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<!--- SS#s were taken out on 12/20/05 as per Jodi --->
<style type="text/css">
<!--
.TextBox { font-family:arial; font-size: 8pt}
.TextBoxSelected { font-family:arial; font-size: 8pt; background-color: ffffCC}
-->
</style>
<cfif NOT ISDEFINED("session.pwd") >
<cflocation url="../index.cfm">
<cfabort>
</cfif>
<!--- To prevent duplicate records, disable the browser's back button--->
<!--- <script language="JavaScript">
javascript:window.history.forward(1);
</script> --->
<cfif parameterExists(form.mls_num) AND #form.mls_num# NEQ ''>
<!--- Get Listing Information --->
<cfquery name="GetRecordByMLS" datasource="#gDSN#" maxrows="1">
SELECT * FROM all_listings_new
WHERE mls = '#form.mls_num#'
</cfquery>
<!--- check for the agent name, if there is a comma then first part is the lastname --->
<cfset comma = #Listcontains(GetRecordByMLS.agentName_MLS, ",", 1)#>
<cfif #comma# EQ '0'>
<cfset firstname='#Listfirst(GetRecordByMLS.agentName_MLS, " ")#'>
<cfset lastname='#Listlast(GetRecordByMLS.agentName_MLS, " ")#'>
<cfelse>
<cfset firstname='#Listlast(GetRecordByMLS.agentName_MLS, " ")#'>
<cfset lastname='#Listfirst(GetRecordByMLS.agentName_MLS, ",")#'>
</cfif>
<!--- Set Listing variables --->
<cfif GetRecordByMLS.RecordCount>
<cfset mls_value = '#GetRecordByMLS.mls#'>
<cfset address_value = '#GetRecordByMLS.address#'>
<cfset city_value = '#GetRecordByMLS.city#'>
<cfset state_value = '#GetRecordByMLS.state#'>
<cfset zip_value = '#GetRecordByMLS.zip#'>
<cfset list_date_value = '#GetRecordByMLS.date_added#'>
<cfset list_price_value = '#GetRecordByMLS.list_price#'>
<cfif (form.list_type EQ '3') ><!---AND (GetRecordByMLS.REO_listing EQ 'N') 0 --->
<cfset OB_firstname_value='#firstname#'><!--- --->
<cfset OB_lastname_value='#lastname#'><!--- --->
<cfset OB_compname_value='#GetRecordByMLS.officename_MLS#'><!--- --->
<cfelseif (form.list_type EQ '1' OR form.list_type EQ '2') ><!---AND (GetRecordByMLS.REO_listing EQ 'Y') 1 --->
<cfset firstname_Value='#firstname#'>
<cfset lastname_Value='#lastname#'>
<!--- <cfelse>
<table align="center" width=350>
<tr><td> <br><br><br></td></tr>
<tr><td><b>There is an error in the input of MLS # <cfoutput>#form.mls_num#</cfoutput>OR the selection of the listing type</b></td></tr>
<tr><td>Please <a href="javascript:history.go(-1)">Go Back</a> and try again.</td></tr>
</table>
<cfabort> --->
</cfif>
<cfelse>
<cfset mls_value = ''>
<cfset address_value = ''>
<cfset city_value = ''>
<cfset state_value = ''>
<cfset zip_value = ''>
<cfset list_date_value = ''>
<cfset list_price_value = ''>
<cfset OB_firstname_value = ''>
<cfset OB_lastname_value = ''>
<cfset OB_compname_value = ''>
<cfset firstname_value = ''>
<cfset lastname_value = ''>
</cfif>
<cfif #GetRecordByMLS.RecordCount# EQ '0'>
<table align="center" width=350>
<tr><td> <br><br><br></td></tr>
<tr><td><b>No record found with MLS # <cfoutput>#form.mls_num#.</cfoutput></b></td></tr>
<tr><td>Please <a href="javascript:history.go(-1)">Go Back</a> and try again.</td></tr>
</table>
<cfabort>
</cfif>
<cfelse><!--- if mls# is not entered, but new form opened --->
<cfset office_id_value = ''>
<cfset payno_value = ''>
<cfset firstname_value = ''>
<cfset lastname_value = ''>
<cfset mls_value = ''>
<cfset address_value = ''>
<cfset city_value = ''>
<cfset state_value = ''>
<cfset zip_value = ''>
<cfset list_date_value = ''>
<cfset list_price_value = ''>
<cfset OB_firstname_value = ''>
<cfset OB_lastname_value = ''>
<cfset OB_compname_value = ''>
<cfset firstname_value = ''>
<cfset lastname_value = ''>
</cfif>
<html>
<head>
<title>Form 203</title>
</head>
<script language="javascript">
function formCheck(form203) {
if ((form203.property_street.value == "") || (form203.property_city.value == "") || (form203.property_state.value == "")) {
alert ("Please enter the Property's Street Address, City, and State.")
