Listing InTake Form

Buyer Contract to Close InTake Form

Please complete this form to submit your Contract(s) to your TC. Please allow 24 hour reply unless urgent. If Urgent, Please email me bpgcoordinate@gmail.com
Name

First NameLast Name
Brokerage Name
Brokerage name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
I would like my Transaction Coordinator to do my:
Property Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please email all ratified contract and details to: BPGcoordinate@gmail.com. Please title email with the Property address - Your Name.

Please attached all things needed for this contract: all agreements, disclosures, etc. We will need to credentinals for your Forms, Docusign, or anything you would like us to manage to do our job effectively.
Is this a referral?
Referral Agent:
Internal, External and Commission info:
Buyer Info
Buyer #1

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Buyer # 2 (If Applicable)

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Lender Info
Name, Ph#, Email and any additional info needed
Type N/a if No Lender
Title Co Info
Name, Ph#, Email and any additional info needed
Any special circumstances or relationships I should be aware of? (Type N/A if none)
Additional Notes:
Type N/A if nothing or just email details to BPGcoordinate@gmail.com
Payment for services shall be paid to Transaction Coordinator within 3 business days after closing. Fees must be made out to " Stacey Bello" via Zelle, Paypal . We do not accept checks.
If you agree to these terms, Please select agree below:
Should be Empty:

Buyer Contract to Close InTake Form

Buyer Info

Lender Info

Title Co Info