Return fax number: 850-650-4683
Non-Disclosure and Registration Agreement
Sunbelt Business Brokers of Northwest Florida

The undersigned prospective Purchaser/s hereby acknowledge that they have been introduced to business opportunities and/or properties listed below by Broker,  Sunbelt Business Brokers of Northwest Florida, and agree to keep all information confidential that is given to them by Broker or the Seller/s or their agents on any business opportunities/ properties made known to the undersigned by Broker.  The  following opportunities/ properties are covered by this agreement and the undersigned shall be subject to legal sanctions and damages should said agreement be breached by them, their agents or consultants or anyone else, to whom information has been divulged which results in damage to the below listed opportunity / property.  Other business opportunities will be added to, and become a part of, this agreement upon being divulged to the prospective Purchaser/s named below.

     The undersigned acknowledge that they have been advised that the Broker is an agent of the Seller/s in this transaction unless both Purchaser/s and Seller/s have consented in writing at the request of the Broker that the Broker shall act as a transaction agent or the Purchaser/s have retained the Broker as a Buyer’s Broker in which case the Seller shall be notified of such.  All contracts and negotiations will pass through the Broker.

     The undersigned agree that in the event that they should purchase, lease, or come into possession of all, part or stock therein of any business, real property or business opportunity presented them by the Broker during the listing term or within one year from the date below that they will protect the Broker for the agreed upon and/or acceptable fee at the discretion of the Broker, which will be payable by the Seller, or by the Buyer according to their Buyer’s Broker agreement. The undersigned understand and agree that if they interfere in any way with the Broker collecting an acceptable fee at the discretion of the Broker, unless otherwise agreed by Broker, from the Seller/s or as a Buyer’s Broker that they shall be personally liable for payment of said fee and any legal expenses or other costs necessary for Broker to pursue said fee should the Broker prevail in court. It is agreed, except in the case of interference or attempt to circumvent Broker, that if the undersigned make a purchase  through the Broker they are not liable for any fee unless they have closed with the Seller knowing the Seller has failed to compensate the Broker or they have failed to compensate the Broker under the terms of a Buyer’s Broker agreement.

       This is the entire agreement between the parties hereto and the undersigned warrant that they have the authority to enter into this agreement for themselves or any other entity or fiduciary they may represent.

Business Opportunity/ Property:


_____________________________  Date_______         _________________________ Date_______
Prospective Purchaser signature                                             Prospective Purchaser signature (if additional)

_____________________________                                   _____________________________
Print Name                                                                                 Print Name (additional purchaser)

_____________________________                                   _____________________________
Address                                                                                     Agent Signature (if Agent)

_____________________________                                   _____________________________
City, State Zip                                                                           Agent for:

_____________________________                                   ______________________________________
Phone Number                                                                          Michael D. Goleno, for Sunbelt Business Brokers

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Email Address