DISCLAIMER: In order to assist members, NAR created this sample Referral Form, which should be
modied to t your particular needs. This document is not intended to be and does not constitute legal or
professional advice or a substitute for specic legal or professional advice. The user of this document should
not use this document without consulting legal counsel. Neither the National Association of REALTORS
®
nor
its International REALTOR
®
Member program enters into mediation or arbitration processes.
Referring (Source) Broker/Agent
NAME:
NAME:
COMPANY:
COMPANY:
BUSINESS ADDRESS:
BUSINESS ADDRESS:
BUSINESS CITY:
BUSINESS CITY:
STATE/REGION/PROVINCE:
STATE/REGION/PROVINCE:
POSTAL CODE:
POSTAL CODE:
COMPANY COUNTRY:
COMPANY COUNTRY:
E-MAIL ADDRESS:
E-MAIL ADDRESS:
WEB SITE:
WEB SITE:
FAX (include country code):
FAX (include country code):
PHONE (include country code):
PHONE (include country code):
Date of Referral Agreement:
Receiving Broker/Agent
© 2020 Copyright National Association of REALTORS
®
. All rights reserved.
The National Association of REALTORS
®
is the exclusive owner of the REALTOR
®
trademarks. The REALTOR
®
trademark has one meaning only: member of the
National Association of REALTORS
®
.
1
INTERNATIONAL REALTOR
®
MEMBER REFERRAL FORM
In the event Receiving Broker/Agent receives a commission or other payment for services rendered in
connection with a real estate transaction consummated involving the Referred Client (see attachment 1)
within _____________ of the date this Referral Contract is entered into (both parties have signed), Referring
Broker/Agent will be entitled to a referral fee*, and Receiving Broker/Agent agrees to pay said referral fee, in
the amount of:
The parties hereby agree that the referral fee shall be fully paid by the Receiving Broker/
Agent no later than __________ business days after the transaction is completed.
This contract will expire on _________________(date). If both parties want to cooperate after the
expiration date, they will have to execute a new referral contract.
© 2020 Copyright National Association of REALTORS
®
. All rights reserved.
The National Association of REALTORS
®
is the exclusive owner of the REALTOR
®
trademarks. The REALTOR
®
trademark has one meaning only: member of the
National Association of REALTORS
®
.
2
Referral Fee Particulars
Term
Signatures
Authorized Referring Broker/Agent
Authorized Receiving Broker/Agent
Date
Date
_______________cash (in _______________________currency), and/or
_______________percent of the list price, sale price, or lease commission
that Receiving Broker/Agent receives in connection with the foregoing.
*Referral fees may be subject to withholding tax or other forms of taxes in the country in which the transaction takes place.
Referring agents should be aware of state, provincial, or local laws in their respective markets with regards to paying referrals.
Other (describe)
INTERNATIONAL REALTOR
®
MEMBER REFERRAL FORM
Other
click to sign
signature
click to edit
click to sign
signature
click to edit
© 2020 Copyright National Association of REALTORS
®
. All rights reserved.
The National Association of REALTORS
®
is the exclusive owner of the REALTOR
®
trademarks. The REALTOR
®
trademark has one meaning only: member of the
National Association of REALTORS
®
.
3
Attachment 1
Property Needs
Is this property for the client’s
personal use, or is it intended
as an investment?
Does this client own
other real property in the
destination country?
Referring Broker/Agent Prior
Experience with this client
Comments
Client Particulars
NAME:
ADDRESS:
CITY:
STATE/REGION/PROVINCE: POSTAL CODE:
E-MAIL ADDRESS:
FAX (include country code):
PHONE (include country code):
INTERNATIONAL REALTOR
®
MEMBER REFERRAL FORM
Client Referred
CLIENT WORKSHEET