FrickTrentLizzio, PLLC
141 Providence Road STE 110
Charlotte, NC 28207
Phone: 704-376-8181

New Listing Agent Form

If you would like to submit the information below via fax instead, then please download our new listing agent offline form.

Be assured that all information submitted here is safe and secured.

FrickTrentLizzio, PLLC will handle the closing. *
Your Email Address *

Sellers' Information

Seller's Social Security Number(s) *
  Seller's Phone Numbers *
Seller's New Address *
  Seller's Email *

Payoff Information

Name of Mortgage Company (1) *
Account No. (1) *
  Phone Number (1) *
Name of Mortgage Company (2)
Account No. (2)
  Phone Number (2)

Selling Agent Information

Agent's Name *
  Agent's Company *
Agent's Phone No. *
  Agent's Commission on sale *

HomeOwners Association Information

Homeowner's Association *
Name of Mgmt Co. for HOA *
  Phone No. for Mgmt Co. *
Is Seller providing a Home Warranty?
Yes   No
If yes, Name of Home Warranty Co.
Is Seller paying any closing costs?
Yes   No
  If yes, how much
Does the Seller paid closing costs include prepaids?
Yes   No
What is the Commission split?
Selling Agent %    Listing Agent %    Selling Bonus %   

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