To

________________________________
________________________________

Date

October 17, 2011

This is to authorize you to negotiate the sale of my property described below for the
period starting _______________________ until ______________________ under such terms
and conditions set forth hereunder:
Location

: ______________________________________________________________

Description

: ______________________________________________________________

Floor Area

: _____________ square meters

CCT No.

:__________________________

Price

:__________________________

Terms

:______________________________________________________________

Commission

:__________________________

Expenses

: Capital Gains Tax will be paid by the seller.

Transfer Tax, Documentary Stamp Tax and Registration fees will be paid by the
buyer

Notwithstanding the expiration of this authority, should any of your buyer/s whom you
have registered and serviced, bought the property, you are still entitled to the above-stated
commission.

_____________________________
SELLER
CONFORME:

____________________________
BROKER