Selling Agent Questionnaire

Fill out all the information below. Click SUBMIT when finished.

Important Information

Which regional MFTS location are you working with?

File #

This is the number provided in the email sent to you

Property Information

Property Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Lender

Agent Information

Name

First Last

Office

Office Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Cell Phone #

Fax #

Agent License #

Broker License #

Broker Office Phone #

Transaction Information

Sale Price

Selling Agent Commission %

Selling Agent Admin Fee (Broker Commission)

If you refer to the Selling Agent Admin Fee as something different, please put it here:

Based On

Earnest Deposit

Held By

Bring to Closing?

Buyer Information

Name of Buyer 1

First Last

Last 4 digits of SS#

Phone #

Buyer 1 Phone #

Marital Status

KY/OH Spouse must attend closing

Name of Buyer 2

First Last

Phone #

Buyer 2 Phone #

Marital Status

If Buyer is LLC/Corp, who will sign and title?

Will all Borrower's Spouses be at closing?

Home Information

Is the termite inspection invoice going to be POC or paid at closing?

POC - Paid Outside of Closing

Will need copy of invoice prior to closing.

What company has/will be performing termite inspection?

Cost

Paid for By

Are there damage/repair costs?

Is home warranty going to be POC or paid at closing?(Required)

POC - Paid Outside of Closing

Homeowner's Association?

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

Does Buyer wish to purchase Owner's Title Insurance?

Special Instructions/Notes

Please give any special instructions or notes here:

Comments

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Selling Agent Questionnaire

Important Information

Property Information

Agent Information

Transaction Information

Buyer Information

Home Information

Special Instructions/Notes

Louisville

St. Matthews

Elizabethtown

Mt. Washington

New Albany

Cincinnati

Lexington