Secure Listing Agent Info Sheet – Highland Title + Escrow

File/Property Information
Property Address:*
Street Address
Highland File #:
Agent Information
Full Name:*
First Middle Last
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License #:
Company:
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License #:
Best Phone Number:*
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Email:
Closing Information
Total Commission (%):
Total Commission ($):
Listing Broker Commission (%):
Listing Broker Commission ($):
Listing Broker Administrative/Broker Fee ($):
Selling Broker Commission (%):
Selling Broker Commission ($):
Selling Broker Administrative/Broker Fee ($):
Estimated Closing Date:
Month
Day
Year
Who will be providing the Home Warranty?
- Buyer
- Company
If you will be registering the Home Warranty, please provide.
Termite Inspector
If you will be obtaining the termite inspection, please provide.
Inspector:
First Last
Telephone:
Additional Information
Notes/Comments:
Please review your submission. If all the information is correct, press the "Complete Submission" button.
This information will be transmitted securely to Highland Title.

File/Property Information