Seller Listing Agreement Questionnaire

Listing Agent Name*

Agent Email*

[email protected]

When do you need the listing agreement by?*

Zipforms and Docusign Log In (if KTM does not have)

Property Address*

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

County*

Approximate List Date

Do you need KTM to do MLS Input ($60 fee)

List Price*

Listing Agreement Term (Months)*

Cancellation Notice (Days) and Fee ($ or %)*

Commission Total (%), Buyer Agent Split/Sub Agent Split (%), Admin Fee ($)*

Name As It Appears On Deed #1*

First Last

Name As It Appears on Deed #2*

First Last

E-mail #1

E-mail #2

Phone Number #1*

Phone Number #2*

Mailing Address (if different)

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

Display of unedited comments on MLS participants' website? Seller authorizes/does not authorize....

Seller Authorizes
Seller Do Not Authorize

Display of automated estimate of market value on MLS participants' website? Seller authorizes/does not authorize....

Seller Authorizes
Seller Do Not Authorize

Showing Instructions (to be added to section 6 on Listing Agreement)

If you would like to include the Financial Disclosure addendum, please provide mortgage lender name and approximate balance

Is there Ground Rent on the Property?*

Does the Seller Desire a Home Warranty (yes/no)?*

Is the Seller Out of State (is the Non-Resident Seller Transfer Withholding Tax Addendum Required?)*

Is there an HOA or condo association? If yes, is it an HOA or condo and what is the name of the association?*

If there is an HOA or condo, what are the dues and frequency paid ($$$ monthly, quarterly, yearly)*

If HOA/condo, who is the Property Management Company and contact info?*

Was home built prior to 1978? (approx year built if available?)*

Do you have any specific knowledge of lead based paint (report, test results, etc)?*

Is there any conservation easement or historical designation?*

Is there any special tax on the property?*

Is there a front foot fee or special assessment for water and sewer? If yes, how much and paid to who each year and for how long?*

Are Sellers Going to Disclaim or Disclose? If disclose, we will need that info.*

If Disclaim, are there any hidden defects in the property (roof leaks, basement floods, etc)?*

Are there any leased items (propane tank, solar panels, etc.) If so, please provide company and monthly amount.*

Is the property occupied or vacant?

Is the water supply public or well?*

Is the sewer public or septic system?*

What is the heat source (gas, electric, oil, other)?*

What is the hot water source (gas, electric, oil, other)?*

What do you use to cool your home (central air, ceiling fans, window units, etc)?*

Does the property have solar panels?*

Please select all inclusions in the sale of the property*

Any additional inclusions?

Any exclusions?

Any additional information we might need?

Would you like to opt in for the additional coverage?

Listing Agreement Information

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