Who is Broker?

• Indicate the Broker's full name:

• Indicate the full residential or business address of a Broker:

General Information

• Indicate the date this Agreement should start:

• Select the state, where a Broker is based or currently reside:

  Choose option Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming District of Columbia

  !

  The laws of a state selected as an answer to this question will apply towards this Agreement.

• The Buyer wishes to purchase:

  • Goods
  • Services
  • Both goods and services

• The Seller wishes to sell:

  • Goods
  • Services
  • Both goods and services

• Name the industry or professional community to which a Seller's Broker belongs to:

• Name the industry or professional community to which a Buyer's Broker belongs to:

General Requirements

• Does a Broker possess all necessary documentation and certification required by law to provide brokerage services under this Agreement?

  • Yes
  • No

• Describe in detail specific goods/services a Buyer wishes to purchase from the third parties:

  !

  The description should include details like number of items to be purchased, their size, parameters, quality requirements etc.

• Describe in detail specific goods/services a Seller wishes to sell to the third parties:

• When this Agreement should end?

  • On a specific date (define in the next question)
  • Upon occurrence of specific events in the future

• Indicate the future date, on which this Agreement ends:

• Describe the list of events upon occurrence of which this Agreement should end:

• Should a Broker act as a Client's exclusive broker under this Agreement?

  • Yes
  • No

  !

  An exclusive broker is a professional who has a signed agreement with a client granting them the sole right to represent them in a transaction.

  This means they are the only broker allowed to market and sell/purchase Client’s goods or services during the term of the agreement.

Fees and Payment Details

• To which extent Broker will participate in transaction between a Client and third parties?

  • Broker should only introduce parties to each other
  • Broker should become a part to a transaction between a Client and third party

• Does a Broker's compensation depend on a success of a transaction between a Client and a third party?

  • No, it should not depend
  • Yes, it depends

• Describe the list of conditions to be met, for a Broker to receive their compensation under this Agreement:

• How a Broker's compensation should be paid?

  • As a percentage from the transaction value between Client and third party
  • As a flat fee
  • Other arrangement

• Describe in detail the amount of a Broker's compensation and how it should be calculated:

• Indicate the amount of a flat fee (in USD) a Broker receives as compensation hereunder:

• Indicate the percentage from the transaction's total value (in %), a Broker receives as a compensation hereunder:

• Describe in details a payment method by which a compensation to a Broker should be paid:

• Should a late fees applies against the Client if they delays payment of a Broker's compensation?

  • Yes
  • No

  !

  If answer “Yes” is selected, a by default 5 % late fees will apply towards any payment owed and not paid to a Broker.

• Do you want to add a signature?

  • Yes
  • No

• Add your signature:

  Save signature Clean

  Edit signature