Date: _______________________
Seller’s Signature:
198
Home Telephone:
Work Telephone:
Facsimile: ___________________
199
3500 LIBERTY ST PORT CHARLOTTE, FL 33948
Address:
200
SDYRCZ@EARTHLINK.NET
Email Address:
201
Date: _______________________
Seller’s Signature:
202
Home Telephone:
Work Telephone:
Facsimile: ___________________
203
3500 LIBERTY ST PORT CHARLOTTE, FL 33948
Address:
204
CDYRCZ@EARTHLINK.NET
Email Address:
205
Broker or Authorized Sales Associate: _______________________________ Date: _______________________ 206
Brokerage Firm Name: _____________________________________________ Telephone: ___________________ 207 RE/MAX Sunshine 800-745-0286
4574 PINE ISLAND RD NW, MATLACHA FL 33993
Address:
208
Copy returned to Seller on _____________________ by
facsimile
personal delivery.
209
Florida REALTORS ® makes no representation as to the legal validity or adequacy of any provision of this form in any specific transaction. This standardized form should not be used in complex transactions or with extensive riders or additions. This form is available for use by the entire real estate industry and is not intended to identify the user as REALTOR ® . REALTOR ® is a registered collective membership mark which may be used only be real estate licensees who are members of the NATIONAL ASSOICATION OF REALTORS ® and who subscribe to its Code of Ethics. The copyright laws of United States (17 U.S. Code) forbid the unauthorized reproduction of this form by any means including facsimile or computerized forms.
Seller (_____) (_____) and Broker/Authorized Associate (_____) (_____) acknowledge receipt of a copy of this page, which is Page 5 of 5. The Parties acknowledge this form should not be used to share offers of compensation to buyer brokers or other buyer representatives via any field in the Multiple Listing Service. ERS-20tb Rev 7/2024 © 2024 Florida Realtors®
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