2025 SELM 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.

Seller Signature Date on MLSA or Non REALTOR Form SELM *

MonthDayYear

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

Seller Opt-Out*

A. Do NOT market the Property immediately. Begin Marketing to the public on the date below ORB. Do NOT market the Property to the public during the entire listing periodC. Seller States (Seller does not have a date to begin marketing property)

Begin marketing to the public on the following date.( If Item A above is checked, please put either the date marketing begins or if a specific date is not set, please put in the box below what is on the SELM Form).

MonthDayYear

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

Listing Agreement Contract Date (Date the Listing Agreement Contract was signed by the seller)*

MonthDayYear

Listing Agreement Contract Expiration Date*

MonthDayYear

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 one (1) 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. S.A.O.R.NON REALTORS Form SELM or the C.A.R. Standard Form MLSA may be used for this certification.

** 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 $ 200.00 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.*