GET 2 CLOSE TRANSACTION COORDINATION
(954) 955-8489 | sy@get2closetc.com | www.get2closetc.com
Contract 2 Close Intake Form
Agent Name
*
First Name
Last Name
Agent Email
example@example.com
Co-Agent Name
First Name
Last Name
Co-agent Email
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Transaction Side
Please Select
Buyer
Seller
Dual
Buyer 1 Name
First Name
Last Name
Buyer 1 Phone
Please enter a valid phone number.
Buyer 1 Email
example@example.com
Buyer 2 Name
First Name
Last Name
Buyer 2 Phone
Please enter a valid phone number.
Buyer 2 Email
example@example.com
Seller 1 Name
First Name
Last Name
Seller 1 Phone
Please enter a valid phone number.
Seller 1 Email
example@example.com
Seller 2 Name
First Name
Last Name
Seller 2 Phone
Please enter a valid phone number.
Seller 2 Email
example@example.com
Client Notes
Contract Price
Effective Date
*
-
Month
-
Day
Year
Date
(Only Enter Cooperating Agent Info Below as Applicable)
Listing Agent Name
First Name
Last Name
Listing Agent Phone
Please enter a valid phone number.
Listing Agent Email
example@example.com
Selling Agent Name
First Name
Last Name
Selling Agent Phone
Please enter a valid phone number.
Selling Agent Email
example@example.com
Lender Name
First Name
Last Name
Lender Phone
Please enter a valid phone number.
Lender Email
example@example.com
Closing Agent Name
First Name
Last Name
Closing Agent Company:
Closing Agent Phone
Please enter a valid phone number.
Closing Agent Email
example@example.com
Is There Attorney Representation:
Buyer
Seller
N/A
Attorney Name
First Name
Last Name
Attorney Company:
Attorney Phone
Please enter a valid phone number.
Attorney Email
example@example.com
Association
COA
HOA
None
Property Manager Name
First Name
Last Name
Property Manager Phone
Please enter a valid phone number.
Property Manager Email
example@example.com
Association Notes
Home Inspection
Scheduled
Not Yet Scheduled
Date
/
Month
/
Day
Year
Date
Time:
Appraisal
Order ASAP
Wait Until After Inspection Period
N/A
Notes or Other Inspections Needed:
Listing Commission
Selling Commission
Transaction Fee
*
Commission Notes
Referral
Yes
No
Referral Agent
First Name
Last Name
Referral Brokerage
Referral Fee:
Referral Notes:
Transaction Notes
I agree that by submitting this form I am authorized to provide Get 2 Close, LLC with the contact information for my clients for the purposes of closing services pertaining to this transaction, and that Get 2 Close, LLC is authorized to utilize this contact information strictly for the stated purposes. Furthermore, I acknowledge that I am retaining Get 2 Close, LLC for Contract 2 Close services pertaining to this transaction. I acknowledge that services will be invoiced and payment is due upon successful closing of the transaction.
*
I agree
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