Offer Request Intake Form Agent Name * First Name Last Name Agent Email * Agent Phone * (###) ### #### Property Address for Offer * Address 1 Address 2 City State/Province Zip/Postal Code Country Buyer Name #1 * First Name Last Name Buyer #1 Phone * (###) ### #### Buyer #1 Email * Buyer Name #2 First Name Last Name Buyer #2 Phone (###) ### #### Buyer #2 Email Are there more than two buyers who need to sign? Please provide contact information. Is property being purchased by an organization such as LLC or a trust? if so, include signing representative name and contact information. Listing Agent Name * First Name Last Name Seller Names Total Offer Price * $ Cash portion of offer price * $ Financed amount of offer price * $ Loan Type * Cash/No Loan Conventional FHA VA Other Earnest Money Amount * $ Option $ amount * $ How many days for option period? * What $ amount of closing costs to be paid by seller? Do not include buyer agent commission in this amount. * $ What $ amount or % is buyer asking seller to pay toward buyer agent commission? * Title Policy Seller Expense Buyer Expense Title Policy Amendment Will not be amended Will be amended Does seller have a survey? * Yes No Unknown If survey is required, how many days after effective date for seller to furnish and if new survey required at whose expense? Objections: What usage? How many days for objection? Property in Special District? Utility Improvement District Water Improvement District Drainage Improvement District Public Improvement District Unknown Has Buyer Received Seller's Disclosures? Yes No Not required Any exclusions, leases, or other disclosures needed? If applicable, list any specific repairs or treatments required by buyer? Home Warranty. If requesting seller to pay, up to how much $ $ Closing Date * MM DD YYYY Lead Based Paint Addendum Required? Yes No Unknown Non-Realty Items Addendum? If yes, please provide list of items and $ amount Is this an Intermediary Relationship? Yes No Property in mandatory HOA? Yes No Unknown Is Offer contingent on sale of other property by buyer? Yes No Is Mineral Rights Addendum Needed? Yes No Title Company Name, Escrow Agent, & Address * List any special provisions RUSH - Want offer submitted to buyer within 3 hours? Rush fee of $50 will be applied to invoice. (Note: depending on schedule this may not be possible, but we will do our best to accommodate)) Yes No Have you read the Kim Bryant Creative Partnership Disclaimer and limitations-Waiver? By clicking yes, you have signed that you agree with this waiver. * Yes, I have read the waiver. Thank you! Please feel free to call or text Kim with any questions (254) 424-6462. Click here to view Kim Bryant Creative Partnership Disclaimer and Limitations-Waiver
