This form contains 56 fields organized into 26 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
ACKNOWLEDGEMENT
Agreement Month Text
Enter the month in which the agreement was signed.
Max length: 61 characters
Agreement Day Date
Enter the day of the month when the agreement was signed. Fill only if 'Agreement Month' is filled.
Max length: 30 characters
Depends on: Agreement Month
Agreement Year Date
Enter the four-digit year when the agreement was signed. Fill only if 'Landlord 1 Name' is filled.
Max length: 30 characters
Depends on: Landlord 1 Name
Landlord 1 Name Text
Enter the full name of the first landlord acknowledging this agreement.
Max length: 61 characters
Agreement Commencement Date
Commencement Time Time
Please enter the exact time the agreement commences.
Max length: 13 characters
Commencement Day Text
Please enter the day of the month when the agreement commences.
Max length: 11 characters
Commencement Month Text
Please enter the month when the agreement commences.
Max length: 36 characters
Commencement Year (Last 2 Digits) Text
Please enter the last two digits of the year when the agreement commences.
Max length: 7 characters
Agreement Expiry Date
Expiry Day Text
Please enter the day of the month when the agreement expires.
Max length: 10 characters
Expiry Month Text
Please enter the month when the agreement expires.
Max length: 33 characters
Expiry Year Text
Please enter the last two digits of the year when the agreement expires.
Max length: 6 characters
Agreement Parties and Property
Brokerage Text
Provide the full legal name of the brokerage involved in the agreement. Fill only if 'Brokerage' is filled.
Max length: 82 characters
Depends on: Brokerage Name
Landlord Text
Provide the full legal name of the landlord as it appears in the agreement. Fill only if 'Landlord' is filled.
Max length: 86 characters
Depends on: Landlord Name
Property Text
Enter the complete address or a detailed description of the property. Fill only if 'Property' is filled.
Max length: 87 characters
Depends on: Property Address Line 1, Property Address Line 2
Agreement Type
MLS Agreement Initials Text
Please provide the landlord's initials to confirm this is a Multiple Listing Service Agreement.
Max length: 4 characters
Exclusive Listing Initials Text
Please provide the landlord's initials to confirm this is an Exclusive Listing Agreement.
Max length: 4 characters
Brokerage Information
Brokerage Name Text
Please enter the full legal name of the brokerage.
Max length: 84 characters
Brokerage Address Text
Please enter the full street address of the brokerage.
Max length: 52 characters
Brokerage Telephone Number Text
Please enter the telephone number of the brokerage.
Max length: 23 characters
DECLARATION OF INSURANCE
Salesperson/Broker/Broker of Record Name Text
Please provide the name of the Salesperson, Broker, or Broker of Record.
Max length: 65 characters
Salesperson/Broker/Broker of Record Signature Text
Please provide the signature(s) of the Salesperson, Broker, or Broker of Record.
Max length: 73 characters
First Landlord Signature
Landlord Name Text
Please enter the full name of the landlord.
Max length: 39 characters
Signature Date Date
Please provide the date the landlord's signature was affixed. Fill only if 'Landlord Name' is filled.
Max length: 19 characters
Depends on: Landlord Name
Landlord Phone Number Text
Please enter the telephone number of the landlord. Fill only if 'Landlord Name' is filled.
Max length: 22 characters
Depends on: Landlord Name
Holdover Period
Holdover Period Days Number
Enter the number of days after the expiration of the Listing Period during which the Landlord agrees to pay commission.
Max length: 6 characters
Landlord Initials
Landlord Initials Text
Enter the initials of the landlord(s) to signify their agreement with the terms and conditions.
Max length: 6 characters
Landlord Name
Landlord Name Text
Provide the full legal name of the landlord.
Max length: 76 characters
Landlord Name Text
Please provide the full name of the landlord.
Max length: 39 characters
Landlord Warranty Initials
Landlord Warranty Initials Text
Provide the landlord's initials to acknowledge the warranty regarding other listing agreements or commissions.
Max length: 4 characters
Landlord(s) Initials
Landlord Initials Text
Please enter the initials of the landlord(s) here. Fill only if 'Landlord' is filled.
Max length: 6 characters
Depends on: Landlord Name
Lease Commission
Listing Brokerage Commission Number
Enter the commission rate or amount the Landlord agrees to pay the Listing Brokerage.
Max length: 49 characters
Co-operating Brokerage Commission Number
Enter the commission rate or amount the Listing Brokerage is authorized to pay a co-operating brokerage.
