Client Listing Data Collection

New Listing Data Collection

This form is designed to help stream line the listing process and minimize the chance of errors. Please complete all questions asked and your agent will be in touch with you to follow up on your answers.
Which MillTown Property Group Agent are you working with?
How many people/Entities are on title to the property?
What is the Address of the Property?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact
Primary Contact Name

First NameLast Name
Primary Contact Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Drivers License OR Government Issued Photo ID

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Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
All Other Contacts

Enter the contact information for all other persons on title of the property.
Enter the first name, last name, and email address of all other persons on title:
Government Issued Photo ID of ALL Persons on Title

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Estate Details

Enter the details of the Estate
Name of the Estate
Lawyer Name
Lawyer Email
example@example.com
Any Supporting Documents for the Sale of the Property

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All Other Contacts

If there are multiple people named that are required to sign for the sale of the property, please provide their information.
Enter the first name, last name, and email address of all other persons on title:
Government Issued ID of All Required Signatories (Signers)

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Corporation Details

Please provide the details of the corporation.
Operating Name:
Legal Name:
Articles of Incorporation

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Lawyer Contact and Details
Beneficial Owners

Please provide the details of all beneficial owners of the company that own 25% of the company or more.
Please provide the first name, last name, email address, and phone number of each beneficial owner.
Government Issed ID's of ALL Contacts

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FINTRAC DETAILS
What is FINTRAC?

Real estate brokers or sales representatives, and real estate developers must fulfill specific obligations as required by the Proceeds of Crime (Money Laundering) and Terrorist Financing Act (PCMLTFA) and associated Regulations, to help combat money laundering and terrorist activity financing in Canada.

The Financial Transactions and Reports Analysis Centre of Canada (FINTRAC) is Canada's financial intelligence unit and anti-money laundering and anti-terrorist financing supervisor. Its mandate is to facilitate the detection, prevention and deterrence of money laundering and the financing of terrorist activities, while ensuring the protection of personal information under its control.
Please list the employer and job title associated with everyone on title.
What is your citizen ship status?
Does anyone involved in this transaction have a criminal history?
Does anyone involved in this transaction a domestic or foreign PEP or HIO?
Is anyone in this transaction subject to Ministerial Directive (Applicable to North Korea, Russia, etc)

New Listing Data Collection