Agent Name
*
Brokerage
*
Agent Email
*
example@example.com
Agent Phone
*
Please enter a valid phone number.
State
*
Please Select
Alabama
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California
Colorado
Connecticut
Delaware
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Add a Co-Agent
Co-Agent
Co-Agent Brokerage
Co-Agent Email
Co-Agent Phone
Commission Split
Agent/Co-Agent
Transaction Type
*
Buyer: Contract to Close. ($399)
Seller: Contract to Close. ($399)
Dual: Contract to Close. ($699)
Listing Coordination & MLS Input ($100)
Compliance Only ($200)
Compliance only includes inputting transaction into Brokerage Transaction Management System (Dotloop, Skyslope, etc.), compliance items, and requesting CDA. This service does not include communication and follow up with Client, Agent, Title, Lender, etc.
I understand
Compliance Only: Transaction Type
Buyer
Seller
Listing Coordination Riders:
MLS description written by Emily Pogue Freelance Writing ($50)
Graphic with your logo, contact info, photo of the property & caption ($30)
Rush Fee - needs to be completed within 24 hours ($50)
Property Address
123 S Main St, Anywhere, SD
Property Address
List Price
Commission - Listing / Buying
Date Listing Goes Live
-
Month
-
Day
Year
Date
Listing Expires Date
-
Month
-
Day
Year
Date
List Date TBD
Sale Price
Source
Prospecting, SOI, Team Lead, Zillow, etc.
Earnest Money Amount
Earnest Money Location
Please Select
Title Company
Listing Firm
Buying Firm
Contract Acceptance Date
/
Month
/
Day
Year
This is your mutual date!
Contract Closing Date
/
Month
/
Day
Year
Date
Cooperating Agent Name
Cooperating Brokerage
Cooperating Agent Email
example@example.com
Cooperating Agent Phone
Please enter a valid phone number.
Buyer Name
Buyer Email
Buyer Phone
Add another Buyer
Buyer Name
Buyer Email
Buyer Phone
Seller Name
Seller Email
Seller Phone
Add another Seller
Seller Name
Seller Email
Seller Phone
Financing
Yes
Cash
Lender Name
Bank Name
Lender Email
example@example.com
Lender Phone
Please enter a valid phone number.
Preliminary Title
Title already ordered at below Title Company
TC to Order Title at the below Title Company
Closing Officer Name
Title Company
Title Email
example@example.com
Title Phone
Please enter a valid phone number.
Contingencies
Inspections
Property Sale Contingency
Seller's Replacement Housing
Other
Inspections
Scheduled & Confirmed
TBD - Buyer/Agent Scheduling
TC to Schedule Inspections
Already through Inspections
If TC is ordering Inspections, please provide us with as much information we should know about scheduling, preferred date and time, preferred inspector - or if you'd like us to pick! Paying for inspection at closing or prior to inspection? Are your clients in town? Will you be meeting them for walkthrough? Will you be doing video walkthrough with them? As much info as possible is much appreciated!
0/200
Inspections (Seller Side)
*
Scheduled & Confirmed
TBD - Waiting to hear from Buyer's Agent
Already through Inspections
Scheduled Inspection Date HIDE
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Scheduled Inspection Date
-
Month
-
Day
Year
Date
Inspection Start Time
Hour Minutes
AM
PM
AM/PM Option
Inspection Walkthrough Time
Hour Minutes
AM
PM
AM/PM Option
No Inspection Walkthrough
Inspection Deadline HIDE
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Inspection Deadline
-
Month
-
Day
Year
Date
Time
Hour Minutes
AM
PM
AM/PM Option
Inspection Negotiation Deadline
-
Month
-
Day
Year
Date
Time
Hour Minutes
AM
PM
AM/PM Option
Negotiation Deadline HIDE
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Property Sale Contingency Deadline
-
Month
-
Day
Year
Date
Seller's Replacement Housing Deadline
-
Month
-
Day
Year
Date
Other Deadline
-
Month
-
Day
Year
Date
Please include any other details we should know about the file here:
Please upload Accepted Purchase Agreement and Counter Offer (if applicable). ***Files uploaded here will be sent directly to your clients Lender***
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of
Please upload all other fully executed Documents here
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of
Promo Code
Transaction Coordination Fee will be paid
Out of Commissions at Closing
By Client at Closing
By Credit Card Online (3% processing fee applies)
By Submitting this form I agree to pay Midwest Paper Pushers a Transaction Coordination Fee as per the signed Support Services Agreement.
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