Listing Agent Information Sheet

Date:

Property Address:

Have there been tenants living in the property within the past 12 months? YesNo

Listing Agent

First Name*: Last Name:*

Agency*:

Email*:

Total Commission:* % or $ Commission Split: LA SA Flat/Admin. Fee: $ Agent Bonus: LA SA

Seller (1)

First Name*: Last Name:*

Soc. Security # or Tax ID:

Current Mailing Address:

City/State/ZIP:

Phone*: Email*:

Seller (2)

First Name: Last Name:

Soc. Security # or Tax ID:

Current Mailing Address:

City/State/ZIP:

Phone: Email:

Sellers State of Residence:

Owner Occupied? YesNo
If no, is this part of a 1031 exchange? YesNo

Is this property in a Trust?YesNo
If yes, please upload copy of the Trust.

Is this property part of an estate? YesNo
If yes, please upload all Estate Docs.

Are all sellers U.S. citizens? YesNo.
If no, are they non-resident aliens? YesNo

Marital Status: ---MarriedSingleDivorcedWidowedDomestic Partnership

Forwarding Address after Settlement:

City/State/ZIP:

Existing Mortgage(s) on Property:

1st Mortgage Company Name: Account # Customer Service #

2nd Mortgage Company Name: Account # Customer Service #

Home Equity Line of Credit Company: Account # Customer Service #

HOA or Condo:* YesNo. If Yes, Management Co. Name
Phone Number(s):

Is Property subject to a Front Foot Benefit? YesNo. If Yes, Amount $ Management Co. Name
Phone Number(s):

Is property subject to annual ground rent? *YesNo Amount $ Payable to:

Is a termite required? YesNo Has the termite been ordered?YesNo

Are there any known liens, judgments, or bankruptcy? YesNo.
If yes, please provide any known information pertaining to the property.