LISTING QUESTIONNAIRE
Please answer as many questions as you can. Put N/A in required fields if not applicable.
Priority Level: 1, 2 or 3. Please indicate when you need it by.
Listing Agent
*
First Name
Last Name
Agent Email
*
example@example.com
Seller 1
*
First Name
Last Name
Seller 1 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Seller 1 Email
*
example@example.com
Seller 2
First Name
Last Name
Seller 2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Seller 2 Email
example@example.com
Marital Status
*
Married
Divorced
Single
Separated
Listing Information
List Price
*
Listing Expiration Date
*
-
Month
-
Day
Year
Date
Are you doing a "Coming Soon"?
*
Yes
No
Marketing/Coming Soon Date
*
-
Month
-
Day
Year
Date
Active Date
*
-
Month
-
Day
Year
Date
Commission Fee Total %
*
Buyer Agent Split %
*
Existing Mortgage/Lien Information
1st Mortgage Balance:
1st Mortgage Lender
2nd Mortgage Balance:
2nd Mortgage Lender
Title Insurance Information
Title Insurance Company
Title Insurance Policy:
HOA Information
Is there a Homeowner's Association?
*
Yes
No
If yes, what is the amount of the dues and are they paid annually, semi-annually, quarterly or monthly?
Homeowners Association Name
Management Company Name:
Phone #
Other
Is there a termite bond on the property?
*
Yes
No
I don't know
Is there any personal property that will be included in the sale? (Refrigerator, washer, dryer, shed, trampoline, playset) Please list.
*
Are there any items that will not convey?
*
Are there any items that are leased?
*
Does seller carry flood insurance on the home?
*
Yes
No
I don't know.
Type a question
Is this their primary residence?
*
Yes
No
Are they currently in or considering bankruptcy?
*
Yes
No
I don't know
Is there a fuel tank on the property? If yes, is it above ground. Is it owned or leased?
*
There are not any Uniform Commercial Code (UCC) fixture filings affecting the Property, and Seller has no knowledge of any matter that might result in a UCC fixture filing affecting the Property:
*
Please Select
Yes
No
I don't know
Specify any information, including approximate balances, required by Seller representations
Will the property include offsite or separate septic lot, boat slip, garage, parking space or storage unit?
*
Yes
No
Governmental Compliance: Seller warrants that the Property is not in violation of any law, ordinance, permit, or government regulation (including, but not limited to, those relating to building, stormwater, impervious surface, environmental protection, and zoning), except for the following:
*
Is the property located on a private road or is it maintained by the County?
Private Road
County Maintained
Submit
Should be Empty: