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Real Estate team!

Exclusive Leads
Complete Support Staff
National Exposure
BPO & REO Service
Exclusive Territory
Marketing Support
Earn Extra Money
Residual Income

Real Estate Agent Questionnaire

If you would like to be considered to offer your services to RMB clients
fill out this form below and you will be contacted by a
Regional Operations Manager in your area.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Email:
Daytime Phone:
Evening Phone:
Whats is the best time to call you?:
Would prefer to speak with someone in Spanish?:
I am interested in the following program::
Where did you hear about us?:
If You Referred To Us Tell Us Who Referred You:
Have you ever or do you currently have any Real Estate Commission compliant or fine?:
If Yes Explain:
E&O Company Name:
E&O Contact Name:
E&O Contact Fax:
E&O Contact Phone:
E&O Policy#:
E&O Coverage Amount:
What Type Of Agent Are You?:
Your RE License #:
Expiration Date:
State Licensed:
Company Name:
Company Address:
City:
State:
Zip:
Office Phone:
Office Fax:
Web Site::
Tell us about your credit ?:
How long have you been a Real Estate Agent?:
How many transaction's have you closed?:
Average of closed transaction's per month:
How are you currently generating your business?:
List 4 positive attributes about yourself:
Have you ever given a presentation to a group of people?:
How would you market the RemoveMYbills name to gain exposure in your area?:
What is your monthly marketing budget?:
Have you done REOs before?:
Have you done BPOs before?:
If Yes who have you done work for?:
What zip codes can you service?:
Personal skills, strengths and experience that you have that will make you an asset to our company:
Do you feel comfortable leading a team of professionals?:
	I Accept To Receive BPO & REO Orders & I Agree To Complete The Order's In The Time Requested. Failure to comply will result In Immediate termination of membership.
	I Accept To Receive Buyer Leads & I Agree To Offer My Best Professional Service To Them. Failure to comply will result In Immediate termination of membership.
	I Accept To Receive Seller Leads &  I Agree To Offer My Best Professional Service To Them. Failure to comply will result in immediate termination of membership.
	I Have Read & Agree To RMB Terms Of Use & Privacy Notice. Failure to comply will result in immediate termination of membership.
	I Certify That The Information Above Is Correct & That I Am A Active Licensed Real Estate Agent That Holds Real Estate License In Good Standing.
Comments:	Additionally, Information you would like to tell us about yourself:

$50

Spread The Word
For Each Person You Refer To
The Network Of Experts You Receive
$50 For Each New Sign Up.

Visit our website www.RemoveMYbills.com