MASSACHUSETTS MANDATORY LICENSEE

CONSUMER RELATIONSHIP DISCLOSURE

This disclosure is provided to you, the consumer, by the real estate agent listed on this form.  Make sure you read both sides of this form (see "Types Of Agency Representation").  The reverse side contains a more detailed description of the different types of relationships available to you.  This is not a contract.

THE TIME WHEN THE LICENSEE MUST PROVIDE THIS NOTICE TO THE CONSUMER:

All real estate licensees must present this form to you at the first personal meeting with you to discuss a specific property.  The licensee can represent you as the seller (Seller's Agent) or represent you as the buyer (Buyer's Agent) and also can assist you as a facilitator.

CONSUMER INFORMATION AND RESPONSIBILITY

Whether you are the buyer or seller you can choose to have the advice, assistance and representation of your own agent who works for you.  DO NOT ASSUME THAT A REAL ESTATE AGENT WORKS SOLELY FOR YOU UNLESS YOU HAVE AN AGREEMENT FOR THAT RELATIONSHIP.  With your consent, licensees from the same firm may represent a buyer and seller in the same transaction.  These agents are referred as dual agents.

Also a buyer and seller may be represented by agents in the same real estate firm as designated agents.  The "designated seller or buyer agent" is your sole representative.  However where BOTH the seller and buyer provide written consent to have a designated agent represent them then the agent making such designatioin becomes a "dual agent" for the buyer and seller.  All real estate agents must, by law, present properties honestly and accurately.  They must also disclose known material defects in the real estate.

The duties of a real estate agent do not releive the consumers of the responsibility to protect their own interests. If you need advice for legal, tax, insurance or land survey matters it is your responsibility to consult a professional in those areas.  Real Estate agents do not have a duty to perform home, lead paint or insect inspections nor do they perform septic system, wetlands or environmental evaluations.

RELATIONSHIP OF REAL ESTATE LICENSEE WITH THE CONSUMER

[Circle One]:         Sellers Agent          Buyer's Agent          Facilitator

IF A SELLER'S OR BUYER'S AGENT IS CIRCLED ABOVE COMPLETE THE SECTION BELOW:

Relationship with others affiliated with ____________________________________________________________________________

                                                                                  (Print name of real estate firm or business and license number)

[Check One}:     The real estate agent listed below, the realestate firm or business listed above and all other affiliated agents have the same

                           relationship with the consumer named herein (SELLER OR BUYER AGENCY, NOT DESIGNATED AGENCY).

                           Only the real estate agent listed below represents the consumer named in this form (DESIGNATED SELLER OR

                           BUYER AGENCY).  In this situation any firm or business listed above and other agents affiliated with the firm or

                           business do not represent another party in your real estate transaction.

BY SIGNING BELOW I, THE REAL ESTATE LICENSEE, ACKNOWLEDGE THAT THIS DISCLOSURE HAS BEEN PREOVIDED TIMELY TO THE CONSUMER NAMED HEREIN:

_____________________________     __________________________     _______________________     ___________________

       (Signature of real estate agent)           (Printed name of real estate agent)         (License Number / Type)                (Today's Date)

BY SIGNING BELOW I, THE CONSUMER, ACKNOWLEDGE THAT I HAVE RECEIVED AND READ THE INFORMATION IN THIS DISCLOSURE:

____________________________________     _____________________________________     ___________________________

               (Signature of consumer)                                         (Printed name of consumer)                                     (Today's Date)

____________________________________     _____________________________________     ___________________________

               (Signature of consumer)                                          (Printed name of consumer)                                     (Today's Date)