Listing Agents
Order Form

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Address
1055 S Federal HwyHollywood, FL 3302
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Monday -> Saturday

9AM to 6PM

Seller

Seller's Full Name(s)
Seller's Email
Seller's Phone
Marital Status of Seller
Will Seller be Attending Closing?
Are we preparing the transfer documents?

Property

Is there a Homeowner's or Condo Association?
PROPERTY - Street Address
PROPERTY - Address Line 2
PROPERTY - City
ZIP / Postal Code
Country of Residence

Buyer's Agent (if applicable)

Buyer's Agent's Company
Buyer's Agent's Name
Buyer's Agent's Email
Buyer's Agent's Phone

Listing Agent

Listing Company*
Listing Agent's Name*
Listing Agent's Phone*
Listing Agent's Email*
Commission Split (?/?%)*
Processing Fee ($)*

Contract

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Aliza Siegel, President
Guaranteed Florida Title, Escrow & Abstract, Inc

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