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Order Form for Transaction Coordination Service

Transaction Coordination Services Form

Full Name*
Your Email*
Enter Email Confirm Email
Your Brokerage Name*
Your License Number*
Contract Information
I am representing:*
- Seller
- Buyer
Contract Address*
Street Address Address Line 2 City State ZIP Code
Contract Price*
Property Access Information*
This information will be used for inspections, appraisals, and repair access as needed. If there is an Electronic Lockbox, please provide CBS Code. Be sure to include any specific details to facilitate a smooth transaction.
Sellers Information
Sellers First and Last Name*
First Last
Seller First and Last Name
If applicable, this field is for 2nd Seller First & Last Name
First Last
Seller Primary Phone*
Seller Secondary Phone
Email*
Enter Email Confirm Email
Email
2nd Seller Email Address
Enter Email Confirm Email
Most communication will be via email.*
QUESTION? Does your Seller check their email frequently? If not, do they prefer phone call or text communication?
Will this be a mail-away / mobile closing?*
- Yes
- No
Seller Mailing Address
(if different from Contract Address)
Buyers Information
Buyers First and Last Name*
First Last
Buyers First and Last Name
If applicable, this field is for 2nd Seller First & Last Name
First Last
Buyer Primary Phone*
Buyer Secondary Phone
(if applicable)
Buyer Primary Email*
Enter Email Confirm Email
Buyer Email
2nd Buyer Email Address (if applicable)
Enter Email Confirm Email
Most communication will be via email.*
QUESTION? Does your Buyer check their email frequently? If not, do they prefer phone call or text communication?
Will this be a mail-away / mobile closing?*
- Yes
- No
Buyer Mailing Address
(if different from Contract Address)
Commission
Please be sure to fill in this section as complete and accurately as possible.
Total Commission %*
Your Commission Split %*
Is there a transaction fee to the seller?*
- Yes
- No
If yes, how much is the %?
Do you have a split with your brokerage / not capped?*
- Yes
- No
If yes, what is your split %?
Does your office charge YOU a flat fee per transaction? If so, how much?
Any additional items / credits / referrals affecting commission?*
Credit to seller, referral to agent, etc. If none, enter NO.
Co-Broke Agent Information
Buyers Agent Name*
Co Broker Agent Name
Mobile Phone*
Email*
Enter Email Confirm Email
Title Company
Title Company*
Contact Name
Phone Number*
Email Address
Address
Lender
Lending Company Name
(if applicable)
Contact Name
Phone
Email
Docs, Dates & Miscellaneous
Executed Date*
MM slash DD slash YYYY
Closing Date*
MM slash DD slash YYYY
Document Uploads
Please Upload the Executed Contract and supporting documents. Or you can email them directly to [email protected] (If you will be emailing, please note this in the Additional Notes Below)
Drop files here or

Accepted file types: pdf, Max. file size: 25 MB, Max. files: 3.
CRM or Portal Name:
CRM or Portal Password:
Social Media Platforms
Indicate Instagram or Facebook or check both.
- Select All
- Instagram
- Facebook
Instagram Username - Login
Instagram Password
Facebook Login
Facebook Password
Additional Notes
Please indicate any extra info including if you're planning to email documents and when (if not immediately). The more details, the smoother your transaction will go.
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