Listing Agreement Drafting Request

Listing Agreement Drafting Request
AGENT INFO
Your Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Brokerage Name*
Line 4
Commencement Date*

MonthDayYear
Line 20
Termination Date*

MonthDayYear
Line 20
CUSTOMER INFO
Seller #1 Name*

First NameLast Name
Seller #1 Email*
example@example.com
Seller #1 Phone*
Please enter a valid phone number.
Seller #2 Name

First NameLast Name
Seller #2 Email
example@example.com
Seller #2 Phone
Please enter a valid phone number.
Additional Seller Info (is it a trust, LLC, etc.)
PROPERTY INFO
Property Inclusions:
Lines 13-20
Property Exclusions:
Line 25
If applicable, let us know the following: Parking Space #, Cabana #, Storage Locker #, Boat Dock #
Line 31-32
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Listing Price*
Line 40
Do you want the property entered in the MLS?*

YesNo
Do you want to disclose the existence of offers on the property to the Buyers/Buyer Broker?*

YesNo
Will a lockbox be installed on the property?*

YesNo
What is the broker compensation fee? *
Line 128 - Total commission %
Is there broker transaction fee?
Line 128
If you elect to permit Broker to share a portion of the commission with Buyer Broker, how much? *
Line 142 - Total commission % to buyers broker
Are there any seller concessions? If so, what is the amount?
Seller elects to complete a seller disclosure form?*

YesNo
Seller is a foreign person or entity?*

YesNo
Seller is aware of any past casualty insurance claims to the property*

YesNo
Does the Seller have knowledge of lead-based paint hazards within the property?*

YesNo
Is the property located within a CDD or MSTU?*

YesNo
Are there any other terms and conditions?*
Lines 287-290
Do you want us to build out the listing in the MLS? If yes, download and fill out the profile sheet and email it to ty@contractsandmedia.com*

YesNo
Click here for a fillable profile sheet for the MLS. Once complete, download and email the form to us.
Agent's Signature
Should be Empty:

Listing Agreement Drafting Request

AGENT INFO

CUSTOMER INFO

PROPERTY INFO