List Your Property

1) Contact Information 2) MLS Service 3) Property Profile

PROVIDE CONTACT INFORMATION

OWNER INFORMATION
1.	Owner
	First Name*		Last Name*
2.	Co-Owner
	First Name		Last Name
3.	Home Phone*	4.	Mobile Phone*
5.	Phone for MLS*	6.	Fax number
7.	E-mail Address*

PROPERTY ADDRESS
9.	Street*	10.	Unit#
11.	City*
12.	Zip*
13.	Referred By*
	Please Choose a Plan*

PROPERTY IDENTIFICATION
8.	Property Type*

PRICING
14.	Offering Price* $	15.	Buyer Agent Commission

*REQUIRED FIELDS

PURCHASE MLS SERVICE

BILLING INFORMATION:
Cardholder First Name *	Cardholder Last Name *
Address *	City *
Zip *
Country	Phone *

PAYMENT INFORMATION:
Card Type*
Card Number *	Expiration Date*	CCV2*
State *	Zip *

SUBMIT LISTING AGREEMENT

IMPORTANT NOTICE

FLORIDA LAW REQUIRES THAT REAL ESTATE LICENSEES PROVIDE THIS NOTICE TO POTENTIAL SELLERS AND BUYERS OF REAL ESTATE.

You should not assume that any real estate broker or salesperson represents you unless you agree to engage a real estate licensee in an authorized brokerage relationship, either as a single agent or as a transaction broker. You are advised not to disclose any information you want to be held in confidence until you decide on representation.

NO BROKERAGE RELATIONSHIP NOTICE

FLORIDA LAW REQUIRES THAT REAL ESTATE LICENSEES WHO HAVE NO BROKERAGE REALTIONSHIP WITH A POTENTIAL SELLER OR BUYER DISCLOSE THEIR DUTIES TO SELLERS AND BUYERS.

As a real estate licensee who has no brokerage relationship with you, ListBuyOwner and its associates owe you the following duties:

Dealing honestly and fairly;
Disclosing all known facts that materially affect the value of residential real property which are not readitly observable to the buyer; and
Accounting for all funds entrusted to the licentsee.

I have read and understood the No Brokerage Relationship Disclosure above.

Owner’s Signature (type your name)