Make Offer: 17543 V Boca Raton Rd, Amazon, NY 12345

Offer Made By

Buyer Buyer's Agent Buyer's Attorney

Buyer Agent Information

Checking the box below, the Buyer understands this represents a dual agency thereby the listing Broker is representing both the Seller and the Buyer in this transaction if this offer is accepted by the Seller. 

Duties and Limitations: The Broker now represents both Buyer and Seller and both parties understand that neither Broker nor Broker's Licensee(s) can represent the interests of one party to the exclusion or detriment of the other party. The parties understand and further consent to the following:
1) The Licensee or each Licensee represents both the Buyer and the Seller with limitations of the duties owed to the Buyer and the Seller, such as:
* The Licensee(s) will not, without written authorization, disclose to the other party that the Seller will accept a price or terms other than stated in the listing or that the Buyer will accept a price or terms other than offered;
* There will be conflicts in the duties of loyalty, obedience, disclosure and confidentiality. Disclosure of confidential information may be made only with written authorization. This does not relieve each Licensee of any legal obligation to disclose all known facts which materially and adversely affect the consideration to be paid by any party to the transaction.
* Sellers, Lessors and Broker/Licensee(s) are not obligated to disclose that the Subject Property is or has been: (1) the site of a natural death, suicide, homicide, or any crime classified as a felony; (2) owned or occupied by
- a person exposed to HIV, or diagnosed as having AIDS or any other disease not known to be transmitted through common
- occupancy of real estate; or (3) located in the vicinity of a sex offender.
* The Licensee(s) shall exercise reasonable skill and care in the performance of their duties.
* The Licensee(s) shall be obligated at all times to deal honestly with all parties.
* The duties of the Licensee(s) in this transaction do not relieve the Seller or the Buyer from the responsibility to protect their own interests.

Buyer agrees to work exclusively with listing Broker for the subject property. Buyer agrees to act in good faith to acquire the Property and conduct any inspections/investigations of the Property that Buyer deems material and/or important. Buyer authorizes Broker to accept compensation from seller, which shall be credited against any compensation owed by Buyer to Broker pursuant to this Agreement. Broker's compensation shall be paid at the time of and as a condition of closing or as otherwise agreed upon in writing. If completion of any transaction is prevented by Buyer's breach or with the consent of Buyer other than as provided in the purchase contract, the total compensation shall be due and payable by Buyer. Buyer consents and acknowledges that other potential buyers represented by Broker may consider, make offers on, or acquire an interest in the same property as Buyer is seeking.

Indemnification: Seller and Buyer agree to indemnify and hold Broker harmless against any and all claims, damages, losses, expenses or liabilities including attorneys' fees and costs incurred by Broker in any defense thereof arising from Broker's role of limited representation.

By typing your name and checking the box, I agree to the terms and agreements stated above. I also verify that I am not under written agreement with any other agent representing me in the state of New York for purchase of a home.

Company :		Broker Email:
Agent Name:		Agent Email :
Phone :		Fax :
Password :		Password retype :
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Enter a password to create a free account to manage your offers online. If no password is entered, all offers will be managed via email.

Buyer Information

Person Buyers Entity

Company:
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Address :		City :
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Offer

Original Offer Date :		Offer Price :	$
Loan Type :		Earnest Deposit :	$
Down Payment :	$	Loan/Cash Amount :	$
Closing Date :		Req. Closing Costs :	$
Repairs :	$	Home Warranty :	$
# of Inspection Days		Other Costs :	$
Response Time :
Other Description :
Offer Comments :
Highest & Best : (Please click Submit Your Offer to send Highest & Best notification request)
Offer Access PIN Info	Create a 4-digit access PIN for when the offer is accessed by a user without an account, such as your buyer. This PIN will be preserved for any counter offers that are made. When the offer is submitted, an email is sent to the Buyer's email above (if email is provided) with a link to the offer. They must enter the PIN after clicking that link if they do not have an account that is logged in.
Access PIN:*		Confirm Access PIN:*

Additional Details

Buyer(s) Purchased Fannie Mae® Property Before?
Public Funds Usage :
Buyer's Representation : Co-Broker In House
Has Buyer Been Prequalified?
Does Buyer Own or Rent Their Current Residence?
Contingency :