Max length: 59 characters
Lease Extension Commission
Lease Extension Commission Rate Number
Enter the commission rate to be paid for a lease extension or renewal.
Max length: 52 characters
Listing Brokerage Agreement
Authorized to Bind Listing Brokerage Text
Provide the name of the person or entity authorized to bind the Listing Brokerage.
Max length: 40 characters
Agreement Date Date
Enter the date this agreement is signed. Fill only if 'Authorized to Bind Listing Brokerage' is filled.
Max length: 16 characters
Depends on: Authorized to Bind Listing Brokerage
Name of Person Signing Text
Provide the name of the individual who is signing this agreement. Fill only if 'Authorized to Bind Listing Brokerage' is filled.
Max length: 31 characters
Depends on: Authorized to Bind Listing Brokerage
Listing Brokerage Initials
Listing Brokerage Initials Text
Enter the initials of the listing brokerage to acknowledge this section.
Max length: 6 characters
Listing Brokerage Initials Text
Enter the initials of the listing brokerage to acknowledge this agreement. Fill only if 'Brokerage' is filled.
Max length: 6 characters
Depends on: Brokerage Name
Listing Period Acknowledgment Initials
Landlord's Initials for Listing Period Acknowledgment Text
Please provide the landlord's initials to acknowledge the terms regarding the listing period as described in the agreement. Fill only if 'MLS Agreement Initials' is selected.
Max length: 4 characters
Depends on: MLS Agreement Initials
Property For Lease Address
Property Address Line 1 Text
Please provide the first line of the property's address that is being offered for lease.
Max length: 43 characters
Property Address Line 2 Text
Please provide any additional address details for the property that is being offered for lease.
Max length: 85 characters
Property Purchase Commission
Fixed Purchase Commission Number
Please provide the fixed commission amount to be paid for the purchase of the property.
Max length: 40 characters
Purchase Commission Percentage Number
Please provide the percentage of the sale price to be paid as commission for the property purchase.
Max length: 7 characters
Rent Amount
Rent Amount Dollars Number
Provide the main dollar amount for the property's rent.
Max length: 17 characters
Rent Amount Cents Text
Provide the cents amount for the property's rent.
Max length: 91 characters
Schedule A
Schedule A Identifier Text
Provide the unique identifier for the Schedule A document attached to this agreement.
Max length: 29 characters
Second Landlord Signature
Second Landlord/Authorized Signing Officer Signature Text
Provide the signature of the second landlord or authorized signing officer.
Max length: 39 characters
Second Landlord Signature Date Date
Enter the date when the second landlord or authorized signing officer signed the form. Fill only if 'Second Landlord/Authorized Signing Officer Signature' is filled.
Max length: 19 characters
Depends on: Second Landlord/Authorized Signing Officer Signature
Second Landlord Telephone Number Text
Enter the telephone number of the second landlord or authorized signing officer. Fill only if 'Second Landlord/Authorized Signing Officer Signature' is filled.
Max length: 22 characters
Depends on: Second Landlord/Authorized Signing Officer Signature
SPOUSAL CONSENT:
Spouse Name Text
Please enter the full name of the spouse providing consent. Fill only if 'spousal consent' is necessary under the provisions of the Family Law Act
Max length: 39 characters
Consent Date Date
Please enter the date on which the spouse's consent is provided. Fill only if 'spousal consent' is necessary under the provisions of the Family Law Act
Max length: 19 characters
Spouse Telephone Number Text
Please enter the telephone number of the spouse. Fill only if 'spousal consent' is necessary under the provisions of the Family Law Act
Max length: 22 characters
USE AND DISTRIBUTION OF INFORMATION:
Consent to Post-Termination Marketing Text
Provide the landlord's initials to confirm consent for real estate board members to contact them for marketing after the agreement expires or is terminated if the property is not leased. Fill only if 'Multiple Listing Service® Agreement' is 'Yes'.
Max length: 5 characters
Depends on: MLS Agreement Initials
No Consent to Post-Termination Marketing Text
Provide the landlord's initials to confirm they do not consent for real estate board members to contact them for marketing after the agreement expires or is terminated if the property is not leased. Fill only if 'Multiple Listing Service® Agreement' is 'Yes'.
Max length: 5 characters
Depends on: MLS Agreement Initials
VERIFICATION OF INFORMATION:
Listing Brokerage Initials Text
Provide the initials of the Listing Brokerage to acknowledge the verification of information.
Max length: 6 characters
Landlord Initials Text
Provide the initials of the Landlord(s) to acknowledge the verification of information.
Max length: 6 characters