Offer Request: Submission Form
The following information provides valuable information to prepare and complete an offer for your client. Please complete the following questions as best as possible.
Agent Name
*
First Name
Last Name
Client Information
Buyer (1) Name
*
Buyer (1) Email
*
Buyer (1) Phone Number
*
-
Area Code
Phone Number
Buyer (2) Name
Buyer (2) Email
Buyer (2) Phone Number
-
Area Code
Phone Number
Property Information
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cash / Financing
If the Buyer is paying Cash, please enter the offer price and proceed to the following section.
Cash?
Yes
No
Offer Price:
*
Down Payment Amount:
Financing Type:
Conventional
VA
FHA
USDA
Seller Financing
Financing Approval Timeframe:
10 Days
15 Days
21 Days
30 Days
Other
Contract Terms
Earnest Money = 1%?
*
Yes
No
Enter earnest money deposit amount, if greater or less than 1%:
Who pays title?
*
Seller
Buyer
Seller Preferred Title Company?
Yes
No, use the Buyer's Agent preferred escrow company
Which title company would you like to use?
Include your preferred escrow officer's name
Is the Buyer asking for Survey Deletion Coverage?
*
Yes - Seller Pays
Yes - Buyer Pays
No
Who pays the survey, if not accepted?
*
Seller
Buyer
Number of days for survey:
3 Days
5 Days
7 Days
Other
Purchased "AS-IS":
Yes
No
Closing Date:
*
-
Month
-
Day
Year
Date
Possession of property?
*
Closing/Funding
Leaseback
Leaseback ends?
Seller Concessions?
*
Enter "0" if NONE
Home Warranty Amount:
*
Enter "0" if NONE
Option Fee Amount:
*
Option Period:
*
3 Days
5 Days
7 Days
10 Days
Other
HOA
Is the property in an HOA? If no, please skip to the next paragraph.
HOA Timeframe:
Insert "number" of days
HOA Fees not to exceed:
Insert dollar amount
Other Addenda
Select other applicable addenda:
Non-Realty Items Addendum
Seller's Temporary Lease Addendum
Lead Based Paint Addendum
Buyer's Temporary Lease Addendum
Addendum for "Back Up" Contract
Mineral Rights Addendum
Addendum Concerning Right to Term due to Lender's Appraisal
Other
File Submission
Have you completed Buyer's representation docs for this client?
*
Yes
No
Please upload any relevant files
Browse Files
Cancel
of
REMINDER:
If financing, please upload a copy of the prequal/preapproval letter (or forward via email).
Additional Notes
Input any special instructions for the offer:
Provide any additional information that may be advantageous for us to know.
Submit Results
Should be Empty: