BROKER/SALESPERSON: ______________________________________________________________

AGENCY: ____________________________________________________________________________
ADDRESS: __________________________________________________________________________
TELEPHONE: ______________________________________ FAX: __________________________

AS A LICENSED REAL ESTATE BROKER/SALES PERSON, I WISH TO REGISTER MY CLIENT(S):

NAME: ______________________________________________________________________________
ADDRESS: __________________________________________________________________________
TELEPHONE: ________________________________________________________________________

FOR THE UPCOMING AUCTION OF THE FOLLOWING PROPERTY:

AUCTION DATE: ______________________________________________________________________

I SHALL ATTEND A SCHEDULED PREVIEW, IF ANY, AND THE AUCTION, ALONG WITH MY CLIENT WHO WILL REGISTER TO BID ON THE DAY OF THE AUCTION. IT IS MY UNDERSTANDING THAT A FEE OF _________% OF THE HIGH BID WILL BE PAID TO THE ABOVE LISTED REAL ESTATE AGENCY SHOULD MY CLIENT BE THE SUCCESSFUL BIDDER, PAYS FOR AND CLOSES ON THE PROPERTY. I HAVE REGISTERED MY CLIENTS AT LEAST 48 HOURS PRIOR TO THE TIME OF AUCTION. NO ORAL REGISTRATIONS WILL BE ACCEPTED.

I AM REPRESENTING MY CLIENT, THE BUYER, AND NOT THE SELLER. FURTHER I SHALL HOLD
HARMLESS AND INDEMNIFY HILLER AUCTION SERVICE AND THE SELLER FROM ANY AND ALL
CLAIMS, COSTS OR EXPENSES WHICH MAY ARISE BY ANY ACTIONS, INACTIONS, OR REPRESENTATIONS MADE BY ME IN CONNECTION WITH THE SALE OF THIS PROPERTY.

A PROSPECTIVE BIDDER WHO HAS PREVIOUSLY BEEN IN CONTACT WITH HILLER AUCTION
SERVICE OR THE SELLER OR HAS ATTENDED A PREVIOUS SHOWING OF THE PROPERTY WILL
NOT BE ELIGIBLE AS A CLIENT FOR ANY BROKER OR SALESPERSON.

IN ADDITION TO MY SIGNATURE BELOW, PLEASE FIND THE SIGNATURE OF MY CLIENT INDICATING THEY HAVE SEEN AND AGREED TO THE ABOVE.

BROKER/SALESPERSON ____________________________ DATE __________________________
CLIENT(S) ________________________________________ DATE __________________________

PLEASE FAX BACK THIS FORM TO HILLER AUCTION SERVICE, 763-856-1453.