Buyer/Seller Referral Update Form

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Buyer/Seller Referral Update

Buyers and Sellers who used our services to Purchase or Sell their home, and complete this form, may be eligible for a $25 Home Depot Gift Certificate!*

Please complete and submit the Buyer/Seller Update Form below to let us know the latest status of your Purchase/Sale and to also let us know what you thought of the Agent/REALTOR® we referred to you and what you thought of our services.

* Restrictions apply. Void where prohibited

* Required

BUYER/SELLER INFORMATION

^*First Name			^*Last Name
^*City			^*State
^*Phone			^*E-Mail

REFERRED AGENT/REALTOR® INFORMATION Please provide information on the Agent we referred to you
^*First Name			^*Last Name
^*Company
Current Status
Status
If you did Purchase or Sell a Home with the above Agent, please provide the following:
Settlement Date: Purchase/Sale Amount: Property Address: City: State:
If you have not yet Purchase or Sold a home, would you like us to refer you to another Agent to assist you? Yes No
How would you rate the overall service you received from the Agent we referred to you? How would you rate the overall service you received from AgentsDirect.com?
Please indicate any additional information or comments:

Thank you for taking the time to complete this update!

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