BROKER REFERRAL Hokuala Real Estate agrees to pay a 3% commission on the net-commissionable real estate sales price for referrals by a licensed Realtor.
DATE RESIDENCE # PRICE AGENT NAME LICENSE # BROKERAGE NAME STREET ADDRESS / PO BOX CITY
STATE
ZIP/COUNTRY
STATE
ZIP/COUNTRY
PHONE # EMAIL ADDRESS BUYER NAME STREET ADDRESS / PO BOX CITY BEST CONTACT PHONE # EMAIL ADDRESS
REFERRING AGENT SIGNATURE
DATE
HOKUALA REAL ESTATE AGENT SIGNATURE
DATE
EXCLUSIVELY LISTED BY HŌKŪALA REAL ESTATE 3351 Ho’olaule’a Way, Suite #301, Kauai, Hawaii 96766 808.241.6080 | www.timberskauai.com