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Premiere Home Realty Inc Referral Form:
Your confidence in us to help your friend or client is greatly appreciated.

We will reflect the highest service and integrity to you and treat your referral with great respect.
We will contact you first and then your referral.

Please provide your information so we can follow up with you about your referral:

Please provide the following information about the client:

Your Name*
City, State, Zip
Work Phone*
Home Phone
Clients Name
City State Zip
Work Phone
Home Phone

PLEASE NOTE: Referral fees we pay are 25% of paid gross commission income (GCI) for one side of a transaction (paid at closing) and does not include future transactions. People NOT having an active Real Estate license as a salesperson or Broker can only receive a maximum $50.00 referral fee by required Texas Law.

Are you a licensed Texas Real Estate Agent or Broker?

Yes No

Please enter your license number

Who is the best person to talk with?.

When is the best time to call?

Are they expecting our call?

How are you associated with the client?

Seller Questions

When does the client plan on selling?

What is the property address? (if different from clients address)

What type of property are they selling? (house, condo, land, etc)

What does the client think their property is worth?

Where are they moving to?

Buyer Questions

When does the client plan on buying?

What type of property do they want to buy? (house, condo, land, etc)

What areas are they interested in?

What price range will they be buying in?

Do they have a home to sell?

Yes No

If yes, what is the status of the property?

Do they plan on renting before buying?

Any additional questions or comments?


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