Selling Agent Information Sheet

Date:*

Property Address:*


Selling Agent

First Name*: Last Name:*

Agency*:

Email*:

Commission:* % or $ Agent Bonus: $ Flat/Admin. Fee:* $


Purchaser (1)

First Name*: Last Name:*

Soc. Security # or Tax ID:

Current Mailing Address:

City/State/ZIP:

Phone:

Email:


Purchaser (2)

First Name: Last Name:

Soc. Security # or Tax ID:

Current Mailing Address:

City/State/ZIP:

Phone:

Email:


Marital Status:

Title to be held as:

See Vesting Information on our website.


Mortgage Information:

1st Mortgage Broker or Lender Name: Phone # Email:

Loan Officer Name: Phone # Email:

2nd Mortgage Broker or Lender Name: Phone # Email:

Loan Officer Name: Phone # Email:


Is Buyer a First Time Home Buyer? YesNo.

Owner OccupiedInvestment Property


Is the Purchaser applying for DC Tax Abatement? YesNo.

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