BUYER'S REGISTRATION FORM

Date: ____________________

NAME OF SELLER AND SPOUSE: ____________________________________

TAXPAYER IDENTIFICATION NUMBER: _____________________________
RESIDENCE CERTIFICATE NO._____________________

ISSUED AT: ______________________________________

DATE OF ISSUE:__________________________________

Date: _____________________

TO: _______________________

       _______________________

Dear Sir/Madam

Re: Property to sell _________________________________________________

I, the undersigned, would like to present to you ______________________________________________  as the buyer for the purchase of the subject property.  I hereby register the said buyer with you of the  and should the said buyer finally decide(s) and agree(s) to purchase the said property and you agree to sell the same to him/her, I shall be the sole broker who is entitled to receive the commission thereof in the terms and conditions as stipulated on the Authority to Sell duly signed by you and your spouse, if any,  addressed to me on ________________________.

 It is understood and agreed upon that no other broker or agent can claim any commission in respect of the sale hereof with the same buyer who registered the said buyer after me. Your confirmation hereof specifically accept me as the sole rightful broker for the said buyer.

Conforme:                                                                                                         

___________________________________                                        __________________________

                                                                                                                                Manuel R. Arengo Jr.

                       Seller                                                                                              Licensed Real Estate Broker

                                                                                                                                Real Estate License No.1185

                                                                                                                                Expiration Date: December 31, 2011