REFERRAL FEE- PROPERTY SUBMISSION FORM
EARN $500 CASH for a referral that leads to a successful real estate acquisition and 
help out a friend, neighbor or relative at the same time. 

Please complete the following form and fax a referral fee agreement for each property you are submitting. Just fill in as much information about the property that you now - povide us with at least the complete property address and homeowners contact information.

I understand that I am not an employee of Angel Realty Consultants, and I am responsible for paying income taxes on any money earned. I will be required to submit my social security number in order to receive payment of referral fee and for Angel Realty Consultants to submit a 1099 IRS form as required by law.YES NO 
Your Referral Information
Your First and Last Name: 
Your Mailing Address  City 
State  Zip Code 
Email Address  Cell Phone 
Home Phone  Fax Number 
Property Information
Property Address  City 
State  Zip Code 
Owner's Name Owner's Phone # 
Owner's Mailing Address 
Is the Property listed with a realtor?YESNO

How long has the property been on the market? 
Is the property Occupied Vacant Boarded up 

Describe seller's situation - reason wants to sell (motivation)

Approximate After Repair Value? 

Asking Price? 

# Bedrooms  # Bathrooms   Sq Ft 

Mortgage balance 

Are the sellers behind in their mortgage?YES NO 
If yes, how many months behind on payments: 

Is the house currently in foreclosureYES NO 
If yes, please detail the stage of foreclosure and if and when an auction date has been set: 

Additional information that you want to tell us about the propeorty

 
Click SUBMIT button to submit Property Information Form for Referral Fee
You may submit Consultation Form over the Internet (secure server) by clicking the SUBMIT button. 
Remember you need to fill out and fax a Finders Fee Agreement for each property you submit
FAX  NUMBER: 561-630-9858
Toll Free PHONE NUMBER: 1-866-943-9435
ADDRESS: Angel Realty Consultants
4371 Northlake Blvd Suite $128
Palm Beach Gardens,  FL  33410