Listing Agent Information:

Phone:

Your Email

Address of Property:

Commission Rate

Broker Admin Fee

What is the location of the abstract?

Is there an HOA?
YesNo

Is there a septic system?
YesNo

Does the property have any wells, solid waste disposal sites, hazardous wastes, underground storage tanks and/or
private burial sites?
YesNo

Will the seller be closing?
YesNo

Marital status of seller(s):
SingleMarried

Do the sellers prefer a specific attorney to prepare seller documents?
No (Please have the seller documents prepared by your legal counsel)Yes (Please enter attorney name)

Forwarding address for seller

Address:

Any Additional Information?

Complete Payoff Authorization Form

Upload Purchase Agreement

Upload any Additional Documents

Please leave this field empty.