Selling Agent Form

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Selling Agent Form
Selling Agent Form
Items with an asterisk (*) must be completed even with an “N/A” or “None
Property Address*
Street Address Address Line 2 City State ZIP Code
Broker License No.*
Agent License No.*
Selling Agent Commission %*
Broker/Admin Fee*
Is a home warranty going to be provided?*
- Yes
- No
If Yes, Warranty Company
Who is paying for the Home Warranty*
Lender Name*
Lender's email address*
Lender's phone number*
Buyer's email address*
Buyers phone number*
Property Use*
- Owner Occupied
- Investment Property