Listing Agreement Drafting Request

Listing Agreement Drafting Request
AGENT INFO
Your Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
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.Format: (000) 000-0000.
Seller #2 Name

First NameLast Name
Seller #2 Email
example@example.com
Seller #2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
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
YesNo
YesNo
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?
YesNo
YesNo
YesNo
YesNo
YesNo
Are there any other terms and conditions?*
Lines 287-290
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:

AGENT INFO