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MASSACHUSETTS BOARD OF REGISTRATION OF REAL ESTATE BROKERS AND SALESPERSONS MANDATORY AGENCY DISCLOSURE -- AGENCY RELATIONSHIP

The purpose of this disclosure is to enable you to make informed choices before working with a real estate licensee. It must be provided at the first personal meeting that you have with an agent to discuss a specific property. THIS IS NOT A CONTRACT. It is a disclosure notice for your information and protection. BE SURE TO READ THE DESCRIPTIONS OF THE DIFFERENT TYPES OF AGENCY REPRESENTATION ON THE OTHER SIDE OF THIS DISCLOSURE.

CONSUMER INFORMATION
1. Whether you are the buyer or the seller you can choose to have the advice, assistance and representation of your own agent. Do not assume that a broker is acting  on your behalf unless you have contracted with that broker to represent you.
2. All real estate licensees must, by law, present properties honestly and accurately.
3. If you are a seller you may authorize your listing agent to cooperate with agents from other firms to help you sell your property. These cooperating agents may be subagents who work for the seller or buyer's agents.
4. If you are the buyer you have the option of working with seller's or buyer's agent. This decision will depend on the types of services you want from a real estate agent. A buyer should tell seller's agents, including subagents, only what he/she would tell the seller directly.

CONSUMER RESPONSIBILITY
The duties of a real estate licensee do not relieve the consumer of the responsibility to protect his/her own interest. Consumers with questions on whether and how real estate agents share fees should pose them to the agent. If you need advice for legal, tax, insurance or other matters, it is your responsibility to consult a professional in those areas.


ACKNOWLEDGEMENT

I have provided this disclosure form to______________________________________________________________________

I have informed the above named consumer that I am a: (check one)  Seller's Agent      Buyer's Agent

Signature of Real Estate Agent ___________________________________________________________________________

License Number ________________________      Month ______ Day ______ Year ______

I have read this agency disclosure form IN ITS ENTIRETY. I understand that this form is for agency disclosure AND NOT A CONTRACT. It was provided to me by the agent named above.

Signature of Customer ___________________________________________________________________________

Month ______ Day ______ Year ______       Check Here: Buyer     Seller

As a consumer, I recognize that I need not select any agency representation at this time. Therefore, I decline to sign this disclosure. Any additional reason for declining to sign?

_____________________________________________________________________________________________________
(PRINT NAME OF CONSUMER AND REASON, IF ANY)