This form contains 58 fields organized into 28 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Acknowledgement Date
Acknowledgement Date - Day Text
Enter the day of the month when the acknowledgement occurred.
Max length: 12 characters
Acknowledgement Date - Month Text
Enter the month when the acknowledgement occurred.
Max length: 44 characters
Acknowledgement Date - Year Number
Enter the year when the acknowledgement occurred.
Max length: 23 characters
Agreement Parties
Brokerage Name Text
Enter the full legal name of the brokerage involved in this agreement.
Max length: 82 characters
Seller Name Text
Enter the full legal name of the seller(s) involved in this agreement.
Max length: 89 characters
Agreement Type
MLS Agreement Initials Text
Provide the seller's initials to acknowledge the Multiple Listing Service Agreement.
Max length: 5 characters
Exclusive Listing Agreement Initials Text
Provide the seller's initials to acknowledge the Exclusive Listing Agreement.
Max length: 5 characters
Brokerage Authorization
Authorization Date Date
Please enter the date on which this agreement is signed.
Max length: 16 characters
Authorized Brokerage Representative Text
Please enter the name of the individual authorized to legally bind the Listing Brokerage to this agreement.
Max length: 40 characters
Signer's Name Text
Please enter the full name of the person signing this document.
Max length: 31 characters
Brokerage Information
Brokerage Name Text
Please enter the full legal name of the brokerage.
Max length: 85 characters
Brokerage Address Text
Please provide the complete mailing address for the brokerage.
Max length: 49 characters
Brokerage Telephone Number Text
Please enter the telephone number of the listing brokerage.
Max length: 23 characters
Co-operating Brokerage Commission
Co-operating Brokerage Commission Percentage Number
Specify the percentage of the sale price of the property that will be paid as commission to the co-operating brokerage.
Max length: 5 characters
Co-operating Brokerage Commission Amount Number
Provide the fixed dollar amount that will be paid as commission to the co-operating brokerage.
Max length: 34 characters
Declaration of Insurance
Salesperson Broker Name Text
Enter the full name of the Salesperson, Broker, or Broker of Record.
Max length: 65 characters
Salesperson Broker Signature Text
Enter the signature of the Salesperson, Broker, or Broker of Record.
Max length: 72 characters
First Seller Acknowledgement
Acknowledgement Day Number
Enter the day of the month when the seller acknowledges this agreement.
Max length: 68 characters
Acknowledgement Year Number
Enter the four-digit year when the seller acknowledges this agreement.
Max length: 25 characters
First Seller Signature
Seller Signature Text
Please provide the full name of the seller as their signature.
Max length: 40 characters
Signature Date Date
Please provide the date when the seller signed this document.
Max length: 19 characters
Seller Phone Number Text
Please provide the telephone number of the seller.
Max length: 25 characters
Holdover Period
Holdover Period Days Number
Enter the number of days for the holdover period after the listing expiration.
Max length: 12 characters
Listing Brokerage Initials
Listing Brokerage Initials Text
Please enter the initials of the Listing Brokerage.
Max length: 6 characters
Listing Period Acknowledgment
Seller's Initials Text
Please provide the seller's initials to acknowledge the listing period terms. Fill only if 'MLS Agreement Initials' is 'Yes'.
Max length: 5 characters
Depends on: MLS Agreement Initials
Listing Period Commencement
Commencement Time Time
Enter the time when the listing period commences.
Max length: 13 characters
Commencement Day Text
Enter the numerical day of the month when the listing period commences.
Max length: 10 characters
Commencement Month Text
Enter the month when the listing period commences.
Max length: 36 characters
Commencement Year Text
Enter the last two digits of the year when the listing period commences.
Max length: 7 characters
Listing Period Expiration
Expiration Day Text
Please enter the day of the month when the listing agreement expires.
Max length: 10 characters
Expiration Month Text
Please enter the month when the listing agreement expires.
Max length: 32 characters
Expiration Year Text
Please enter the last two digits of the year when the listing agreement expires.
Max length: 6 characters
Offer Price
Offer Price (CDN$) Number
Please enter the offer price for the property in Canadian Dollars.
Max length: 17 characters
Additional Offer Price Number
Please enter any additional offer price amount.
Max length: 90 characters
Page Initials
Listing Brokerage Initials Text
Enter the initials of the Listing Brokerage to acknowledge the terms on this page.
Max length: 6 characters
Seller(s) Initials Text
Enter the initials of the Seller(s) to acknowledge the terms on this page.
Max length: 6 characters
Property Details
Property Address Text
Please enter the full address of the property.
Max length: 87 characters
Property Information
Property Alias Text
Enter any common name, lot number, or specific identifier by which the property is known.
Max length: 43 characters
Property Full Address Text
Provide the complete street address or legal description of the property being listed for sale.
Max length: 86 characters
Schedule A
Schedule A Attachment Text
Identifies the attached Schedule A if a custom label is provided. In most cases, this field remains blank.
Max length: 29 characters
Schedule A Acknowledgment
Schedule A Acknowledgment Initials Text
Please provide the Seller's initials to acknowledge that Schedule A forms part of this agreement.
Max length: 5 characters
Second Seller Acknowledgement
Second Seller Signature Text
Please provide the signature of the second seller to acknowledge understanding and receipt of the agreement.
Max length: 68 characters
Acknowledgement Year Number
Please enter the year the seller acknowledges understanding and receipt of the agreement.
Max length: 25 characters
Second Seller Signature
Second Seller Printed Name Text
Enter the printed name of the second seller signing the document.
Max length: 40 characters
Second Seller Signature Date Date
Enter the date when the second seller signed the document.
Max length: 19 characters
Second Seller Telephone Number Text
Enter the telephone number of the second seller.
Max length: 25 characters
Seller Information
Seller Name Text
Please enter the full name of the seller as it should appear on the agreement.
Max length: 81 characters
Seller Initials
Seller Initials Text
Please enter the initials of the seller. Fill only if 'MLS checkbox' is 'Yes'.
Max length: 6 characters
Depends on: MLS Agreement Initials
Spousal Consent
Spouse Name Text
Please enter the full name of the spouse giving consent.
Max length: 40 characters
Consent Date Date
Please provide the date the spouse signed the consent.
Max length: 19 characters
Telephone Number Text
Please enter the telephone number of the spouse.
Max length: 25 characters
Termination Consent
Seller Initials Consent Text
Enter the seller's initials to consent to allow other real estate board members to contact them after the agreement expires or is terminated.
Max length: 5 characters
Seller Initials Non-Consent Text
Enter the seller's initials to not consent to allow other real estate board members to contact them after the agreement expires or is terminated.
Max length: 5 characters
Total Commission
Listing Brokerage Commission Percentage Number
Enter the percentage of the sale price that the Seller agrees to pay as commission to the Listing Brokerage.
Max length: 5 characters
Total Commission Amount Number
Enter the total commission as a specific monetary amount for any valid offer to purchase the property.
Max length: 19 characters
Commission Details Number
Provide additional details regarding the calculation or terms of the total commission.
Max length: 39 characters
USE AND DISTRIBUTION OF INFORMATION:
Listing Brokerage Initials Text
Enter the initials of the Listing Brokerage to confirm their acknowledgment of the use and distribution of information. Fill only if 'Multiple Listing Service® Agreement' is 'Yes'.
Max length: 7 characters
Depends on: MLS Agreement Initials
Seller(s) Initials Text
Enter the initials of the Seller(s) to confirm their acknowledgment of the use and distribution of information. Fill only if 'Multiple Listing Service® Agreement' is 'Yes'.
Max length: 6 characters
Depends on: MLS Agreement Initials