FrickTrentLizzio, PLLC
141 Providence Road STE 110
Charlotte, NC 28207
Phone: 704-376-8181
Email info@FrickTrentLizzio.com

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.
  Fee
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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