Listing Agent/Seller Form Listing Agent:* First Last Listing Agent Email:* Seller's Name: First Last Closing Date: Date Format: MM slash DD slash YYYY Closing Time: : HH MM AM PM Property Address: Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Seller's Email Address: Home Phone:His Cell Phone:Her Cell Phone:His Social Security #:Her Social Security #:Federal ID#:Seller's Forwarding Address: Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Commission Total:Split:Home Owner's Assoc./Mgmt Co.:Phone:Webpage: Amount:Please enter a number greater than or equal to 0.Are we preparing the deed & lien waiver?YesNoIf no, who is?Are Seller's coming to closing?YesNoIf no, when are they coming to sign documents?Prior Title Insurance Company:1st Payoff (Lender Name):Loan #:Phone:2nd Payoff (Lender Name):Loan #:Phone:Additional Seller Charges:
