"*" indicates required fields Select Your MLS Listing Package* $499 - Platinum + $2000 at closing $499 - Gold + $500 at closing Listing Property Address* Street Name City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County*Contact InformationSeller's Name (primary contact)* Full Name on Title Seller's cell phone #*Seller's Email:* This is the email address that will receive further instructions and information on your MLS listing. Spouse's Name or second person on title. This information is required in order to create a Listing Agreement. spouse Spouse's Cell Phone #Spouse's or 2nd person Email: This information is required if there is a spouse or 2nd seller. The email must be different than Primary Seller's email. Who holds the Title?* Single Indivual Multiple Individuals (example: husband and wife) Corporation or LLC Estate If you are listing the property under an LLC or as an estate, you must supply proof that you have authority to sign. Seller:* Owner Occupant Builder as LLC Investor/Flipper as LLC Trustee/Estate If you are listing the property under an LLC or as an estate, you must supply proof that you have authority to sign. Articles of Incorporation, Death Certificate or Power of AttorneyMax. file size: 256 MB. If you are selling the property under an LLC, please upload the articles of incorp that state you can sign documents. If you are selling an estate, please upload power of attorney that shows you have authority to sign. If your spouse is on title and he/she passed away, please upload death certificate.Proof Of OwnershipMax. file size: 256 MB. Please upload proof of ownership of the property. This can be a closing statement, a mortgage statement or a tax bill.Name(s) as it appears on the title or deed*If someone other than the person listed on deed is filling out this form, please explain.How did you hear about Mink Realty Flat Fee Listing Service? Internet Search Mink Realty yard sign Tic Toc Ad Facebook Advertisement Friend/Co-worker I have used Mink Realty in the past Listing Price*Please enter the full listing price using at least 5 digits. For example, enter 450000 for $450,000.Listing Date* The listing date must be the same date that your listing will go ACTIVE on the MLS. Please allow 24 hours from the seller completing all the listing steps.Why are you selling?Do you currently hold a real estate license in Kentucky, Indiana or Florida?If you hold a real estate license even if it is in escrow this must be disclosed on the MLS. Please explain what state.Marital Status* Married Single Divorced Widow In the state of Kentucky if you are married, both parties must sign the listing contract, sellers disclosure forms and any purchase contracts.Which MLS do you want your property listed in?* GLAR - Greater Louisville Association of Realtors (data sharing with NKAR, LBAR) LBAR - Lexington Board of Reators (data sharing with SLCMLS, GLAR, NKAR) Indiana - MyState MLS (covers entire state of Indiana) Florida - MyStateMLS (covers entire state of Florida) The MLS automatically feeds all the third party websites such as Realtor.com, Truilia, Zillow, Homes.com, Remax.com and all the others. Was property built before 1978?* YES NO If your property was built before 1978 you must complete a Lead Based Paint disclosure form.Total Payment MethodCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
