Additional Info for Real Estate Agents

Name

First Last

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

How many transactions do you complete per year on average?

How much dollar volume do you do on average per year?

How many short sales have you listed?

How many short sales have you closed successfully?

Which of these advanced designations do you currently hold (check all that apply)?

Would you like to be considered for admin status so you can host events in your local market?

Attach the signed referral agreement:*

Print, sign, scan and attach the PDF linked below this form to be eligible to receive referrals via Shortsaleopedia: