Receiving Listings Transfer Form

Receiving Office Name: *

Please enter listing office name where the listing is transferring to.

Receiving DR E-mail Address *

This e-mail address is for authorized signer of the office.

Receiving DR E-mail Address: *

This e-mail address is for authorized signer of the office.

New Office MLS Office ID: *

Agent Name: *

I agree to accept the following listing(s): *

List as many that apply. Include MLS Number, Address of Property and Status (Active, Pending, etc.)

Agent License #: *

Office Address: *

Address Line 2

City *

State *

Enter required value

Postal Code *

Office Phone: *

Agent Phone: *

Receiving Broker Signature/Authorized Signature: *

I agree to the information above.

Date: *