Contract Submission Form
Primary Agent Information
Representing Seller
Primary Agent Name #1:
*
First Name
Last Name
Phone Number:
Email:
Co Agent Name:
First Name
Last Name
Phone Number:
Email:
Brokerage Firm:
*
Branch Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Broker in Charge:
First Name
Last Name
BIC Email (Input only if BIC wants to be included in all communications):
Agent Information
Representing Buyer
Buyers Agent Name #1:
*
First Name
Last Name
Phone:
Email:
example@example.com
Buyers Agent Name #2:
First Name
Last Name
Phone:
Email:
Brokerage Firm:
*
Branch Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Broker in Charge:
First Name
Last Name
BIC Email (Input only if BIC wants to be included in all communications):
example@example.com
Property Information
Property Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
MLS #:
*
TMK #:
Occupied/Vacant
Please Select
Occupied
Vacant
Contract Information
Representation:
*
Please Select
Buyer
Seller
Type of Transaction:
Please Select
Finance
Cash
Other
If other, input here
Reference Date:
*
-
Month
-
Day
Year
Date
Acceptance Date:
*
-
Month
-
Day
Year
Date
Closing Date:
-
Month
-
Day
Year
Date
Referral Information
Is there a referral being paid?
Please Select
Yes
No
If yes, please input referral name below:
Referral Brokerage:
Referral Amount:
Percentage/Dollar Amount
Upload Documents Here
Fully Executed Documents
*
Browse Files
Drag and drop files here
Choose a file
Please upload Fully Executed Documents (Ex; PC, Counter Offer, Addendum Disclosures, etc)
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Additional Documents
Browse Files
Drag and drop files here
Choose a file
Please upload any additional documents (Ex; MLS Screenshot, CC Tax Records, TMK, Condo Docs, Receipts, Surveys, Referral, Etc)
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MLS Input Form
Browse Files
Drag and drop files here
Choose a file
Please upload MLS Input Form Here
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Additional Notes:
Please include any info you feel is important for your Transaction Coordinator
Payment Information
You will be receiving payment instructions from Sheilla Mae Arca via email/text
MUST READ:
If you are unable to upload documents, please email all documents directly to sheillamaearca@outlook.com
PLEASE NOTE:
Once you have submitted all your documents, Sheilla will reach out with in 24 hours to confirm the acceptance of all documents and she will then begin the process for your transaction.
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