Step
1
of
6
- Agent Information
0%
Agent Information
Agent Name
First
Last
Email
Phone
Company
Are you the Listing or Buyer's Agent?
Listing Agent
Buyer's Agent
Representing Both
Listing Agent
Hidden
Listing Agent
Name
First
Last
Email
Phone
Company
Buyer's Agent
Hidden
Buyer Agent
Name
First
Last
Email
Phone
Company
Property Information
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Property Sale Price
(Required)
Final Acceptance Date
Month
1
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10
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12
Day
1
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Year
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1923
1922
1921
1920
Closing Date
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
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1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Seller Paids
Earnest Money
Payment Type
Cash
VA Loan
FHA Loan
conventional Loan
Lender's Information
Company Name
Name
First
Last
Phone
Email
Seller Title Company Information
Company Name
Name
First
Last
Email
Phone
Do you want to add another seller title company?
Yes
No
Company Name
Name
First
Last
Email
Phone
Buyer Title Company Information
Company Name
Name
First
Last
Email
Phone
Do you want to add another buyer title company?
Yes
No
Company Name
Name
First
Last
Email
Phone
Seller's Contact Information
Name
First
Last
Email
Phone
Do you want to add a another seller?
Yes
No
Name
First
Last
Email
Phone
Do you wan to add a third seller?
Yes
No
Name
First
Last
Email
Phone
Buyer's Contact Information
Name
First
Last
Email
Phone
Do you want to add another buyer?
Yes
No
Name
First
Last
Email
Phone
Purchase Agreement
Accepted file types: jpg, png, pdf, Max. file size: 128 MB.
Is the Rep Agreement included in the Purchase Agreement?
Yes
No
Rep Agreement
Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB.
Is the Agency Agreement included in the Purchase Agreement?
Yes
No
Agency Agreement
Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB.
Is the Lead Based Paint document included in the Purchase Agreement?
Yes
No
N/A - Built after 1978
Lead Based Paint
Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB.
Is the Disclosure or Alternatives Agreement included in the Purchase Agreement?
Yes
No
Disclosure or Alternatives Agreement
Max. file size: 128 MB.
Is the Arbitration Agreement included in the Purchase Agreement?
Yes
No
Arbitration Agreement
Max. file size: 128 MB.
Is the Compensation Disclosure to Buyer included in the Purchase Agreement?
Yes
No
Compensation Disclosure to Buyer
Max. file size: 128 MB.
Commission percent to Dellwood Realty
Split (Percent Agent Want to Keep)
Enter your split percentage. Example 50
Admin fee paid by buyer/seller?
Yes
No
Commission Paid to Agent
Price:
$0.00
Comments
This field is for validation purposes and should be left unchanged.