Listing Agent Questionnaire

  1. Fill out all the information below. Click SUBMIT when finished.
  2. Download the Information Authorization Disclosure Form, and have your client sign it, then EITHER:
    • Email or fax it back to us, or
    • Upload it as an attachment at the bottom of this form
  3. Are the funds going to be wired? Download the Wire Funds Form, fill it out, and email or fax it back to us. ($75 fee)

Important Information

This is the number provided in the email sent to you
Property Address

Listing Agent Information

Office Address

Transaction Information

Seller Information

Name of Seller 1
Forwarding Address
Name of Seller 2
Forwarding Address
Either Seller's #
Either Seller's #
Either Seller's Email

Payoffs to Be Ordered

We will obtain the payoff(s), but will need the seller’s signature authorization, as well as the mortgage account information requested above. Please have seller sign and return to MFTS.

Home Information

NOTE: Mulloy/Paragon and Omni charge approximately $195 to Seller to obtain info.

Special Instructions/Notes

Max. file size: 50 MB.
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