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CHOU'S CONSOLIDATED ENTERPRISES, INC.

        42-03 162nd Street Flushing, NY 11358

                  Tel: (718) 353-8818     Fax: (718) 353-0988

Registration For Purchase of Property

  Name :   ________________________________________     Occupation :_____________________________________

  Address :________________________________________       Telephone :______________________________________

  Spouse :_________________________________________      Occupation :_____________________________________

  Price Range :_____________________________________       Down Payment :__________________________________

  Combined Income :________________________________      Amt. Mtge. Desired :______________________________

  The undersigned acknowledges receipt of the following listings :

DATE

PROPERTY ADDRESS

ASKING PRICE

          REMARK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In consideration of you having made the above listing available to me. I agree to notify you immediately in the event that I agree to purchase said property individually, as partner or through stock ownership or acquire any interest in said property whatever, so that you may be in a position to protect your interest as brokers.

In the event that I fail to notify you, I agree to become personally responsible for the commission which would be due you

on said sale.

 

Date :  ______________________________              Sign Name :____________________________................

Sale Agent : ______________________________    Address :______________________________

 

 

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