TC to draft a contract Addendum

Agent First and Last Name *

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Agent State/s *

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What MLS are you part of? *

What can we assistyou with?

Buyer and/ or Seller Compliance

Help prepare documents

Amendment/Addendum Needed

Closing Date Extension

Price Change

Repair Request

Other

Upload Signed Docs

Property Address

*****************************************************

Upload Listing Docs

Upload Buyer Docs

Seller 1 Name *

Seller 1 Email *

Seller 1 Phone *

Seller 2 Name *

Seller 2 Email *

Seller 2 Phone *

Buyer 1 Name *

Buyer 1 Email *

Buyer 1 Phone *

Buyer 2 Name *

Buyer 2 Email *

Buyer 2 Phone *

This is for any Addendums to a current purchase agreement transaction that you need drafted and sent for signatures, OR if you wish for us to draft and send your listing agreement for signatures. Please do not use this form for addendums on a Purchase Agreement that we are not doing the Transaction Coordination for.

Please select which documents Empower needs help to prepare and send for signatures *

Amendment/ Addendum

others

Property Address

Amendment/Addendum Needed

Closing Date Extension

Price Change

Repair Request

Other

Documents

Please upload ALL documents such as: Executed Contract, Addenda, Pre-Approval letter, Buyer Representation or Listing Agreement, Compliance Documents. If you have additional documents (maximum to load here is 10 documents), please email them directly to your TC.

Any additional notes or details we need to know:

Do Not Use This Form for Offer Prep Requests. We Do Not Provide This Service *

AGREE

I understand that the cost of this transaction management service will be deducted from the agent portion of commission and not the sponsoring broker's portion. *

YES

NO

I authorize Fringe.ai and its affiliates to determine the best available title company and title policy insurance underwriter suited for the sellers and this transaction. *

YES

NO

I acknowledge prospective buyers have been or will be pre qualified by a licensed mortgage professional affiliated with Fringe.ai. *

YES

NO

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