Status Change Form
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1STATUS CHANGE FORM
Revised 11/14/2014
Use this form to change the status of an exis ng MLS lis ng or to make a change to lis ng data. You must fax or email
this form within 24 hours of any change in status if you want MLS PIN staff to make the change. If you have any
ques ons, please contact MLS PIN Customer Service at 800‐695‐3000, op on 1.
Property Address: ____________________________________________________________________________________
(Street)
(Town)
(State)
MLS Lis ng #: ________________________________________________________________________________________
Office Name: ______________________________________ Agent Name: _______________________________________
PCG—Price Change
UAG—Under Agreement
SLD—Sold
RNT—Rented
/
/
/
/
New List Price
Off‐Market Date (MM/DD/YY)
Closing/Rental Date (MM/DD/YY)
BOM—Back On Market
/
/
/
/
An cipated Sale Date (MM/DD/YY)
Sale/Rent Price
Back On Market Date (MM/DD/YY)
EXT—Extended
Selling/Ren ng Agent ID
Selling/Ren ng Agent ID
RAC—Reac vated
/
/
Selling/Ren ng Office ID
Selling/Ren ng Office ID
New Expira on Date (MM/DD/YY)
FINANCE CODES
WDN—Temporarily Withdrawn
Compensa on Changes
Financing
1 ‐ FHA
8 ‐ Conv. ARM
Please express
/
/
2 ‐ VA
9 ‐ Assume Conv.
as either a
percentage of
3 ‐ FHVA
10 ‐ FHA ARM
Off‐Market Date (MM/DD/YY)
Sub‐Agent Compensa on
the gross
4 ‐ Assump on
11 ‐ Private
selling price or
5 ‐ Conv. Fixed
12 ‐ Bond
CAN—Cancelled
a flat dollar
6 ‐ Cash
13 ‐ Exchange/Trade
amount.
/
/
7 ‐ Withheld
14 ‐ Other
Buyer’s Agent Compensa on
Off‐Market Date (MM/DD/YY)
*NOTE: The office Broker’s signature is
required to Cancel a lis ng.
Facilitator Compensa on
Seller Concessions at Closing ($)
Other Changes
1. Field Name ______________ New Value ____________________________________________________________
2. Field Name ______________ New Value ____________________________________________________________
3. Field Name ______________ New Value ____________________________________________________________
Broker’s Signature: __________________________________________________________ Date: _________________
Owner’s Signature: __________________________________________________________ Date: _________________
Owner’s Signature: __________________________________________________________ Date: _________________
904 Har ord Turnpike · Shrewsbury, MA 01545 · 800‐695‐3000 · FAX 508‐845‐7820 ·
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