement commences.
|
| Commencement Year | Text |
Please provide the last two digits of the year when the agreement commences.
|
| Agreement Expiry | ||
| Expiry Month | Text |
Please enter the month on which the agreement expires.
|
| Expiry Day | Text |
Please enter the day of the month on which the agreement expires.
|
| Expiry Year (last two digits) | Text |
Please enter the last two digits of the year on which the agreement expires.
|
| Brokerage Agreement Details | ||
| Brokerage Representative Name | Text |
Provide the name of the person authorized to bind the Brokerage.
|
| Agreement Date | Date |
Enter the date when the agreement was signed. Fill only if 'Brokerage Representative Name' is filled.
Depends on:
Brokerage Representative Name
|
| Signer's Name | Text |
Provide the name of the individual signing this agreement. Fill only if 'Brokerage Representative Name' is filled.
Depends on:
Brokerage Representative Name
|
| Brokerage Information | ||
| Brokerage Name | Text |
Enter the legal name of the real estate brokerage.
|
| Brokerage Address Line 1 | Text |
Provide the primary street address for the brokerage.
|
| Brokerage Address Line 2 | Text |
Provide additional address details for the brokerage, such as apartment number, suite, or unit.
|
| Brokerage Fax Number | Text |
Enter the fax number for the brokerage.
|
| Brokerage Telephone Number | Text |
Enter the primary telephone number for the brokerage.
|
| Brokerage Initials | ||
| Brokerage Initial | Text |
Enter the initials of the brokerage representative.
|
| Buyer Information | ||
| Buyer Name | Text |
Please enter the full legal name of the buyer.
|
| Buyer Street Address | Text |
Please enter the complete street address including street number and street name for the buyer.
|
| Buyer Municipality | Text |
Please enter the municipality where the buyer's address is located.
|
| Buyer Postal Code | Text |
Please enter the postal code for the buyer's address.
|
| Buyer Warranty Initial | ||
| Buyer's Initials | Text |
Please provide the buyer's initials to acknowledge the warranty statement.
|
| Buyer(s) Initials | ||
| Buyer Initials | Text |
Provide the initials of the buyer(s) to acknowledge this section of the agreement.
|
| Commission Details | ||
| Commission Percentage | Number |
Enter the percentage of the sale price of the property that the Brokerage is entitled to receive as commission. Fill only if 'Property Type (Use)' is 'Purchase'.
Depends on:
Property Type
|
| Fixed Commission Amount (Purchase) | Number |
Enter the fixed dollar amount of commission the Brokerage is entitled to receive for a property purchase. Fill only if 'Property Type (Use)' is 'Purchase'.
Depends on:
Property Type
|
| Commission for Lease | Number |
Enter the commission amount the Brokerage is entitled to receive for a lease agreement. Fill only if 'Property Type (Use)' is 'Lease'.
Depends on:
Property Type
|
| Declaration of Insurance | ||
| Salesperson/Broker/Broker of Record Name | Text |
Provide the full name of the Salesperson, Broker, or Broker of Record.
|
| Signature of Salesperson/Broker/Broker of Record | Text |
Provide the signature of the Salesperson, Broker, or Broker of Record. Fill only if 'Salesperson/Broker/Broker of Record Name' is filled.
Depends on:
Salesperson/Broker/Broker of Record Name
|
| First Buyer Acknowledgement Signature | ||
| Acknowledgement Day | Text |
Enter the day of the month when the buyer(s) acknowledged the agreement.
|
| Acknowledgement Year | Date |
Enter the last two digits of the year when the buyer(s) acknowledged the agreement. Fill only if 'Acknowledgement Day' is filled.
Depends on:
Acknowledgement Day
|
| First Buyer Signature Details | ||
| Buyer Signature | Text |
Please provide the full legal signature of the first buyer.
|
| Buyer Telephone Number | Text |
Please enter the telephone number of the first buyer. Fill only if 'Buyer Signature' is filled.
Depends on:
Buyer Signature
|
| Signature Date | Date |
Please enter the date when the first buyer signed the agreement. Fill only if 'Buyer Signature' is filled.
Depends on:
Buyer Signature
|
| Page 2 | ||
| Brokerage Initials | Text |
Please provide the initials of the brokerage.
|
| Buyer Initials | Text |
Please provide the initials of the buyer(s).
|
| Page 4 | ||
| Brokerage Initials | Text |
Enter the initials of the brokerage representative. Fill only if 'Brokerage Name' is specified as a party to the agreement.
Depends on:
Brokerage Name
|
| Buyer Initials | Text |
Enter the initials of the buyer(s). Fill only if 'Buyer Name' is specified as a party to the agreement.
Depends on:
Buyer Name
|
| Brokerage Name | Text |
Enter the full legal name of the brokerage. Fill only if 'BROKERAGE' is filled
Depends on:
Brokerage Name
|
| Buyer Name | Text |
Enter the full legal name of the buyer(s). Fill only if 'BUYER' is filled
Depends on:
Buyer Name
|
| Property Description | ||
| Property Type | Text |
Please provide a description of the type of property or its intended use.
|
| Geographic Location | Text |
Please provide the geographic location of the property being sought.
|
| Schedule A | ||
| Number of Schedule A Forms | Text |
Please enter the total number of Schedule A forms that are attached and form part of this Agreement.
|
| Second Buyer Acknowledgement Signature | ||
| Second Buyer Signature | Text |
Please provide the signature of the second buyer to acknowledge understanding and receipt of the agreement. Fill only if 'Second Buyer Signature' is filled.
Depends on:
Second Buyer Signature
|
| Second Buyer Signature Date | Date |
Please enter the date when the second buyer signed the acknowledgement. Fill only if 'Second Buyer Signature' is filled.
Depends on:
Second Buyer Signature
|
| Second Buyer Signature Details | ||
| Second Buyer Signature | Text |
Please enter the signature of the second buyer. Fill only if 'Buyer Signature' there is a second buyer.
Depends on:
Buyer Signature
|
| Second Buyer Telephone Number | Text |
Please enter the telephone number of the second buyer. Fill only if 'Second Buyer Signature' is filled.
Depends on:
Second Buyer Signature
|
| Second Buyer Signature Date | Date |
Please provide the date when the second buyer signed the document. Fill only if 'Second Buyer Signature' is filled.
Depends on:
Second Buyer Signature
|
| Time Period Acknowledgement Initial | ||
| Buyer's Initials | Text |
Please provide the Buyer's initials to acknowledge the time period for this agreement.
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