Address Release Form

Buyer Beware! Who is representing your interests?

ACKNOWLEDGMENT OF PROSPECTIVE BUYER

1. I have received and understand this disclosure notice.
2. I understand that a seller’s agent, including a listing agent, is the agent of the seller exclusively, unless the seller and buyer otherwise agree.
3. I understand that sub-agents participating in a multiple listing service are agents of the seller exclusively.
4. I understand that I may engage my own agent to be my buyer’s agent.
5. I understand that Philip W. Alba, REALTOR can provide for me any and all information that is legal with regard to homes that match the “search criteria”. This information includes the actual address of the prospective property.
6. I authorize Philip W. Alba, REALTOR to search for these properties that match my criteria and to present them to me for consideration to purchase.
7. Should I have an interest in any property furnished or presented to me by Philip W. Alba, REALTOR, including making an offer to purchase, I agree to use Philip W. Alba, REALTOR as my agent, and that as such he will represent my interests and not that of the seller.

Search Criteria:

Towns of Interest:________________________________________________________

Price Range:____________ Min# of Beds_______ Min# of Baths______

Additional information:____________________________________________________


Buyer’s signature ________________________________________________________


Please mail original to:
Yes Homes Realty, Ltd.
Attn: Philip W. Alba
18 Evelyn Rd
West Islip, NY 11795

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Philip Alba | 631-804-3569 | Email Me
1250 Montauk Highway - West Islip, NY 11795
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