Request for Services Please complete the following information for a LISTING AGREEMENT: Agent Name First Name Last Name Name (Seller) * First Name Last Name Email (Seller) Phone (Seller) (###) ### #### Address (Listing) Address 1 Address 2 City State/Province Zip/Postal Code Country Listing Date MM DD YYYY Listing End Date MM DD YYYY List Price $ Is this home POA/HOA/Condo? YES NO Approximate Total Taxes $ Thank you!