NEW - 3.23 - Midwest Paper Pushers Contract Submission Form

Agent Name
Brokerage
Agent Email
example@example.com
Agent Phone
Please enter a valid phone number.Format: (000) 000-0000.
State
Co-Agent
Co-Agent Brokerage
Co-Agent Email
Co-Agent Phone
Commission Split
Agent/Co-Agent
Transaction Type
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.
Compliance Only: Transaction Type
Listing Coordination Riders:
Property Address
123 S Main St, Anywhere, SD
Property Address
List Price
Commission - Listing / Buying
Date Listing Goes Live

MonthDayYear
Date
Listing Expires Date

MonthDayYear
Date
Sale Price
Source
Prospecting, SOI, Team Lead, Zillow, etc.
Earnest Money Amount
Earnest Money Location
Contract Acceptance Date

MonthDayYear
This is your mutual date!
Contract Closing Date

MonthDayYear
Date
Cooperating Agent Name
Cooperating Brokerage
Cooperating Agent Email
example@example.com
Cooperating Agent Phone
Please enter a valid phone number.Format: (000) 000-0000.
Buyer Name
Buyer Email
Buyer Phone
Format: (000) 000-0000.
Buyer Name
Buyer Email
Buyer Phone
Format: (000) 000-0000.
Seller Name
Seller Email
Seller Phone
Format: (000) 000-0000.
Seller Name
Seller Email
Seller Phone
Format: (000) 000-0000.
Financing
Lender Name
Bank Name
Lender Email
example@example.com
Lender Phone
Please enter a valid phone number.Format: (000) 000-0000.
Preliminary Title
Closing Officer Name
Title Company
Title Email
example@example.com
Title Phone
Please enter a valid phone number.Format: (000) 000-0000.
Contingencies

Other
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!

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Inspections (Seller Side)
Scheduled Inspection Date HIDE

MonthDayYear
Date
Hour MinutesAM/PM Option
Scheduled Inspection Date

MonthDayYear
Date
Inspection Start Time

Hour Minutes

AM/PM Option
Inspection Walkthrough Time

Hour Minutes

AM/PM Option
Inspection Deadline HIDE

MonthDayYear
Date
Hour MinutesAM/PM Option
Inspection Deadline

MonthDayYear
Date
Time

Hour Minutes

AM/PM Option
Inspection Negotiation Deadline

MonthDayYear
Date
Time

Hour Minutes

AM/PM Option
Negotiation Deadline HIDE

MonthDayYear
Date
Hour MinutesAM/PM Option
Property Sale Contingency Deadline

MonthDayYear
Date
Seller's Replacement Housing Deadline

MonthDayYear
Date
Other Deadline

MonthDayYear
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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Please upload all other fully executed Documents here

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Promo Code
Transaction Coordination Fee will be paid
By Submitting this form I agree to pay Midwest Paper Pushers a Transaction Coordination Fee as per the signed Support Services Agreement.
Should be Empty: