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Transaction Type
*
Please Select
Pre-Listing
Buying Resale
Listing Under Contract
New Construction
Lot/Land (Buy)
Lot/Land (Sell)
Commercial
Dual Agency (Same Brokerage)
Dual Agency (Different Brokerage)
Lease/Rental
Broker Upload Only
Referral
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Is the property currently occupied?
*
Please Select
Vacant
Owner Occupied
Tenant Occupied
Unknown
Need for inspections
Where is the client located?
Please Select
Local (Las Vegas)
Out of State
International
Need for signing instructions for Title
Does the client want a sign in the yard?
Please Select
Yes
No
N/A
Pre-list only
Actual On Market Date
Pre-List Only *Please note, MLS auto deletes listings that are in Incomplete Status for more than 10 calendar days. We will only input on MLS >10 calendar days from actual On Market Date.
Would you like us to order the home inspection?
Please Select
Yes
No
N/A
Buyer side only
Is there an HOA?
Please Select
Yes
No
Unknown
Please write in notes below if there's more than 1 HOA.
Is this a referral?
Please Select
Yes
No
If yes, please write type of referral and percentages in notes below.
Commission Percentage or Flat Fee
Total Commission Percentage
*
Your commission only. (Example: 2.5%) **If dual or splitting commission between sides, please explain. (Example: Seller to pay 2%, buyer to pay 1% of my commission)
Transaction/Admin Fee (if applicable)
Are you charging your client a brokerage fee?
Buyer Additional Commission Agreement
Please Select
BBRA (Buyer Broker Representation Agreement)
RPA (Residential Purchase Agreement)
N/A
For buyer representation only. If not noted here, we will automatically correct BBRA to match the RPA commission.
Client #1 Contact Information
Client #2 Contact Information (if applicable)
*
Lender Information
First Name
Last Name
Lender Email
Lender Phone
-
Area Code
Phone Number
Lender Company
Documents & Notes
First Name
Last Name
Contract & Important Notes
Upload Purchase Agreement & Documents
Browse Files
If not attached to this form, please FWD the FULLY EXECUTED contact to us via email to Contracts@Reigntc.com **OR** note below where we can find the docs.
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Additional Notes or Special Instructions
Anything else you need us to know about this file? Common examples: 1) BBRA is not yet fully executed, please send for broker's signatures. 2) This is a short sale, probate, seller or buyer is under a trust, entity, etc.
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