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?*

BuyerSellerDual
MLS#*
ex. VA00000000
Property Address*

Street Address

Street Address Line 2

CityState / 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 CodePhone 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 CodePhone 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 CodePhone 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 CodePhone Number
Your Clients Title Company*
Title Processor*
Is this a split Settlement?*

YESNO
Preferred Closing Location*
Preferred Closing Time*
Lender Contact info.
Please check to ensure Lenders contact info. is included on the Purchasers Prequal Letter (Phone, Email, Company Name) - PREQUAL LETTER MUST ACCOMPANY YOUR SUBMISSION
Is the property Occupied or Vacant?*

OccupiedVacant
Is the property on SentriLock or Combo?*

SentrilockCombo
If on a Combo, please provide code?
List Price*
Sale Price *
Offer Date - not RATIFICATION *

MonthDayYear
Date
Ratification Date*

MonthDayYear
Date
Settlement Date*

MonthDayYear
Date
Final Walk-through Date of choice

MonthDayYear
Date
Final Walk-through Time of choice

:HourMinutesAM/PM Option
Post Occupancy Agreement?

YESNOTBD
Pre-Occupancy Agreement?

YESNOTBD
Has the EMD been delivered?*

YESNO
Who is holding the EMD?*

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

YESNO
Has the Home Inspection been scheduled?*

YESNO
Home Inspection Date

MonthDayYear
Date
Home Inspection Time

:HourMinutesAM/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?

WellWater QualitySepticPoolOther
Do you want Patriot Contracts to order the Home Warranty?*

YESNO
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. Cancelof
Copy of EMD

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

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

Browse Files
Please include If applicable Cancelof
MLS Full Agent Listing

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

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

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

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

Ratified Contract Submission Form

Documents