NEW HAMPSHIRE REAL ESTATE COMMISSION
7 Eagle Square, Concord, NH 03301 Tel.: (603) 271-2219
BROKERAGE RELATIONSHIP DISCLOSURE FORM
(This is Not a Contract)
This form shall be presented to the consumer at the time of first business meeting,
prior to any discussion of confidential information
As a customer, the licensee with whom
you are working is not obligated to keep
confidential the information that you
might share with him or her. As a
customer, you should not reveal any
confidential information that could harm
your bargaining position.
As a customer, you can expect a real estate licensee to provide
the following customer-level services:
●
To disclose all material defects actually known by the
licensee pertaining to the on-site physical condition of the
real estate;
●
To treat both the buyer/tenant and seller/landlord honestly;
●
To provide reasonable care and skill;
●
To account for all monies received from or on behalf of the
buyer/tenant or seller/landlord relating to the transaction;
●
To comply with all state and federal laws relating to real
estate brokerage activity; and
●
To perform ministerial acts, such as showing property,
preparing and conveying offers, and providing information
and administrative assistance.
Clients receive more services than customers.
You become a client by entering into a written
contract for representation as a seller/landlord
or as a buyer/tenant.
As a client, in addition to the customer-level services, you can
expect the following client-level services:
●
Confidentiality;
●
Loyalty;
●
Disclosure;
●
Lawful Obedience; and
●
Promotion of the client's best interest.
For seller/landlord clients this means the agent will put the
seller/landlord's interests first and work on behalf of the
seller/landlord.
For buyer/tenant clients this means the agent will put the
buyer/tenant's interest first and work on behalf of the
buyer/tenant.
Client-level services also include advice, counsel and assistance
in negotiations.
For important information about your choices in real estate relationships,
please see page 2 of this disclosure form.
I acknowledge receipt of this disclosure as required by the New Hampshire Real Estate Commission (Pursuant to Rea 701.01).
I understand as a customer I should not disclose confidential information.
Name of Consumer (Please Print) Name of Consumer (Please Print)
Signature of Consumer Date Signature of Consumer Date
Provided by: Name & License # Date (Name and License # of Real Estate Brokerage Firm)
Consumer has declined to sign this form.
(Licensees Initials)
To check on the license status of a real estate firm or licensee go to https://www.oplc.nh.gov/real-estate-commission/index.htm
Inactive licensees may not practice real estate brokerage.8/18/17 (Page 1 of 2)
Phone: Fax:
Produced with Lone Wolf Transactions (zipForm Edition) 717 N Harwood St, Suite 2200, Dallas, TX 75201 www.lwolf.com
064889 Simply Sell Realty 064889
Lisa Berry
Simply Sell Realty, 9 Cornerstone Sq Ste 400 #206 Westford, MA 01886 9783150300810 9783150300 NH
Lisa Berry
Lisa Berry