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Agent Form
Please leave this field empty.
PROPERTY ADDRESS:
Personal Information
I am
Agent Type
---
Listing Agent
Selling Agent
Company Address
Email
*
Cell
schedule settlement for
at
Closing Location
Commision
Buyers Agent
None
2.0
2.5
2.75
3.0
3.5
Listing Agent
None
2.0
2.5
2.75
3.0
3.5
Buyers Agent Flat Fees
None
250
295
345
350
395
450
Listing Agent Flat Fees
None
250
295
345
350
395
450
Reimbursements or bills to pay?
Seller Credits?
Home Warranty?
---
No
Yes
If YES, select company
---
None
HMS
AHS
Old Republic
EMD: Is to be WIRED on
and will be held by:
---
Selling Agent
MBO Settlements
Buyers
Name
Single
Unmarried
Married
Email
Email 2
Phone Numbers
Phone Numbers 2
Lender
Name
Loan Officer
Loan Officer Phone
Loan Officer email
Sellers
Name
Single
Unmarried
Married
Sellers Email
Sellers Email 2
Sellers Phone
Sellers Phone 2
Sellers are both expected to attend settlement
Yes
No
Is property tenant occupied or subject toTOPA?
Yes
No
Is property owner occupied?
Yes
No
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