BROKERAGE RELATIONSHIP DISCLOSURE FORM

SINGLE AGENT NOTICE

This form sets forth the disclosure notices required by Florida law to be given by a real estate broker to all clients or customers with whom the broker engages in a brokerage relationship. This form does not itself establish the terms of any agency or brokerage relationship agreement between the broker and client or customer. CLIENT OR CUSTOMER SIGNS BELOW FOR THE SOLE PURPOSE OF ACKNOWLEDGING RECEIPT OF THE FOLLOWING DISCLOSURE NOTICES:

FROM BROKER: _________________________________________________________________

IMPORTANT NOTICE

FLORIDA LAW REQUIRES THAT REAL ESTATE LICENSEES PROVIDE THIS NOTICE TO

POTENTIAL SELLERS AND BUYERS OF REAL ESTATE.

You should not assume that any real estate broker or salesperson represents you unless you agree to engage a real estate licensee in an authorized brokerage relationship, either as a single agent or as a transaction broker. You are advised not to disclose any information you want to be held in confidence until you make a decision on representation.

SINGLE AGENT NOTICE: FLORIDA LAW REQUIRES THAT REAL ESTATE LICENSEES

OPERATING AS SINGLE AGENTS DISCLOSE TO BUYERS AND SELLERS THEIR DUTIES.

1. Dealing honestly and fairly;

2. Loyalty;

3. Confidentiality;

4. Obedience;

5. Full disclosure;

6. Accounting for all funds;

7. Skill, care and diligence in the transaction;

8. Presenting all offers and counteroffers in a timely manner, unless a party has previously directed the licensee otherwise in writing; and

9. Disclosing all known facts that materially affect the value of residential real property and are not readily observable.