Offer Request Form

Offer Request Form
If you are a NEW agent and have never worked with us before, please submit a New Agent Intake Form before proceeding with your request.
- Agent Name*
  
  First NameLast Name
- Buyer Name*
  
  First NameLast Name
- Buyer Email*
  example@example.com
- Buyer Phone*
  Please enter a valid phone number.Format: (000) 000-0000.
- Are there any additional buyers?*
  
  YesNo
- Buyer 2 Name*
  
  First NameLast Name
- Buyer 2 Email*
  example@example.com
- Buyer 2 Phone*
  Please enter a valid phone number.Format: (000) 000-0000.
- Buyer Mailing Address (if different than Property Address)
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- If applicable, please input contact information for any other additional Buyers below.
- First Time Homebuyer Y/N*
  
  YesNo
- Property Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Offer Price*
- Requested seller-paid COMMISSION amount*
  i.e. 2.5%
- Transfer/Recordation Taxes*
  
  Split 50/50Paid by buyerPaid by seller
- EMD Amount*
- EMD Method*
- EMD # of Days*
- EMD Holder Name*
- Settlement Date*
  
  MonthDayYear
  Date
- Seller Contribution Y/N*
  
  YesNo
- Seller Contribution Amount*
  e.g., 3 (%) or 5000 ($)
- Inspection Type(s) (CHECK ALL THAT APPLY)*
  
  FOR INFORMATIONAL PURPOSES ONLYNONEStructural and MechanicalMoldEnvironmentalRadonChimney InspectionLead-Based Paint Hazard InspectionWood Destroying Insect"Any Other Recommended by Home Inspector"Other
- Inspection(s) # of Days*
- Do you need a SEPTIC Inspection?*
  
  NoYes
- SEPTIC Inspection # of Days*
- In the event SEPTIC repairs are required, Seller shall pay the cost of repairs. If the cost of repairs exceeds$*, Seller at Seller's election, may declare this Contract null and void.
- BALTIMORE COUNTY ONLY - Do you need a WELL Inspection?*
  
  NoYesN/A
- BALTIMORE COUNTY ONLY - WELL Inspection # of Days*
- Do you need a WELL WATER QUALITY Inspection? (Put N/A if Baltimore County)*
  
  NoYesN/A
- WELL WATER QUALITY Inspection # of Days*
- Seller shall correct any WELL WATER QUALITY contamination prior to settlement, provided the cost of correction does not exceed$*.
- Do you need a WATER YIELD TEST Inspection? (Put N/A if Baltimore County)*
  
  NoYesN/A
- WELL YIELD TEST Inspection # of Days*
- Seller shall correct any WATER YIELD TEST deficiencies prior to settlement, provided the cost of correction does not exceed$*.
- Financing Type*
  
  NONEConventionalFHAVAUSDAHard MoneyOther
- Additional Financing / Homebuyer Assistance Programs, if applicable (for example: MMP, SmartBuy, HAP, etc.)
- Loan Application # of Days*
- Loan Commitment # of Days*
- Loan Amount*
- Interest Rate*
- Lender Required Repairs Amount ($)*
- Please upload the Pre-approval Letter
  
  Cancelof
- Additional Terms (CHECK ALL THAT APPLY)
  
  Purchase Price EscalationAppraisal WaiverBuyer's Sale, Financing, Settlement, or Lease of Other Real EstateShort SaleOther
- Purchase Price Escalation Increments*
- Purchase Price Escalation Cap*
- Buyer's Property Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- The Contract is contingent upon the settlement of Buyer's Property on or before ENTER DATE*.
- Third Party Approval # of Days*
- OTHER Terms (please be specific)*
- Will you be requiring Contract to Close services if the offer is accepted?*
  
  YesNo
- Do you need a Buyer Agency Agreement? (An additional $15 will be applied.)*
  
  YesNo
- Buyer Agency Commission*
- Buyer Agency Flat Fee*
- TERMS OF PAYMENT
  
  Service Fees:
  $75 – Offer Writing
  
  Payment Authorization:
  By submitting this form, you authorize the card on file to be charged for the selected service.
  
  Revision Policy:
  Includes up to 2 revisions & submissions of the offer.
  
  Refund & Cancellation Policy:
  All payments are non-refundable once work has commenced. If you wish to cancel your request, you must notify us immediately. Cancellations will not be accepted after work on your file has begun.
- Do you agree to the Terms of Payment above?*
  
  Agree
- Should be Empty: