AUTHORITY TO SELL

Date:_______________

Mr. Broker
___________
__________

Dear Sirs:

By virtue of my fiduciary trust, and in consideration of your acceptance of my offer, I hereby

give you the authority to negotiate the sale of my property with a commission of ____________
percent (__%) of the selling price with the following terms and conditions:

TITLE NO. : _______________________________________________

LOT AND/OR FLOOR AREA (SqM) : _______________________________________________

LOCATION : _______________________________________________

PROPERTY DESCRIPTION : _______________________________________________

_______________________________________________

ASKING PRICE : _______________________________________________

Should the sale be made or effected on modified terms or such other terms as may be accepted
by me, you are likewise credited for the said sale and shall be given the above mentioned
commission based on the revised/agreed price immediately upon payment of the buyer or paid
up down payment in case of bank financing.

I hereby certify that I am the owner in fee simple of said property, free and clear from any liens
and encumbrances other than those annotated in the original copy of the title on file with the
proper registry of deeds.

This authority is effective for ______ (__) _____ from the signing of this document, renewable
upon agreement.
Should deposit money paid on account of purchase is hereby forfeited by the purchaser, the
amount equal to or proportionate to the percentage of his commission shall be retained by the
broker.
Notwithstanding the expiration of this authority to sell, you shall be entitled to your full
commission provided the name of the prospective buyer has been registered with me during the
period of your authority.

_________________________
Seller/Property Owner/Authorized Representative
I.D. No. ______________

With my Marital Consent (If conjugal property):

_________________________
Seller’s Spouse
I.D. No. ______________