Seller’s Agent Request Form Seller's Agent Request Form Closing Date: Agent's Name: Property Address: Buyer's Name: Best contact information for agent: Phone: Email: Mailing Address: Do you have assistant that can help you if you're available? Yes No Assistant's Name: Phone number: Email: Are you attending closing? Yes No Real Estate Commission: Buyer's Agent (%) Seller's Agent (%) Flat fee to Buyer's Agent: Flat fee to Seller's Agent: Are we to prepare Seller Docs? Yes No If we are not to prepare the seller documents who will be preparing the documents and the amount due, if any? Please list down below amounts to be paid and to whom and provide invoices. Service Home Warranty: Paid/Due Paid Due Payee Put on Seller or Buyer side? Seller Buyer Repairs: Paid/Due Paid Due Payee Put on Seller or Buyer side? Seller Buyer Other: Paid/Due Paid Due Payee Put on Seller or Buyer side? Seller Buyer File Upload Drop a file(s) here or click to upload Choose File(s) Maximum file size: 2MB reCAPTCHA Submit Δ
