Name (required)
Email Address (required)
Address (required)
City (required)
State (2 Ch Abbr) (required)
Zip (required)
HAS BUYER DEPOSITED EARNEST MONEY? (required)YesNo
Owner Occupied? (required)YesNo
VacantTenant Occupied
Agent Name
Agent Email
Buyer Name
Buyer Phone
Buyer Email
Buyer Name - if none, type "none"
Agent Name (required)
Agent Email (required)
Seller Name (required)
Seller Phone (required)
Seller Email (required)
Seller Name - if none, type "none"
Seller Phone
Seller Email
Title/Escrow Company (required)
Escrow Officer Name (required)
Escrow Officer Email
DOES BUYER HAVE A LENDER? (required)YesNo
Loan Officer Name
Company
Loan Officer Email
WHAT IS THE TOTAL AMOUNT OF COMMISSION TO BE PAID AT CLOSING?
Commission to be entered as: (required)PercentFlat Fee
TOTAL %/$ (if known)
Please enter known commission amounts?
Listing Agent %/$ (required)
Selling Agent %/$ (required)
IS SALES AGENT CHARGING AN ADDITIONAL COMMISSION AT CLOSING (Broker Administrative Fee)? (required)YesNo
Amount
Additional information or special instructions?
Size limit 2mb each, except 4mb Purchase Agreement. Types: PDF, JPG, DOC, DOCX
MLS Sheet (if handy):
Tax Record (if handy):
Purchase Agreement (if handy):
Counter Offers (if applicable):
Addendum(s) (if applicable):
Buyer's Pre-approval Letter (if applicable):
Additional Document(s) (if needed):
