CHICAGO, ILL., ..................19....

To ..................................

...... hereby grant you for a period of one year from this date, and thereafter until this agreement is revoked in writing, the exclusive right to sell the property described herein, and in consideration of your accepting said agency, and endeavoring to sell said property,......agree to pay you a commission of

.....per cent of the price obtained, if a purchaser is procured during said period, by you or me, or any one else, upon the terms named, or upon any other terms which I shall accept.

If the sale is not made within thirty days, then, upon my written request you are to list said property for sale with all active members of the Cook County Real Estate Board by filing a copy hereof at the Board Rooms.

..................................

(Owner) Legal description of said property is: ......................................

GIVE ALL THE FACTS YOU CAN

.....................................................................................................

Fill in all the blanks, if possible, and add anything you think affects the value of the property.

BUILDING is a......Flat - House - Store and Flat - Store only.

No............... Street Between .............. and .............. Streets

No. of Stories......Heated by...... No. of Rooms...... (If Flats, give number in each Flat separately) ......Size of Building......by......feet.

Built of (Material).......with......front. Foundation is (Material).......

When was the Building Built ? ............

Inside

Is the Plumbing old style, or modern, and what is its condition?

............How many Bath Rooms ?......How many Water Closets ?......

What kind of Wood is the trim?.......Of what Wood are the Floors?.......

Do you have Mantels ?......Sideboards ?.....Gas ?......Gas Ranges ?.....

Electric Light?...... Back Porch?...... How high is Basement?...........

Kind of Floor?........Is there Laundry?.......If there is a REAR BUILDING, describe it..............If there is a BARN, describe it..............

SIZE OF LOT.........by.........feet to........foot Alley; .........front.

Are Special Assessments all paid?........ How much unpaid? $............

What Material is the Street Paving?........Sidewalk?..........Have you

Abstract of Title ?......Guaranty Policy ?......Torrens Certificate ?......

What are the Rents per Month? (Give each Flat or Tenement separately)

.......................................... Total, $ ............ per Year

PRICE, $.......... Terms ................ INCUMBRANCE, $..........

Due .......... 19... at..... per cent per annum interest. ANNUAL EXPENSES. - Taxes, $........Insurance, $........Water, $......Gas, $......

Coal, $......Janitor, $......Total, $........

WILL EXCHANGE FOR ...............................................,..

OWNER ........................... Address................

Dated ..................... 19.... Telephone No...........

REMARKS ...............................................................

............................................................................................................................................

No. 77

The following three forms may be used in connection with the application for a mortgage loan made through a broker.

No. 71a. should be kept by the broker for his office records.

No. 77b. should be signed by the applicant for the loan and retained by the broker. It contains the agreement for compensation to the broker for placing the loan.

No. 77c. is a form of aplication sent by the broker to lending institutions and persons whom he seeks to have make the loan.