Listing Agreement

Fillable online form

Seller 1
Seller 2
Firm Name
The Effective Date shall be the date that this Agreement has been signed by both Seller and Firm
- Yes
- No
The Property is currently listed for sale exclusively with another real estate firm Seller represents that the current listing
- Yes
- No
Expiration w/ Other Company Date
MM slash DD slash YYYY
Expiration Of Listing Date
MM slash DD slash YYYY
Street Address
City
Zip
County
Block Section
Subdivision Condominium
Plat Reference Lot Unit
Plat Book/Slide
Pages
PINPID or other id number
Other description
Deed Book
Deed Page
Items Leased or Not Owned
Items That Do Not Convey
Personal Property Staying with Property
Seller to buy Home Warranty Before Listing
- Yes
- No
Home Warranty Amount
Firm Paid Warranty Cost
List Price
Financing Types Accepted
- Cash
- FHA
- VA
- USDA
- Conventional
- Loan Assumption
- Seller Financing
- Other
Other type of Financing
Commission Amount
Protection Period Date
Flat Fee Commission
Cooperate with Buyers Agent
- Yes
- No
Commission to buyers agent
Marketing Date
MM slash DD slash YYYY
Seller authorizes Firm
- Coming Soon Advertising
- Sign in Yard
- Open Houses
- Advertising Other Than On The Internet
- Internet Advertising
Coming Soon Changed to Active Date
MM slash DD slash YYYY
Lockbox can be placed on Property
- Yes
- No
Seller Ownership
- Has owned the property for at least one year
- Has owned the property for less than one year
- Does Not Yet own the Property
Hidden
Does Firm Hold Earnest Money
- Yes
- No
Going Through Bankruptcy
- Yes
- No
Thinking of Filing Bankruptcy
- Yes
- No
Access by Private Road/Easement
- Yes
- No
Located in Flood Zone
- Yes
- No
Has Flood Insurance
- Yes
- No
Name and number of the president of the owners association or the association manager
Owners association website address
Name address and telephone number of the president of the owners association or the association manager is 2
Owners association 2 website address
Describe any known potential or pending dispute, violation, or litigation that involves or affects Seller, the Owners’ association, or the Property
Seller is a foreign person as defined by the Foreign Investment in Real Property Tax Act
- Yes
- Is Not
New Construction or the Residential Property and Owners Association Disclosure Statement is NOT required
- Yes
- No
Stucco Explanation
Has Termite Bond
- Yes
- No
Bond transfer Cost
Is Termite Bond Transferable
- Yes
- No
Termite Bonding Company
Seller acknowledges receipt of a sample copy of an Offer to Purchase And Contract Form
- Yes
- No
Seller acknowledges receipt of a sample copy of a Professional Services Disclosure and Election Form
- Yes
- No
Loan On Property
- Yes
- No
First Mortgage Lender Name
First Mortgage Lender Phone
First Mortgage Approximate balance
First Mortgage Lender Address
Lender of Second Mortgage
Lender of Second Mortgage Phone
Approximate balance of Second Mortgage
Lender Address of Second Mortgage
Equity Line Lender
Equity Line Lender Phone
Equity Line Approximate balance
Equity Line Lender Address
Specify information on balances
Private Road/Easement Agreement in Place
- Yes
- No
Lease on Property
- Yes
- No
Property Manager Info
Has there been an FHA Appraisal in Past 4 Months
- Yes
- No
Explaination of Proposed and Confirmed Special Assessments If N/A Insert None
Property VINs
VIN unknown
- Yes
- No
Other description year model etc of Manufactured Home
Fuel Tank on Property
- Yes
- No
Is Fuel One Tank Currently Used
- Yes
- No
Is Tank One closed & how it was closed
Fuel Tank 1 Owned or leased
- Owned
- Leased
Leased tank 1 owner
Fuel Tank 1 Location
- Above Ground
- Below Ground
Fuel Tank 1 Type
- Propane
- Gas or Diesel
- Other
- Oil
Other Fuel Type for Tank 1
Fuel Tank 1 Refill Schedule
- Auto-Refill
- Other
Refilling Schedule of Tank 1
Fuel vendor 1
Is there a Second Fuel Tank?
- Yes
- No
Is Fuel Two Tank Currently Used
- Yes
- No
Is Tank Two closed & how it was closed
Fuel Tank 2 Owned or leased
- Owned
- Leased
Leased Tank 2 owner
Fuel Tank 2 Location
- Above Ground
- Below Ground
Fuel Tank 2 Type
- Propane
- Gas or Diesel
- Other
- Oil
Other Fuel Type for Tank 2
Fuel Tank 2 Refill Schedule
- Auto-Refill
- Other
Refilling Schedule of Tank 2
Fuel vendor 2
Off Site and/or Separate Septic Lot, Boat Slip, Garage, Parking Space, Storage Unit.
- Will
- Will Not
Off Site and/or Separate Septic Lot, Boat Slip, Garage, Parking Space, Storage Unit (Description)
Seller warrants that the Property is not in violation of any law, ordinance, permit, or government regulation (including, but not limited to, those relating to building, stormwater, impervious surface, environmental protection, and zoning), except for the following:
Reason seller doesn't have marketable (if none insert N/A)
Seller Agrees to Pay for Home Inspection
- Yes
- No
Days for Home Inspection
Seller acknowledges receipt of a copy of Questions and Answers on Home Inspections by the NC Real Estate Commission
- Yes
- No
Additional Terms and Conditions
Seller Agrees to Dual Agency
- Does
- Does Not
Seller 1 Home Phone
Seller 1 Cell
Seller 1 Work
Seller Email
Seller 1 Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Seller 2 Home Phone Number
Seller 2 Cell
Seller 2 Work
Seller 2 Email
Seller 2 Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Entity Selling
Signer for Entity Signing
Signer for Entity Title
Signer for Entity Home
Signer for Entity Cell
Signer for Entity Work
Signer for Entity Email
Signer for Entity Mailing Address
Firm License Number
Firm Phone
Office Address
Agent Name
Individual License Number
Agent Email
Agent's Phone
Agent Fax
Agent Skyslope Email
Are you using a transaction coordinator for this transaction?*
- Yes
- No
Transaction Coordinator's Name
First Last
Transaction Coordinator's Email

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High Point

2212 Eastchester Dr
High Point, NC 27265

336.939.6683

Kernersville

202 W Mountain St
Kernersville, NC 27284

336.850.1555

Lexington

7224 Old U.S. Hwy 52
Lexington, NC 27295

336.600.1052

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