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Code) Selling Office (FMLS Broker Code) Selling Agent Name (mm/dd/yyyy) Binding Agreement Date (Contract Acceptance Date) Closing Date (mm/dd/yyyy) CLOSING COSTS PAID BY SELLER FMLS will compute this number by totaling amounts from HUD-1 that are indicated as being closing costs paid by seller. $ Sold Price Lender Mediated (Check one): Yes No Check 'Yes' if the former lender had to approve final sales price (i.e. short sales & foreclosures). If neither box is checked, FMLS will default.

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