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<br />Contract Concerning <br /> <br />123 N. 7th St., La Porte, TX 77571 <br />(Address of Property) <br /> <br />Page Eight 01-06-03 <br /> <br />SELLER'S RECEIPT <br /> <br />Receipt of $ <br /> <br />(Option Fee) in the form of <br /> <br />is acknowledged. <br /> <br />Date <br /> <br />Seller <br /> <br />BROKER INFORMATION AND RATIFICATION OF FEE <br /> <br />Listing Broker has agreed to pay Other Broker of the total sales price <br />when Listing Broker's fee is received. Escrow Agent is authorized and directed to pay Other Broker from <br />Listing Broker's fee at closing. <br /> <br />Listing Broker <br /> <br />Other Broker <br /> <br />License No. Telephone <br /> <br />License No. Telephone <br /> <br />represents 0 Buyer only as Buyer's agent <br />o Seller as Listing Broker's subagent <br /> <br />represents 0 Seller and Buyer as an intermediary <br />o Seller only as Seller's agent <br /> <br />Associate Telephone <br /> <br />Listing Associate Telephone <br /> <br />Listing Associate's Office Address <br /> <br />Facsimile <br /> <br />Broker's Address <br /> <br />Telephone <br /> <br />Facsimile <br /> <br />Selling Associate <br /> <br />Selling Associate's Office Address <br /> <br />Facsimile <br /> <br />RECEIPT <br /> <br />Receipt of 0 Contract and 0 $ <br />is acknowledged. <br />Escrow Agent: <br /> <br />Earnest Money in the form of <br /> <br />Date: <br /> <br />By: <br /> <br />Telephone ( <br /> <br />Address <br /> <br />Facsimile: ( <br /> <br />City <br /> <br />State <br /> <br />Zip <br /> <br />01A TREe NO. 20-6 <br />