PRINT, COMPLETE, SIGN & MAIL TO THE ADDRESS BELOW

Your Texas Home Buyers
 
Phone: (817) 271-6370




CASH REWARD PROGRAM REGISTRATION FORM

Name Home Phone (     )
Mailing Address Work Phone (     )
City                            State            Zip Cell / Pager (     )
Social Security # Email Address

ACKNOWLEDGEMENTS

I hereby acknowledge and agree that:

I am not an employee of Your Texas Home Buyers. Therefore, I am responsible for any income tax liability and for notifying the IRS of my earnings.

Either, Your Texas Home Buyers or I may choose to terminate my participation in the CASH REWARDS PROGRAM at any time and for any reason.

If I earn $600 or more during any calendar year, Your Texas Home Buyers will issue a 1099 IRS Form for tax purposes as required by law. Further, I will cooperate fully with the preparation of this form by supplying my Social Security Number to Your Texas Home Buyers as indicated above.


Signature
Date