Agent Information
Property address
*
Agent Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Agency?
*
Listing Agent
Buyer’s Agent
Dual Agent
Brokerage Name
*
Your Commission %
*
Total Commission %
*
Commission From Seller %
*
Additional Commission From Buyer %
*
Admin Fee
*
Commission Disbursement
*
Check at Closing
Wired
Mailed (our standard practice is to mail checks via USPS, if you would like to provide à label will be happy to use it)
Agent Credit
Mailing Address
*
Wiring instructions (must be submitted at least 48 prior to Closing)
*
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FYI. Wiring instructions must be submitted at least 48 hours prior to closing.
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Client Contact information
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Client Contact information
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are Inspections Being Conducted?
*
No
Yes
Proposed Date For Inspections
*
-
Month
-
Day
Year
Date
Seller Credit
No
Yes (Please Enter Amount Below)
Is the Property Fee Simple
*
Yes
Ground rent
Company Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Is there a Front Foot Benefit Assessment ?
*
No
Yes
Company Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Is there HOAManagement Company
*
No
Yes
HOA/Condo Management Company
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
HOA Company Address
*
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Please Provide any Additional Information
Please provide Receipts for reimbursement.
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