This form contains 25 fields organized into 10 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Brokerage Signature
Authorized Brokerage Representative Text
Please enter the name of the individual authorized to bind the Listing Brokerage.
Max length: 46 characters
Brokerage Signature Date Date
Please enter the date of the brokerage's signature. Fill only if 'Authorized Brokerage Representative' is filled.
Max length: 26 characters
Depends on: Authorized Brokerage Representative
First Other Direction
Other Directions Content Text
Enter any additional instructions or directions the seller wishes to provide.
Max length: 84 characters
Seller's Initials for Other Directions Text
Provide the seller's initials to acknowledge the other directions.
Max length: 6 characters
First Seller Signature
First Seller Signature Text
Please provide the full name of the first seller signing this document.
Max length: 71 characters
First Seller Signature Date Date
Please provide the date of the first seller's signature. Fill only if 'First Seller Signature' is filled.
Max length: 37 characters
Depends on: First Seller Signature
Interboard MLS Information
Board ID Text
Please provide the ID or name of the board associated with the Interboard MLS number.
Max length: 55 characters
Interboard MLS Number Text
Please provide the Interboard MLS number for the property listing.
Max length: 28 characters
Listing Brokerage Signature
Listing Brokerage Name Text
Please provide the legal name of the listing brokerage.
Max length: 118 characters
Name of Signing Person Text
Please provide the full name of the individual authorized to sign on behalf of the listing brokerage. Fill only if 'Authorized Brokerage Representative' is filled.
Max length: 37 characters
Depends on: Authorized Brokerage Representative
Listing Details
Property Address Text
Provide the complete address of the property involved in the listing agreement.
Max length: 100 characters
Seller Name(s) Text
Enter the full legal name(s) of the seller(s) for the property.
Max length: 110 characters
Listing Brokerage Text
Provide the name of the listing brokerage firm.
Max length: 99 characters
Listing Commencement Date Date
Enter the date on which the listing agreement officially commenced.
Max length: 89 characters
MLS Information
MLS Number Text
Please enter the MLS number(s) associated with the listing.
Max length: 51 characters
L/BR ID Number Text
Please enter the L/BR ID number.
Max length: 38 characters
No Conveyance Of Offers Direction
Conveyance Cutoff Time Time
Enter the specific time before which no written signed offers are to be conveyed. Fill only if 'Seller's Initials' is filled.
Max length: 9 characters
Depends on: Seller's Initials
Conveyance Cutoff Day Date
Enter the day of the month before which no written signed offers are to be conveyed. Fill only if 'Seller's Initials' is filled.
Max length: 4 characters
Depends on: Seller's Initials
Conveyance Cutoff Month Date
Enter the month before which no written signed offers are to be conveyed. Fill only if 'Seller's Initials' is filled.
Max length: 12 characters
Depends on: Seller's Initials
Conveyance Cutoff Year Date
Enter the year before which no written signed offers are to be conveyed. Fill only if 'Seller's Initials' is filled.
Max length: 3 characters
Depends on: Seller's Initials
Seller's Initials Text
Provide the seller's initials to indicate agreement with the direction regarding no conveyance of offers.
Max length: 6 characters
Second Other Direction
Second Other Direction Details Text
Enter the detailed instructions for the second other direction from the seller.
Max length: 84 characters
Second Other Direction Seller Initials Text
Provide the seller's initials to acknowledge this second other direction.
Max length: 6 characters
Second Seller Signature
Second Seller Name Text
Please provide the full name of the second seller.
Max length: 71 characters
Second Seller Signature Date Date
Please provide the date when the second seller signed this document. Fill only if 'Second Seller Name' is filled.
Max length: 37 characters
Depends on: Second Seller Name