NY State Disclosure Acknowledgment

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NY State Disclosure (now)
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The NY State Disclosure form provides a guide for consumers to the various types of agency relationships that take place in real estate.

In the case of our MLS listing service, you can essentially remain a For Sale by Owner seller, and an agency relationship is not established.

By law, we are presenting this form to you as consumers taking part in a real estate transaction.

Please review the following form, and acknowledge that you have been presented with a copy (this is not a contract).

Trouble viewing the embedded document above? Click to view form.

As the embedded form reads, "This form was provided to me by Dan Demers of Sell Your Home Services, LLC, a licensed real estate broker acting in the interest of the Seller (checked) as a Seller's Agent (checked).

Number of Sellers (Legal Owners)*

archived - Seller 1 Name*

Seller 1 Name*

First NameLast Name

Seller 1 E-mail*

archived - Seller 2 Name*

Seller 2 Name

First NameLast Name

Seller 2 E-mail

archived - Seller 3 Name

Seller 3 Name*

First NameLast Name

Seller 3 E-mail

I (we) acknowledge receipt of a copy of this disclosure form (NY State Disclosure for Buyer and Seller).

To sign electronically, click and hold your mouse button to draw your signature in the box. If additional sellers are not present to sign, check the boxes to invite them to sign via e-mail (for Multiple Sellers only), or click here to print the NY State Disclosure form.

Seller 1 Signature*

Seller 2 Signature*

Seller 2 will sign later. E-mail signing instructions to Seller 2.

Seller 3 Signature*

Seller 3 will sign later. E-mail signing instructions to Seller 3.

Upon submitting this form you will be directed to the next step, the MLS Listing Agreement form.

propertyinfo

photoupload

mls

listprice

isrental

seller1address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

addressForSale

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

NY State Disclosure Form for Buyer and Seller