. Moss & Co. Status Change Form

Multiple Listing Service

Status Change Form

SECTION A: PROPERTY DETAILS

BOARD IDENTIFIER

MLS #*

Property Address*

Street Address

Street Address Line 2

City

Postal / Zip Code

Email*

Phone*

Area CodePhone Number

SECTION B: USE THIS SECTION TO REPORT CHANGES, CORRECTIONS, OR EXTENSION

Check the appropriate box to denote type of changes and complete corresponding blanks*

PRICE CHANGES MUST BE SIGNED BY ALL PARTIES TO THE LISTING AGREEMENT.

Current List Price: $*

New List Price: $*

Listing Date Date* .
Extend Listing Expiration Date to reflect Date* (Expiration Date)

How Many Open Houses*

Will Open House offer in-Person Access?*

YesNo

Open House Details (1)*

	Yes	No
Public
MLS Only
Refreshments

Open House Begin (1)*

DateHourMinutesAM/PM Option

Open House End (1)*

DateHourMinutesAM/PM Option

Open House Details (2)*

	Yes	No
Public
MLS Only
Refreshments

Open House Begin (2)*

DateHourMinutesAM/PM Option

Open House End (2)*

DateHourMinutesAM/PM Option

Must check this box for In-Person Access*

Acknowledgement: Must be signed for In-Person Access: This form is being provided by Listing Brokerage MOSS & COMPANY REALTY INC to Owner (Landlord/Seller) Acknowledgment The Owner/Prospect named above acknowledge(s) that they are aware of the national emergency caused by the COVID-19/Coronavirus pandemic and the evolving nature of the health crisis, including the danger of community spread and risks posed to the health of those who contract COVID-19/Coronavirus. In pursuit of Owner’s objective to sell/lease the property and Prospect’s objective to purchase/lease a property as safely as possible, Owner and Prospect, as applicable, confirm the following: • Owner desires that Agent/Broker bring prospects to Owner’s property, as requested by interested prospects, and to the extent authorized by law. • Prospect directly or indirectly advises the Agent/Broker that it is necessary for Prospect to view select properties in-person in order to make a fully informed decision to purchase/lease, to the extent authorized by law. • When properties are accessed in-person, there is an unavoidable health risk posed because of the nature of COVID-19/Coronavirus, and contact with, or proximity to, persons or things exposed to COVID-19/Coronavirus. • Prospect will use their best efforts to minimize the health risk to themselves and to each other, and to all occupants of the properties being entered. • Prospect/Owner represent(s) they are not aware of any issues with any person or property that pose a health risk to each other, Agent/Broker, and all occupants of the properties being entered. • Prospect/Owner agree(s) to notify others who have accessed the property if they become aware of information that poses a danger previously unknown. • Prospect/Owner agree(s) in all respects to comply with the most current version of the Center for Disease Control (CDC) guidelines when accessing properties, and will not obligate Agent/Broker to violate any applicable laws or orders, CDC Guidance, or otherwise compromise the safety of Agent/Broker or the public to access properties. Assumption of risk By signing this acknowledgment, each Prospect fully assumes any and all risks posed to Prospect that result from Prospect entering properties for sale/lease, as applicable, including but not limited to risks arising during showings, inspections and all other in-person access. By signing this acknowledgment, each Owner assumes all risks posed to Owner that result from prospects entering Owner’s property, IPA-1 Rev 4/20 ©2020 Florida Realtors® including but not limited to risks arising during showings, inspections and all other in-person access of properties. Each signature below is made freely and voluntarily, recognizing that the Agent/Broker is relying on these representations in fulfilling Owner’s and/or Prospect’s directions to Agent/Broker.

CHANGE IN TERMS AND/OR CONDITIONS OR CORRECTION(S)*

Amend the Flat Fee Listing Agreement to reflect Cooperating Broker commission of:

All other terms remain unchanged

Acknowledgment*

I Acknowledge that there is no Contract in effect. (No Refunds)

Acknowledgment - Temp Off Market*

I Acknowledge that there is no Contract in effect and by placing the listing Temporarily Off Market, this does not extend the term of the Listing Agreement. Reinstatement of the listing shall continue for the remaining term of the Listing Agreement only. (No Refunds)

Contract Effective Date*

Date

Expected Closing Date*

Date

Did Buyer use a Realtor? (close)

YesNo

Did Buyer use a Realtor? (pending)

YesNo

Did Buyer use a Realtor? (lease)

YesNo

Did Buyer use a Realtor? (back on market)

YesNo

Did you sign a Release Form?

YesNo

Other (Describe)

Copy of the Contract must be provided to change Status.

You may be legally bound by the Contract. Please make sure you are within your legal right (consult an attorney) before requesting that your listing is placed Back on Market.

Open House will be displayed as "Virtual Open House" (No Pubic Access)

Please attach a copy of the Release fo our file.

Copy of Closing Settlement Statement (HUD-1) must be provided to change status.

Copy of Lease or Agreement to Enter in to a Lease must be provided to change status.

File*

Browse Files

Signature (1)*

Name (1)*

First NameLast Name

Signature (2)

Name (2)

First NameLast Name

Signature (3)

Name (3)

First NameLast Name