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    Step 1

    Please fill out the form below or click here to print and fax/mail a hard copy back

    Massachusetts Mandatory Licensee-Consumer Relationship Disclosure

    This disclosure is provided to you, the consumer, by the real estate agent listed on this form. Make sure you read both pages of this form. The second page contains a more detailed description of the different types of relationships available to you and can be viewed by clicking here. This is not a contract.

    THE TIME WHEN THE LICENSEE MUST PROVIDE THIS NOTICE TO THE CONSUMER:
    All real estate licensees must present this form to you at the first personal meeting with you to discuss a specific property. The licensee can represent you as the seller (Seller's Agent) or represent you as the buyer (Buyer's Agent) and also can assist you as a facilitator.

    CONSUMER INFORMATION AND RESPONSIBILITY:
    Whether you are the buyer or seller you can choose to have the advice, assistance and representation of your own agent who works for you. Do not assume that a real estate agent works solely for you unless you have an agreement for that relationship. With your consent, licensees from the same firm may represent a buyer and seller in the same transaction. These agents are referred to as dual agents.

    Also a buyer and seller may be represented by agents in the same real estate firm as designated agents. The "designated seller or buyer agent" is your sole representative. However where both the seller and buyer provide written consent to have a designated agent represent them then the agent making such designation becomes a "dual agent" for the buyer and seller. All real estate agents must, by law, present properties honestly and accurately. They must also disclose known material defects in the real estate.

    The duties of a real estate agent do not relieve the consumers of the responsibility to protect their own interests. If you need advice for legal, tax, insurance or land survey matters it is your responsibility to consult a professional in those areas. Real Estate agents do not have a duty to perform home, lead paint or insect inspections nor do they perform septic system, wetlands or environmental evaluations.

    The Company, acting as a Facilitator, will not advocate for the interest of either party, unless otherwise indicated. The Company will provide customer level service to the Seller, does not represent the Seller and has no duty to hold confidential any information provided by the Seller.

    By signing below I, the CONSUMER, acknowledge that I have received and read the information in this disclosure.

    Name of Seller 1:

    Name of Seller 2: (if applicable)

    Today's Date: (MM/DD/YYYY)

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