Matthew S. Hurley Auction Co. Inc.
Auctions, Appraisals, Consulting
Integrity is our motto.

BROKER PARTICIPATION - ACKNOWLEDGEMENT FORM

DATE:___________________________
AUCTION DATE:_________________

_________________________________
(Address of Auction Property)

Remit to: Matthew S. Hurley Auction Co. Inc.
2800 Buchanan Trail East
Greencastle, PA 17225
Attn: Matt Hurley
(717) 597-9100
FAX: (717) 597-9922

 

BUYER NAME:_________________________________________
BUYER ADDRESS:________________________________________________________
BUYER PHONE #:_____________________ AGENT PHONE ____________________________

It is understood and agreed that the Broker commission structure will be based on the stated Terms and Conditions of sale of the above referenced auction and that said commission will be based on the successful high bid (the Hammer Price)* on the property. Commission is to be paid only to the licensed Real Estate Broker named herein upon closing, where permitted by law, if the above named "Buyer" is the high bidder at auction and the subject property is sold to the same buyer**. Only the first registration of a prospective bidder received will be honored. No Broker Acknowledgement Forms will be accepted at the auction site.

________________________
Broker Signature
Date_________ _______________________
Agent Signature
Date_____________
________________________
Broker Signature
Date_________ _______________________
Agent Signature
Date_____________
_____________________________________
Broker Name Printed
________________________________________
Agent Name Printed
Real Estate License No.__________________
Real Estate License No.____________________

_____________________________________Date_____________
Prospective Buyer(s) Signature

RECEIVED BY:
Matthew S. Hurley Auction Co. Inc.
BY_______________________________Date_____________Time:____________
*High bid is defined as purchase price or the "Hammer Price".
**Broker /agent certifies that neither broker/agent, his/her employees, agents, nor any member(s) of his/her immediate family, is or will be the buyer.

ALL BROKER PARTICIPATION FORMS MUST BE
RECEIVED 48 HOURS PRIOR TO SHOWINGS OR AUCTION!