~ Buyer Under Contract | New Escrow ~

1
Agent Name* This field is required.
First Name
Last Name
2
Agent Contact Information* This field is required.Enter Contact Info
Please Select
Please Select
Returning Client
New Client
Las Vegas TC Co Client
Please Select
Please Select
Berkshire Hathaway HomeServices
Huntington & Ellis, A Real Estate Agency
Realty ONE Group
Signature Real Estate
Keller Williams
Better Homes & Gardens
Real Broker LLC
Coldwell Banker Premier
eXp Realty
Simply Vegas
Urban Nest
Platinum R.E
Other
Brokerage Name
First Name
Last Name
Email Address
Phone Number
3
Brokerage* This field is required.
4
Select your Brokerage* This field is required.
Please Select
Please Select
Berkshire Hathaway HomeServices
Huntington & Ellis, A Real Estate Agency
Realty ONE Group
Signature Real Estate
Keller Williams
Better Homes & Gardens
Real Broker LLC
Coldwell Banker Premier
eXp Realty
Simply Vegas
Urban Nest
Platinum R.E
Other
5
Property Address* This field is required.Please provide the Property Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
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
6
Seller Contact Information* This field is required.Name, Email, Phone Number
7
Buyer 1 Contact Information* This field is required.Enter Contact Info
Buyer 1 First Name
Buyer 1 Last Name
Buyer 1 Phone Number
Buyer 1 Email
Please Select
Please Select
Yes, there is a second seller
No
Is there a second Buyerr?
8
Buyer 2 Contact Information* This field is required.Enter Contact Info
Buyer 2 First Name
Buyer 2 Last Name
Buyer 2 Phone Number
Buyer 2 Email
9
Property Address* This field is required.
Please provide the address of property to be listed
10
Target List Date
Target date for going live in MLS
11
Target List Date
Date
Month
Day
Year
12
Listing Details
Please Select
Las Vegas TC Co will order sign up
Agent will order sign up
No Sign
Sign Instructions
Please Select
Agent will install
No lockbox
Lockbox Instructions
Please Select
Owner-Occupied
Tenant-Occupied
Vacant
Other
Occupancy Status
Tenant Contact Name and Phone #, if applicable
Please Select
Yes
No
Property Gated?
Gate code, if applicable
Please Select
NONE
Yes - Owned
Yes - Financed
Yes - PPA (Power Purchase Agreement)
Solar Panels
13
List Date
Date
Month
Day
Year
14
SRPD Notes:
15
Charging a BAC fee to your client?* This field is required.
Yes
No
Veteran/Waived
16
SRPD Instructions* This field is required.
Las Vegas TC Co to request from seller
Agent will obtain from seller
Other (See Notes)
17
Photography Instructions* This field is required.
Las Vegas TC Co will schedule
Agent will schedule
Other (See Notes)
18
Photography Notes:
19
Sign Instructions* This field is required.
Las Vegas TC Co will order sign up
Agent will order sign up
No Sign
20
Lockbox Instructions * This field is required.
Agent will install
No lockbox
21
Lockbox Notes:
22
Occupancy Status?* This field is required.
Owner-Occupied
Tenant-Occupied
Vacant
Other
23
Tenant Contact Name and Phone #
24
Property gated?* This field is required.
Yes
No
Other
25
Gate Code
26
Property Located in an HOA?
Yes
No
27
Solar panels?* This field is required.
Yes - Owned
Yes - Financed
Yes - PPA (Power Purchase Agreement)
NONE
Other
28
FE RPA and Counter Offers* This field is required.If you have any documents relevant to this transaction/property, please upload them here
Drag and drop files here
Select files to upload
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29
Additional Notes Type Any Additional Information or Important Notes Here
Should be Empty: