Transaction Worksheet (fill-in Version)

Transaction Worksheet

.

_________________________________________ Property Address

. 20619 . _________________________________________ City

State

Zip Code

Listing Date:______________________________ Listing Expiration Date:_____________________ 8/3/09 Contract RATIFICATION Date:______________ 8/3/09 Est. Settlement Date:_______________________

. MRIS #__________________________________ TDB#______________ CRESTEDG#_________

# Of Just Listed/Just Sold Cards:__________/___________ Virtual Tour: YES / NO Active Sale Pending Sold

$1,575 List Price:__________________ LISTING INFO

SELLING INFO

LIST. SOURCE CODE: _________ Choose from list on back.

BUYER SOURCE CODE: ________ Choose from list on back.

SENTRILOCK? Yes No #______________________ RETURNED? Yes No Date Returned:_____________

Buyer Agency Agreement? YES ● NO

California, MD

.

C21NM

Date:__________

Lex Park

___________________________________________________________

___________________________________________________________

Listing Company Name

Selling Company Name

City/Location

City/Location

___________________________________________________________

. . ___________________________________________________________

Agent #

Agent #

.

Agent Name

%

Agent Name

%

___________________________________________________________

___________________________________________________________

Agent #

Agent #

Agent Name

%

Agent Name

%

.

___________________________________________________________

___________________________________________________________

Seller Name

Buyer Name

___________________________________________________________

___________________________________________________________

Seller Current Address

Buyer Current Address

___________________________________________________________

___________________________________________________________

City

City

State

Zip

.

Hollywood

20636

MD

State

Zip

.

___________________________________________________________

___________________________________________________________

Email Address

Email Address

___________________________________________________________

___________________________________________________________

Seller Future Address (if different from Above)

Buyer Future Address (if different from Above)

___________________________________________________________

___________________________________________________________

City

City

State

Zip

State

Zip

___________________________________________________________

___________________________________________________________

Phone (home)

Phone (home)

Phone (work)

Phone (work)

USAA Lender:_________________________________________

Contact:__________________________________________

Address:________________________________________

Phone:____________________ Fax__________________

Settlement Company:______________________________

Contact:__________________________________________

Address:________________________________________

Phone:____________________ Fax__________________ ✔

TRANSACTION CORDINATOR TO FAX CONTRACT:

NO

YES (must have fax #) __Listing

__Selling

COMMISSION DETAILS

REFERRAL? YES NO

$1,575 SALES PRICE:___________________________

IS THIS A CENDANT REFERRAL? ___YES ___NO

25.00 Listing Comm:______% Sales Comm.:______%

GCC to C21NM Lex Park: $________________ 0.00 Referral Amount: $________________________

GCC minus Referral: $_____________________

__Both

✔

_______________________________________ Referral Agent Name

NA _______________________________________ Company Name

_______________________________________ Address

_______________________________________ City

State

Zip

_______________________________________________

Other Info:_______________________________

Phone Number(s)

$___________________ or %_____________

FOR ADMIN USE ONLY Date Listing File Received:_______________ Date Contract File Received:_______________ Date Settlement/Rental File Received:_______________ Transaction Worksheet Revised 10/2006