2025 MLSA Forms

MLS Exempted Listings/MLSA

Pursuant to the Shasta Association of REALTORS® (“Association”) Multiple Listing Service Rules and Regulations, specifically Section 7.6, if the seller refuses to permit the listing to be disseminated by the service, the listing broker shall submit to the service a certification signed by the seller that the seller does not authorize the listing to be disseminated by the service.

Simply complete the registration information below and upload the form at the bottom.

Non-REALTORS can access the Assocation's SELM form here. Simply complete the registration information below and upload the fully executed SELM or RLA at the bottom. REALTORS should not use this form.

REALTORS can access the C.A.R. MLSA form within their Zipforms.

For questions or additional assistance, please contact the Association office.

Property Assessor's Parcel Number (APN) - If the APN has not been assigned please use zeros.

Property Address Information - If property does not have a registered address, please use zero (000) as the numerical value for the address number*

Address Number ONLY (numerical only)

Street Name ONLY

CityState

Zip Code

Listing Broker/Office *

Listing Agent*

Email *

example@example.com

MLSA Type*

New MLSAExtend MLSANEW SELM Form for NON REALTORSExtend SELM Form for Non REALTORS

Marketing Options*

A. Full Exposure: Market the Property with full exposure to the public starting at the beginning of the listing period , ORB. Coming Soon - Market the Property under a coming Soon Policy. See MLS Rules under Coming Soon Status ( currently this is a 10 days period), ORC. Office Exclusive Limited Exposure, ORD. Do not begin marketing the Property to the public (including the MLS until the date the seller agrees to on the MLSA Form.

Begin marketing to the public on the following date. ( If Item D above is checked, please put either the date marketing begins . If # B is chosen the Begin Marketing Date will automatically be 10 days or sooner if agent updated status. No date required below form Coming Soon.

MonthDayYear

If a specific date is not noted, please state what is on the MLSA or non REALTOR SELM Form. If the MLSA or non REALTOR SELM Form states "seller states" please write that below.

Listing Agreement Date (Date (This is the date on top of the MLSA / SELM form that says the Listing Agreement date)*

MonthDayYear

MLSA/SELM Signature: (This is the date the seller signed the MLSA/SELM Form)*

MonthDayYear

Listing Agreement Contract Expiration Date*

MonthDayYear

7.6 Exempted Listings. If the seller refuses to permit the listing to be disseminated by the service on any exclusive right to sell or seller reserved listing agreement for the sale of one to four unit residential property and vacant lots located within the service area of the MLS, the listing broker shall submit to the service within two (2) business day after all necessary signatures of the seller(s) have been obtained on the listing agreement or at the beginning date of the listing as specified in the contract, whichever is later, a certification signed by the seller stating that the seller instructs listing broker to do no public marketing or advertising (as public marketing or advertising is defined in Section 7.5), that the only scope of permissible promotion of the property will occur internally within the brokerage and consist of direct one-on-one communication between the listing broker and licensees affiliated with the listing brokerage and their respective clients (i.e., “office exclusive”) and that seller refuses to authorize the listing to be disseminated by the service. A.O.R. Form MLSA, C.A.R. Standard Form MLSA and/or RLA may be used for this certification, but in any event, said certification shall include the aforementioned required statements as well as an advisory to seller that, in keeping the listing off the MLS, (1) real estate agents and brokers from other real estate offices, and their buyer clients, who have access to the MLS may not be aware seller’s property is for sale; (2) seller’s property will not be included in the MLS’s download to various real estate internet sites that are used by the public to search for property listings; (3) real estate agents, brokers and members of the public may be unaware of the terms and conditions under which seller is marketing the property; and (4) any reduction in the exposure of the property may lower the number of offers made and negatively impact the sales price. In the event listing broker commences any public marketing or advertising on an exempted listing, submission to the MLS for dissemination is required within one (1) business day thereafter in accordance with Section 7.5.

** The S.A.O.R. Form SELM, or the C.A.R. Standard Form MLSA MUST be uploaded below. Failure to upload the form can result in a fine of $ 300.00 or more.

If you have any additional information that you need to share with the Association Office, please note it here.

Agent Comments:

Please add comments in the box below.

Upload the the NON REALTOR SELM form or Zipform Form MLSA form.*