New Buyer File Order Form
Agent Information:
Agent Brokerage:
*
Agent Name
*
First Name
Last Name
Agent Email
*
example@example.com
Agent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Client Information:
Client Legal Name
*
First Name
Last Name
Client Email
*
example@example.com
Client Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Client Current Address (if known)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Marital Status
*
Married
Single
Other
Is Buyer a US Citizen?
*
Yes
No
Other
Lead Source:
*
Agent SOI
Referral
Zillow
Other
Secondary Client Information
* If applicable
Client Legal Name
First Name
Last Name
Client Email
example@example.com
Client Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Client Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Client Marital Status
Married
Single
Other
Is Buyer a US Citizen?
Yes
No
Other
Purchase Information:
Please complete to the best of your ability
Purchase Type
*
Please Select
Residential Sale
Residential Lease
Residential Land Contract
Commercial Sale
Commercial Lease
Commercial Land Contract
Wholesale
Assignment
Agent Admin Fee:
*
Ex: $595.00 (This will be presented to client on Buyer Contract Pg. 1 #6B and paid by buyer at closing as part of commission)
Buyer Agent Commission
*
Ex: 3%
Lender Information: If pre-approved, please upload below:
*
Property Address (if under contract)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Notes:
Should you have additional comments and information, please provide in this section.
File Upload
Browse Files
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Please upload any supporting documents: Photo of ID, Pre-Approval, Cert of Trust, etc.
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