Harper Services- Listing Intake Form
Seller Details
Seller 1 Name
*
First Name
Last Name
Seller 1 Email
*
example@example.com
Seller 1 Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Seller 2 Name
First Name
Last Name
Seller 2 Email
example@example.com
Seller 2 Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Property Details
Autocompleted Address
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Agent Team Name
Please Select
New Agent
Alexander Mercado
Amy Keillor
Andrew Stanek
Ann Hayle
Anne Anderson
Ben Love
Benavides Team
Blake Carter
Bobbi Engle
Bobby Minor
Bradley Garza
Brigid Schlegel
Brooke & Chase Moore
Carla Johnson
Castle Cuevas
Chad Goldwasser
CRIBS Realty Group
Donnie Wu
East Grove Sales
Emily Shelton
Gregory Cornett
Heyda Escamilla
Holly Ferguson
Jeremy Pruyne
Jesse Valdez
John Carbajal
Kambra Brotherson
Kassity LaBure
Katelyn Fails
LeeRoy Kusto
Lisette Martinez
Lupe Molina
Majbritt Rayas
Mary Mitchell
Matthew Marcelissen
Michael Velasquez
Mike Sedivy
Monica Poss
Ola Kuzmiankova
Priscilla Contreras
Rebeca Marquez
Ron Aaron
Roxan Coffman
Sarah Palacios
Scott Lynch
Shelby McQueen
Steph Bartone
Steve Robertson
Stuart Groves
Timberly Fenoglio
Tracy Wilkins
Marissa Koetting
Agent Name
*
Agent Email
example@example.com
TC
*
Amanda M.
Genevieve
Holly
Leesa
Kim
Mandi
Tamatha
County
Please Select
Other
Bastrop
Bell
Bexar
Blanco
Burnet
Caldwell
Coke
Collin
Comal
Dallas
Ector
Ellis
Fayette
Gonzales
Guadalupe
Hays
Lee
Llano
Midland
Milam
Parker
Smith
Tarrant
Tom Green
Travis
Williamson
Property Year Built
Property Type
*
Please Select
Residential
Residential New Construction
Condo
Farm and Ranch
Land
Commercial
Commercial New Construction
Other
Occupant Type
Please Select
Vacant
Tenant
Owner
Property Access
Please Select
Keypad
Supra
Combo
Property Access Code
Homeowners Association
Please Select
Yes
No
Need to Determine
Any Leases On The Property
Please Select
Yes
No
Need to Determine
Environmental Species Wetlands Y/N
Please Select
Yes
No
Need to Determine
Transaction Details
Listing Price
*
Referral Details
Referral
Please Select
Yes
No
Need to Determine
Exclusions
Listing Home Warranty?
Yes
No
TBD
Listing Dates
Live Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Listing Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Expiration Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Staging Company
Staging Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Photographer Name
Photography Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Maintenance Company
Maintenance Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pre Inspection Company
Pre Inspection Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Videographer Name
Videographer Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Cleaning Company
Cleaners Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Sign Lockbox Installer
Sign Lockbox Install Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Open House 1
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Open House 2
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Listing Agreement
*
Please Select
To Be Drafted
Sent for Signature
Fully Signed Documents Received
Pre Inspection Status
*
Please Select
Not Performing One
Pending Agent Instructions
To Be Scheduled
Scheduled Completed - Report Not Received
Completed - Report Not Received
Completed - Report Received
Photography Media
*
Please Select
Not Applicable
Pending Agent Instructions
Need to be Scheduled
Scheduled - Pending
Received
Sign Lockbox Install Status
*
Please Select
Not Applicable
Pending Agent Instructions
Need to be Scheduled
Scheduled - Pending
Installed - Sign Only
Installed - Lockbox Only
Installed Sign and Lockbox
Open Houses
*
Please Select
None Scheduled
Need to be Scheduled
Scheduled
Compensation Details
Total Commission
Listing Side Commission Amount
Listing Side Commission Percent
Buying Side Commission Amount
Buying Side Commission Percent
Buyer Compensation Paid By
Sellers Agent
Seller
Buyer
None
Buyer Compensation Paid By Sellers Agent
Buyer Compensation Paid By Seller Amount Or Percentage
Buyer Compensation Paid By Buyer Amount Or Percentage
Transaction Manager Fees
TC Transaction Management Fee
Listing Submission
HOA Docs Due from Seller
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Possession Preference
Any Non Realty Items Offered
Do You Need A Listing Agreement Drafted
*
Please Select
Yes
No
Broker Fee Type
A - With Compensation for Buyer's Broker
B - Without Compensation for Buyer's Broker
Broker Fee
*
Buyer Broker Fee
Other Fees and/or Reimbursable Expenses
Protection Period Days
*
County for Amounts Payable to Broker
Please Select
Travis
Williamson
Hays
Bastrop
Bell
Caldwell
Other
Scheduling Companies
Broker Keybox Authorized
*
Please Select
Yes
No
Intermediary Allowed
*
Please Select
Yes
No
Broker Authorized to Display Listing Unless
Type of Financing Allowed
*
Conventional
VA
FHA
Cash
Texas Veterans Land Program
Owner Financing
Other
Type of Financing Allowed Other
Listing MLS Timeframe
Is seller a Foreign Person
*
Please Select
Yes
No
Liens/Encumbrances Exceptions
Delinquent Obligations Exceptions
Employer Relocation Company Name
Authorized to Share Concessions
*
Please Select
Yes
No
Concessions and/or Verbiage Allowed
Addenda Paragraph 19
Information About Brokerage Services
Addendum Regarding Rental Flood Disclosure
Sellers Disclosure Notice
Lead Based Addendum
T-47
MUD Water District or Statutory Tax District Disclosure notice
PID Disclosure Notice
Request for Information from an Owners Association
Request for Mortgage Information
Information about Mineral Clauses in Contract Forms
Information about On-Site Sewer Facility
IRS Forms
Information about Property Insurance for a Buyer or Seller
Information About Special Flood Hazard Areas
Condominium Addendum to Listing
Keybox Authorization by Tenant
Owners Authorization Concerning Unescorted Access to Property
General Information for Landlord Regarding Assistance Animals
Sellers Authorization to Disclose and Advertise Certain Information
Other
Addenda Paragraph 19 Other
Special Provisions
Any other details needed
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Listing Agreement
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Expiration Month
Expiration Year
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