Official Reporting Form
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1Birmingham Area Multiple Listing Service, Inc.
O
R
F
FFICIAL
EPORTING
ORM
Revision Date: ____________________
MLS #:
_______________
Address:
____________________________________________________
List Office: _______________
List Agent ID ___________________________________________________
This change form becomes a part of the MLS Seller Information Sheet for the above stated MLS reference number
and said provisions shall supersede any provisions of like or contradictory intent within the original agreement.
Owner’s signature required to change the List Price, Expiration Date
& Status of Listing (Contingent, Pending, Withdrawn or Cancelled).
Field Heading: Revision:
________
______________________________________________________________________________
________
______________________________________________________________________________
________
______________________________________________________________________________
Status Change:
Change status to Contingent
Date: _____________
Contingency Reason:
Appraisal
Financing
Inspection
Sale of Other Property
Agent Notes on Contingency (comments will be appended to existing notes):
______________________________________________________________________________
Change status to Pending
Date: _____________
Property no longer available to show.
Change status to Withdrawn
Date: _____________
Does not affect contractual relationship w/ Seller.
Change status to Cancelled
Date: _____________
Terminates contractual relationship w/ Seller.
Change status to Sold:
Pending Date: _____________________
Closed Date:
_____________________
Sales Price: _____________________
Terms of Sale:
__ Assumption
__ Cash
__ Conv-Adj/Var
__ Conv
__ FHA
__ Other
__ OwnerFinancing
__ VA
SellingAgtID:
____________________________________
SellingOffice: _______________________________________________
SellingCoAgtID: _________________________________
SellingCoOfficeID:
_________________________________________
Sale Notes:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
THE COMMISSION PAYABLE TO THE BROKER IN THIS SALE IS NOT SET BY THE BIRMINGHAM ASSOCIATION OF REALTORS®, INC.,
BUT IN ALL CASES IS NEGOTIABLE BETWEEN THE BROKER AND THE SELLER.
Seller(s) hereby authorizes and agrees to the above change(s), which shall modify the existing Listing Agreement.
____________________________________________
___________________________________________
Owner(s)
Date
____________________________________________
___________________________________________
Owner(s)
Date
____________________________________________
___________________________________________
Broker
Date
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