Agent Registration
LISTING PREPARATION PAPERWORK
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Agent Name
*
Agent Email
*
Agent Phone
*
Full Property Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
1. Seller Name
*
1. Email
*
1. Phone
2. Seller Name
2. Email
2. Phone
Contract Start Date
Contract Expiration
Sale Price - $
Financing Terms the Seller Will Accept
Conventional, FHA, VA, etc.
Internet Listing Data
A listing will show up on Zillow and other third party sites if Option 1, 2, 3 and 4 read "Yes".
Option 1. Listing display on the Internet
Yes
No
Option 2. Listing address (house and unit numbers and street name) display on the Internet.
Yes
No
Option 3. An automated valuation of the Property listing or a link to an automated valuation of it may be displayed adjacent to the listing.
Yes
No
Option 4 Comments or reviews of the Property by persons other than the displaying broker may be displayed with or attached as a link to the listing data of the Property.
Yes
No
Listed for Lease
Is
Is Not
List property for lease during terms of contract
May
May Not
Retainer Fee - $
If applicable
Commission %
Amount if not Commission - $
Broker Admin Fee - $
Other (Related to commission)
Contract Extension if the property sold
# of days
Not to exceed 6 months
Buyer Broker Compensation
%
$ (if not a %)
Other (Related to Buyer Commission)
Who shall arrange the closing
Broker
Seller
FIRPTA - Seller Foreign Status
Is
Is Not
Agree to Dual Agency
Yes
No
Required Disclosures
Seller Disclosures
Full
Alternative
Well
Yes
No
Septic
Yes
No
How do you want Disclosures Delivered (email, hand delivered by you, etc.)
Additional Documents Required
Check all that apply
Agency Relationship
Agency Relationship
Seller Net Sheet
Seller Net Sheet
Sales Price Amount 1
Sales Price Amount 2
Sales Price Amount 3
Amount Owed
Showing Instructions
Showing Instructions
Showing Instructions Options
Appt Required with Any
Appt Required with All
Courtesy Call
Go and Show
Refer to Listing Agent
Call Order
Call Order
Person #1
*
Confirm by
Phone
Email
Text
Check all that apply
Notification of Cancellations
None
Phone
Email
Text
Check all that apply
Just an FYI
Just an FYI
Person #2
Person #2
Name
Confirm by
Phone
Email
Text
Check all that apply
Notification of Cancellations
None
Phone
Email
Text
Check all that apply
Just an FYI
Just an FYI
Person #3
Person #3
Name
Confirm by
Phone
Email
Text
Check all that apply
Notification of Cancellations
None
Phone
Email
Text
Check all that apply
Just an FYI
Just an FYI
Person 4
Person #4
Name
Confirm by
Phone
Email
Text
Check all that apply
Notification of Cancellations
None
Phone
Email
Text
Check all that apply
Just an FYI
Just an FYI
Allow Call Center to Take Appointments
Yes
No
Inspections and Appraisals
Yes
No
Overlaps
Yes - No need to inform showing agent
Yes - Please inform showing agent
No - Exclusive Showings Only
Lead Time - Hours
Max Appointment Length
15 min
30 min
45 min
1 hr
1.5 hours
2 hours
Access Information
Combo
Supra
SentriLock
Risco LB
Other
Location
Code
Alarm
Yes
No
Location
Disarm Code
Arm Code
Passcode
Notes to appointment staff
Notes to Showing Agents
Withhold
Withhold
Coming Soon
Coming Soon
Live Date (no more than 21 days from contract date)
Arbitration
Arbitration
MLS Input Form
MLS Input Form (1st Page Only)
Broker Specific Forms
Broker Specific Forms
Any forms specific to your brokerage (i.e. Affiliated Business)
Please list all
TISH
TISH (if applicable)
Lead Based Paint
Lead Based Paint (If before 1978)
Additional Comments
PLEASE NOTE: Agent is responsible for filling out MLS Input Form and ensuring Seller Disclosures are filled out.
Upload Relevant Documents
Multiple File Upload Option
Click or drag files to this area to upload.
You can upload up to 7 files.
Copy of Submission sent to Email
Terms of Acceptance and Signature
*
I, the Real Estate Agent for this Listing Preparation Form, warrant the truthfulness of the information provided in this application. I understand and accept all liability with this contract as those preparing it are UNLICENSED. By Clicking this box I acknowledge those who prepare this offer are UNLICENSED and ERRORS AND OMISSIONS are solely my responsibility.
Signature
*
Clear Signature
Please Type First and Last Name
*
Terms and Conditions
*
I understand checking this box constitutes a legal signature confirming I acknowledge and agree to the above Terms of Acceptance, Terms and Conditions, Privacy Policy, and Fee Owed.
Phone
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