RHH Agent Name:*

Ryan Hanson Kayla Ulschmid Shawnee Boeddeker Shawn Ross John Demuth

Lead Source*

Agent Referral*

Yes No

If yes, name of Agent:

Coop Agent:*

Commission Paid to Agent

Commission paid on seller concessions?

Yes No

Seller Concessions % or $

Lender:*

Motivation*

Happy Sad

Notes or special instructions:

Final Acceptance Date:*

Date

Property Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Buyer 1 Name*

First Name Middle Name Last Name

Buyer 2 Name

First Name Middle Name Last Name

Current Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Buyer 1 E-mail*

example@example.com

Buyer 2 E-mail

example@example.com

Buyer 1 Phone Number*

Buyer 2 Phone Number

Other Number

Title Company Preference:*

Inspection scheduled?*

Yes No

Inspection Date and Time:

Inspector Name:

Submit Required Files: (Agency, Buyer Rep, Buyer Comp, Pre-approval, PA with Counteroffer, LBP, Personal Property, Earnest Money Receipt, Addenda, Signed Disclosures, Other)