Status Change Form

Send to: MLSListings Inc. 350 Oakmead Parkway, 2nd Floor Sunnyvale, CA 94085
____________________________________________________________________________________________________________________

Key: (R) = Required information * = Signature is required by broker and owner (see below)
(R) Listing Agent: _______________________ Listing Office: ___________________________________________
(R) Contact Phone: ___________________________ Fax # (for confirmation): ______________________________
(R) MLS#: __________________________________
(R) Property Address: _________________________ City: __________________________ Zip: _______________

Pending
(R) Please Check One: Pending – w/release clause Pending – show Pending – Do not show
(R) Estimated Close of Escrow Date: ____________________________(R) Sale Date: _______________________

Sold/Closed/Leased
(R) Date of Final Sale: ___________________________ (R) COE Sale Price: _______________________________
(R) Selling Agent’s Name: ________________________ (R) Selling Office: _________________________________
(R) Type of Financing (please circle one): 1. Conventional 2. Cash 3. CTEL 4. CVOW 5. CTOW 7. CTCV 8. OCIS
9. AITD 10. COS 11. LSEO 12. VA 13. FHA 14. CALV 15. SSP 16. SSE 17. R/L 18. Probate 19. Other

Changes/Corrections or Extensions
Change Price To: _________________________ * Extend Expire Date To: _______________________________
Other Misc. Changes: ___________________________________________________________________________

Off Market/ Back On Market

Check One: Back on market *Canceled *Withdrawn/Temp. off market
*Date Off Market:_______________________________________________________________________________

Remarks Changes
Public Remarks (400): ___________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Private Remarks (268): __________________________________________________________________________
____________________________________________________________________________________________

*Broker signature: _________________________ Print: __________________________ Date: ______________

*Owner signature: __________________________ Print: __________________________ Date: ______________

Agent signature: ___________________________ Print: __________________________ Date: ______________

MLS Listings Inc. • 350 Oakmead Parkway, 2nd floor • Sunnyvale, CA 94085 • Main: 408-874-0200 • Toll Free: 800-546-5657 • Fax: 408-341-8931
Revision: 011708_jh