Commercial Purchase Contract Agent Request Form
Fill in the information below to prepare a contract
Agent Prepared for
Kaizen Agent Email
example@example.com
Kaizen represents
Buyer
Seller
Buyer Company
Buyer Name
First Name
Last Name
Buyer Phone Number
-
Area Code
Phone Number
Buyer Email
example@example.com
Buyers Intended Use
Seller Company
Seller Name
First Name
Last Name
Seller Phone Number
-
Area Code
Phone Number
Seller Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Legal Description/ Folio Number
Personal Property included in Sale
Purchase Price
Escrow Agent
Initial Deposit Amount
Escrow Agent Address
Escrow Agent Phone Number
-
Area Code
Phone Number
Days after Effective Date -2nd Deposit
Second Deposit Amount
Days after Effective Date -3rd Deposit
Third Deposit Amount
Total Financing
Other Description
Other
Date of Acceptance
-
Month
-
Day
Year
Date
Closing Date
-
Month
-
Day
Year
Date
Closing Location
Miami-Dade County
Broward County
Other
Application Period
Days from Effective Date
Loan Percentage
% of Purchase Price
Fixed Interest rate not to exceed
Variable Interest rate not to exceed
Loan Fees not to exceed
Loan Term
Years
Amortization Period Over
Years
Loan Additional Terms
Loan Approval within
Days from Effective Date
Buyer may Cancel with within due to Financing
Days from end of Period
Type of Title
Statutory warranty Deed
Other
Title Subject to
Buyer's Intended Use
Evidence of Title paid by
Sellers Expense
Buyers Expense
Evidence of Title by Seller
After Effective Date
Before Closing
Other
Evidence of Title Type
Title Insurance Commitment
Abstract of Title
Curative Period
Days
Survey
Seller will deliver survey within 5 days
Buyer will at Buyer's Expense obtain certified survey
Buyer will at Seller's Expense obtain certified survey
Other
Encroachments
Buyer will accept existing encroachments
Encroachments will constitute a title defect to be cured in curative period
Property Condition
AS-IS
Due Diligence Period
Other
Operation during Contract Period
Only with Buyer's Consent
Without Buyer's Consent
Cure Period
Days
Assignable
YES
NO
Did you work with any Broker other than Kaizen Realty Partners?
Yes
No
Seller's Broker Company
Seller's Broker Name
First Name
Last Name
Seller's Broker Phone Number
-
Area Code
Phone Number
Seller's Broker Email
example@example.com
Broker Relationship
Single Agent
Transaction Broker
No Brokerage Relationship
Fees Paid by
Seller
Buyer
Both Parties
A Listing Agreement
Other
Seller's Broker Commission
Buyer's Broker Company
Buyer's Broker Name
First Name
Last Name
Buyer's Broker Phone Number
-
Area Code
Phone Number
Buyer's Broker Email
example@example.com
Broker Relationship
Single Agent
Transaction Broker
No Brokerage Relationship
Fees Paid by
Seller
Buyer
Both Parties
MLS Offer of Compensation
Other
Buyer's Broker Commission
Optional Clauses
Arbitration
Section 1031 Exchange
Property and Inspection Repair
Sellers Representations
Seller Warranty
Coastal Construction Control Line
Flood Area Hazard Zone
Seller Financing
Existing Mortgage
Buyer's Attorney Approval
Seller's Attorney Approval
Other
Terms
Pre-Occupancy Rental
Post-Occupancy Rental
Seller shall repair Violations/Code Infractions
Buyer has active FL Real Estate License
Seller has active FL Real Estate License
Other
Additional Comments or Questions
Submit
Should be Empty: