Liberty Title PartnersSELLING 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 No Payment * (please check one) CASH FINANCE New Lender Name: Contact Person: First Name Last Name Phone (###) ### #### Email 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: Thank you!