Real Estate File Submission

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Agent Name *

Agent Email *

Agent Phone *

Broker Admin Fee *

Representing *

Buyer
Seller
Both

Lead Type

(Sphere, Referral, Zillow or Trulia, etc.)

Commission % owed to Agent *

Commission Split *

Yes
No

How much? *

To Whom? *

Referral Fee *

Yes
No

How much $?

How much %?

To Whom *

EM Type

Trust Funds
Check
Unknown

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

MLS #

If unknown or non-MLS leave blank

1. Client Name *

1. Client Email *

1. Client Phone

2. Client Name

2. Client Email

2. Client Phone

Seller Title

If unknown, leave blank.

Company

Closer

Phone

Email

Buyer Title

If unknown, leave blank.

Company

Closer

Phone

Email

Lender Information

If unknown, leave blank.

Company

Lender

Phone

Email

Coordinate with another closing *

Yes
No

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Preferred Closing Location

Yes
No

City or Location

Additional Comments

Upload Relevant Documents

Upload Multiple File

Click or drag files to this area to upload. You can upload up to 7 files.

Copy of Submission sent to Email

Unlicensed Acknowledgment *

I, the Real Estate Agent for this File Submission 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 *

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