Realty | Independent – New Listing Request

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This field is for validation purposes and should be left unchanged.
Agent Name*
Agent Phone #*
Agent Email*
Type of Listing*
i.e: Residential, Condo, Vacant Land, Manufactured Home on Leased Land, Manufactured Home w/land
Listing Options*
Concierge Listing Fee $200.00 - To be paid upfront and is non-refundable (includes Rechiel starting listing paperwork, ordering title, sign installation, MLS input, and limited marketing). Photography is to be ordered through your Epique Cloud or through a photographer of your choice at your expense. Personal Listings - Transaction Fee of $500.00 plus the commission rate that you will be paying the Co-Operating Broker.
Personal Listing: Yes or No*
Personal Listings have a $500 Transaction Fee
Full Address*
Street Address City State / Province / Region ZIP / Postal Code
Anticipated List Date*
NOTE: This should be the Listing Date on the Listing Agreement and what is entered into BrokerMint
MM slash DD slash YYYY
Anticipated Expiration Date*
NOTE: This should be the Expiration Date on the Listing Agreement and what is entered into BrokerMint
MM slash DD slash YYYY
Anticipated List Price*
Listing Broker Commission %*
Please list Total Listing Broker Commission as listed in Listing Agreement.
Cooperating Broker Commission %*
Please list Total Cooperating Broker Commission as listed in Listing Agreement.
Seller Name (1)*
Include full name listed how they took title or as listed on the County Assessor Site.
First Middle Last
Seller's Email (1)*
Seller's Email is required, please do not list your email
Seller's Phone Number (1)*
Seller's Phone Number Required, please do not enter your phone number
Seller Name (2)
Include full name listed how they took title or as listed on the County Assessor Site.
First Middle Last
Seller's Email (2)
Seller's Email is required, please do not list your email
Seller's Phone Number (2)
Seller's Phone Number Required, please do not enter your phone number
Seller Name (3)
Include full name listed how they took title or as listed on the County Assessor Site.
First Middle Last
Seller's Email (3)
Seller's Email is required, please do not list your email
Seller's Phone Number (3)
Seller's Phone Number Required, please do not enter your phone number
Seller Name (4)
Include full name listed how they took title or as listed on the County Assessor Site.
First Middle Last
Seller's Email (4)
Seller's Email is required, please do not list your email
Seller's Phone Number (4)
Seller's Phone Number Required, please do not enter your phone number
County*
Parcel #*
Year Built*
Finished Square Footage*
Bedrooms*
Bathrooms*
Garage
i.e. 2 Car, 3 Car or carport
Acres*
i.e. 0.14
Lead Source*
It is very important that you list accurately your lead source as we track where the client/listing comes from.
Lead Date*
The date you first had contact with this Lead or if returning client the date that they reached out for this particular property.
MM slash DD slash YYYY
Title Company*
Please make sure that you request Rechiel to be CC'd on all correspondence and that Prelim Title has been sent to vadmin2@havenrealestategroup.com. If you have Haven create your listing, Rechiel will order Prelim Title from the Title company you direct.
Closing Company & Requested Closer*
Additional Information for Concierge Listing Fee
Please let Rechiel know the number of signs you would like installed and if you have name riders to be installed. What type of sign post you would like installed (standard post or spin top post).