Selling Agents — Treasure Coast Transaction Coordinator

Liberty Title Company

SELLING AGENTS - FORM BELOW

Closing Date

Purchase Price

Property Address

Buyer #1 Name

First Name

Last Name

Buyer #1 Phone Number

(###)

###

####

Email: Buyer 1

Buyer #2 Name

First Name

Last Name

Buyer #2 Phone Number

(###)

###

####

Email: Buyer 2

Marital Status:

(please check one)

Single

Married

Mail Away:

(please check one)

Yes

Payment

(please check one)

CASH

FINANCE

New Lender Name:

Contact Person:

First Name

Last Name

Phone

(###)

###

####

Loan Amount: $

Listing Agent Name:

Listing Office Name:

Listing Agent Email

Listing Agent Cell Phone No:

(###)

###

####

Office Phone No:

(###)

###

####

Selling Agent Name:

Selling Office Name:

Selling Agent Cell No:

(###)

###

####

Selling Agent Email:

Office Phone No:

(###)

###

####

Total Commission %

COMISSION SPLIT:

Input % to Listing Agency and % to Selling Agent

Transaction Fee $

Input Fee to Listing Agent $ and Fee to Selling Agent $

1st Escrow Deposit Amount: $

Due By:

Second Escrow Deposit: $

Due By:

Escrow / Closing Agent Information

Liberty Title partners of the Treasure Coast LLC.

8555 Commerce Center Drive, Port St. Lucie, FL 34986

Phone: (Office) 772-226-6870 (Fax) 772-226-6871