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Agent's Name
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Email
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Phone Number
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Type of Transaction
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Listing - Existing
Buying - Existing
Listing - New Construction
Buying - New Construction
Listing - Lot/Land
Buying - Lot/Land
Listing - Commercial
Double Ended - Represent Buy/Seller
Lease/Rental
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Referral
Property Address
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Line 1
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City
State
Zip Code
Country
Occupancy Status
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Vacant
Occupied by Seller
Occupied by Tenant
Client's Location
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In Town
Out of Town
Other (ex. Moving Prior to Closing
Home Warranty
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None - Do Not Order
Yes - Will Be Ordered Through Escrow/Title
Yes - Other Side Will Order
Yes - Complete Order (See Contract For Details)
Is There an HOA
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Yes
No
Choose ONLY if HOA is Applicable
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Received
Ordered
Seller to Order
Buyer to Order
TC to Order
HOA Notes
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Is there a referral to pay on this transaction?
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If yes, please note to whom and how much or type NONE.
Commission, Fees, and Splits
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What do we need to let the lender, closer or conveyancer know for the closing statement?
Anything else to add?
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Services
Transaction Process
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