Patriot Contracts Contract Submission Form

Ratified Contract Submission Form

Use this intake form if your Buyers have ratified a contract OR your listing is now under contract.
To help ensure that we are providing you with everything you need for a successful transaction, please take a moment to tell us about your contract.

Keep in mind the more information you provide the better we can serve you and your client.

All required fields must be filled in for submission, missing information may delay the processing of your contract.

Payment for the $100 contract submission fee will be billed separately through Square within 24hrs of the contract submission. Payment will be charged to the credit card on file.

Thank you for choosing Patriot Contracts!
Agent Submitting Contract Name *
Agent Email
example@example.com
Who are you representing? *

Buyer Seller Dual
MLS# *
ex. VA00000000
Property Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Client #1 Full Name *
Please supply name as written on the contract/Deed.
Client #1 Nickname
Please supply us with the name your client prefers to be addressed as, if different then the legal name provided above
Client #1 Email *
example@example.com
Client #1 Phone Number *

Area Code Phone Number
Client #2 Full Name **ONLY IF THERE IS MORE THAN 1 CLEINT**
Please supply name as written on the contract/Deed. **ONLY IF MORE THAN 1 CLIENT**
Client #2 Nickname ** ONLY IF THERE IS MORE THAN 1 CLIENT**
Please supply us with the name your client prefers to be addressed as, if different then the legal name provided above **ONLY IF MORE THAN 1 CLIENT**
Client #2 Email **ONLY IF THERE IS MORE THAN 1 CLIENT**
example@example.com
Client #2 Phone Number **ONLY IF MORE THAN 1 CLIENT**

Area Code Phone Number
Client #3 Full Name **ONLY IF THERE ARE MORE THAN 2 CLIENTS**
Please supply name as written on the contract/Deed. **ONLY IF MORE THAN 2 CLIENTS**
Client #3 Nickname **ONLY IF THERE ARE MORE THAN 2 CLIENTS**
Please supply us with the name your client prefers to be addressed as, if different then the legal name provided above **ONLY IF MORE THAN 2 CLIENTS**
Client #3 Email **ONLY IF THERE ARE MORE THAN 2 CLIENTS**
example@example.com
Client #3 Phone Number **ONLY IF THERE ARE MORE THAN 2 CLIENTS**

Area Code Phone Number
Client #4 Full Name
Please supply name as written on the contract/Deed. **ONLY IF MORE THAN 3 CLIENTS**
Client #4 Nickname **ONLY IF THERE ARE MORE THAN 3 CLIENTS**
Please supply us with the name your client prefers to be addressed as, if different then the legal name provided above **ONLY IF MORE THAN 3 CLIENTS**
Client #4 Email **ONLY IF THERE ARE MORE THAN 3 CLIENTS**
example@example.com
Client #4 Phone Number **ONLY IF THERE ARE MORE THAN 3 CLIENTS**

Area Code Phone Number
Your Clients Title Company *
Title Processor *
Is this a split Settlement? *

YES NO
Preferred Closing Location *
Preferred Closing Time *
Lender Contact info.
ONLY IS A NEW LENDER IS BEING USED (Phone, Email, Company Name) - PLEASE ENSURE A PREQUAL LETTER IS ATATCHED WITH YOUR SUBMISSION
Is the property Occupied or Vacant? *

Occupied Vacant
Is the property on SentriLock or Combo? *

Sentrilock Combo
If on a Combo, please provide code?
List Price *
Sale Price *
Offer Date- Date OFFER was Submitted *

Month Day Year
Date
Ratification Date *

Month Day Year
Date
Settlement Date *

Month Day Year
Date
Final Walk-through Date of choice

Month Day Year
Date
Final Walk-through Time of choice

: Hour Minutes AM/PM Option
Post Occupancy Agreement?

YES NO TBD
Pre-Occupancy Agreement?

YES NO TBD
Has the EMD been delivered? *

YES NO
Who is holding the EMD? *

Buyers Agents Brokerage Buyers Title Company
Do you want Patriot Contracts to schedule the Termite? *

YES NO
Has the Home Inspection been scheduled? *

YES NO
Home Inspection Date

Month Day Year
Date
Home Inspection Time

: Hour Minutes AM/PM Option
Home Inspector Name -Please include phone #, & email if using a new inspector.
Home Inspector Contact Info.
Are there any other pertinent inspections scheduled?

Well Water Quality Septic Pool
Do you want Patriot Contracts to order the Home Warranty? *

YES NO
Home Warranty Company
Provide the Home Warranty Company of the Buyers Choosing or from the contract
Buyer Agent Commission Information *
Selling Agent Commission Information *
Indicate 0, if not applicable
Admin Fee *
Indicate 0, if not applicable
Referral Fee *
Indicate 0, if not applicable
Any important information you feel we need to know about your clients or the contract
Example: Communication Style, Availability, etc.
Documents

Please ensure that the following documents are attached. Missing documents will prevent submission or delay the processing of your file. **Full MLS Listing, Tax Record, Lender Letter/Proof of funds, RSC, All Addenda, All Disclosures, Copy of EMD (if available), Listing Agreement (if applicable)** You may submit all documents as 1 file under Ratified Contract.
Ratified Contract (required)

Browse Files
All documents can be uploaded as 1 attachment here. Cancel of
Copy of EMD

Browse Files
If available at time of submission Cancel of
Lender Letter/Proof of Funds

Browse Files
Please included with your submission, either here or with the ratified contract Cancel of
Listing Agreement

Browse Files
Please include If applicable Cancel of
Buyer Broker Agreement

Browse Files
Please supply If applicable Cancel of
MLS Full Agent Listing

Browse Files
Please included with your submission, either here or with the ratified contract Cancel of
MLS Tax Record

Browse Files
Please included with your submission, either here or with the ratified contract Cancel of
Addendums

Browse Files
Please included with your submission, either here or with the ratified contract Cancel of
Disclosures

Browse Files
Please included with your submission, either here or with the ratified contract Cancel of
Should be Empty:

Ratified Contract Submission Form

Documents