Property address (“Property”): 485 Lakeview Dr , Brentwood, CA 94513 Date
Real estate agent(s) (“Agent”): Karan Mehindro
Real estate broker (“Broker”): Realty ONE Group ELITE

VISITOR INTENTION TO VIEW PROPERTY: Agent is holding an open house or conducting in-person or live
virtual tours of the Property identified above. Visitor is interested in viewing the Property. Agent agrees to show
property to Visitor on the following terms and conditions:

1. AGENT DOES NOT REPRESENT VISITOR: Unless otherwise agreed in writing, Agent is not working with
and has not entered into a representation agreement with Visitor that would apply to the Property.

2. COMMUNICATION WITH AGENT AT OPEN HOUSE/PROPERTY TOUR FOR BENEFIT OF SELLER:
Any communication or sharing of information that Agent has with Visitor during the open house/property
tour regarding the Property is for the benefit of the seller. All acts of Agent at the open house/property tour,
even those that assist Visitor in deciding whether to make an offer on the Property are for the benefit of the
seller exclusively.

3. COMMUNICATION WITH AGENT ARE NOT CONFIDENTIAL: Any information that Visitor reveals to
Agent at the open house/property tour may be conveyed to the seller.

4. IF VISITOR WRITES AN OFFER ON THE PROPERTY: through Agent, at that time Agent will disclose if
Agent and Agent's Broker represent the seller exclusively or both the seller and the Visitor.

5. IF VISITOR WANTS TO BE REPRESENTED BY THE AGENT HOLDING THE OPEN HOUSE: Visitor
should sign a representation agreement with the Agent holding the open house such as a Property
Showing and Representation Agreement (C.A.R. Form PSRA) or Buyer Representation and Broker
Compensation Agreement (C.A.R. Form BRBC). If Visitor is in an exclusive relationship with another agent,
this is not intended as a solicitation of Visitor.

Note: Real estate broker commissions are not set by law and are fully negotiable.

Visitor Name/Email/Phone: Visitor's Agent, if any:

Name: _______________________________________________ Agent, if any: ___________________________________________
Email _______________________________________________________Phone: __________________________________________


Name: _______________________________________________ Agent, if any: ____________________________________________
Email _______________________________________________________Phone: ___________________________________________

Name: _______________________________________________ Agent, if any: _____________________________________________
Email _______________________________________________________Phone: ____________________________________________

Name: _______________________________________________ Agent, if any: _____________________________________________
Email _______________________________________________________Phone: ____________________________________________

Name: _______________________________________________ Agent, if any: _____________________________________________
Email _______________________________________________________Phone: ____________________________________________

Name: _______________________________________________ Agent, if any: _____________________________________________
Email _______________________________________________________Phone: ____________________________________________

Name: _______________________________________________ Agent, if any: _____________________________________________
Email _______________________________________________________Phone: ____________________________________________

© 2024, California Association of REALTORS®, Inc. United States copyright law (Title 17 U.S. Code) forbids the unauthorized distribution, display and reproduction of this form, or any portion thereof, by photocopy machine or any other means, including facsimile or computerized formats. THIS FORM HAS BEEN APPROVED BY THE CALIFORNIA ASSOCIATION OF REALTORS®. NO REPRESENTATION IS MADE AS TO THE LEGAL VALIDITY OR ACCURACY OF ANY PROVISION IN ANY SPECIFIC TRANSACTION. A REAL ESTATE BROKER IS THE PERSON QUALIFIED TO ADVISE ON REAL ESTATE TRANSACTIONS. IF YOU DESIRE LEGAL OR TAX ADVICE, CONSULT AN APPROPRIATE PROFESSIONAL. This form is made available to real estate professionals through an agreement with or purchase from the California Association of REALTORS®.

Published and Distributed by: REAL ESTATE BUSINESS SERVICES, LLC. a subsidiary of the California Association of REALTORS®

OHNA-SI REVISED 8/24 (PAGE 1 OF 1)

                          OPEN HOUSE VISITOR NON-AGENCY DISCLOSURE AND SIGN-IN (OHNA-SI PAGE 1 OF 1)

              Realty ONE Group ELITE 2510 Sand Creek Rd Brentwood CA 94513 Phone: 9255883717  Fax:       Elmer G
               Karan Mehindro Produced with Lone Wolf Transactions 717 N Harwood St, Suite 2200, Dallas, TX 75201.                                                                                                    www.lwolf.com