form203.property_street.focus()
return false
}
if (form203.processedby.value == "") {
alert ("Please enter your name.")
form203.processedby.focus()
return false
}
}
<!--
//Let Only Numbers in
function checkIt(evt) {
evt = (evt) ? evt : window.event
var charCode = (evt.which) ? evt.which : evt.keyCode
if (charCode > 31 && (charCode < 48 || charCode > 57)) {
alert('This field accepts numbers only.')
status = "This field accepts numbers only."
return false
}
status = ""
return true
}
//-->
</script>
<script language="javascript">
function isNumberString(InString){
if (InString.length==0) return (false);
var RefString="1234567890";
for (Count=0; Count < InString.length; Count++) {
TempChar = InString.substring (Count, Count+1);
if (RefString.indexOf(TempChar, 0)== -1)
return (false);
}
return (true);
}
function CheckPhoneNumber(TheNumber) {
var GoodChars = "0123456789()-/ ";
var i = 0;
if (TheNumber.length < 10) return (false);
for (i =0; i < TheNumber.length; i++) {
if (GoodChars.indexOf(TheNumber.charAt(i)) == -1) {
return (false);
}
} // End for loop
return (true);
}
function formCheck2(form203) {
if(form203.seller_comp.value == ""){
if ((form203.seller_firstname1.value == "") || (form203.seller_lastname1.value == "") )
{
alert ("Please enter the Seller's First Name and Last Name.")
form203.seller_firstname1.focus()
return false
}
}
if ((form203.seller_street.value == "") || (form203.seller_city.value == "") || (form203.seller_state.value == "")) {
alert ("Please enter the Seller's Street Address, City, and State.")
form203.seller_street.focus()
return false
}
if ((!isNumberString(form203.seller_zip.value)) || (form203.seller_zip.value.length != 5)) {
alert ("Please enter the Seller's Zip Code correctly.")
form203.seller_zip.focus()
return false
}
if ((form203.property_street.value == "") || (form203.property_city.value == "") || (form203.property_state.value == "")) {
alert ("Please enter the Property's Street Address, City, and State.")
form203.property_street.focus()
return false
}
if ((!isNumberString(form203.property_zip.value)) || (form203.property_zip.value.length != 5)) {
alert ("Please enter the 5 digit Property's Zip Code correctly.")
form203.property_zip.focus()
return false
}
if (form203.property_ADate.value == "") {
alert ("Please enter the Accept Date and the Sold Price correctly.")
form203.property_ADate.focus()
return false
}
if ((form203.property_SPrice.value == "") || (!isNumberString(form203.property_SPrice.value)) ) {
alert ("Please enter the Sold Price correctly. Only numbers are accepted")
form203.property_LPrice.focus()
return false
}
if ((form203.property_LPrice.value != "") && (!isNumberString(form203.property_LPrice.value)) ) {
alert ("Please enter the List Price correctly. Only numbers are accepted.")
form203.property_LPrice.focus()
return false
}
if(form203.buyer_comp.value == ""){
if ((form203.buyer_firstname1.value == "") || (form203.buyer_lastname1.value == "")) {
alert ("Please enter the Buyer's First Name and Last Name.")
form203.buyer_firstname1.focus()
return false
}
}
if ((form203.buyer_street.value == "") || (form203.buyer_city.value == "") || (form203.buyer_state.value == "")) {
alert ("Please enter the Buyer's Street Address, City, and State.")
form203.buyer_street.focus()
return false
}
if ((!isNumberString(form203.buyer_zip.value ) ) || (form203.buyer_zip.value.length != 5)) {
alert ("Please enter the 5 digit Buyer's Zip Code correctly.")
form203.buyer_zip.focus()
return false
}
if (form203.buyer_homephone.value ==""){
alert ("Please enter the Buyer's Home Phone correctly. Format (555)555 5555")
form203.buyer_homephone.focus()
return false
}
if (form203.buyer_email.value ==""){
alert ("Please enter the Buyer's email address")
form203.buyer_email.focus()
}
<!--- (!CheckPhoneNumber(form203.buyer_homephone.value) ) {
alert ("Please enter the Buyer's Home Phone correctly. Format(555)555 5555")
form203.buyer_homephone.focus()
return false
}
--->
if ((form203.list_type.value == 1) ){
if ((form203.gr_comm_percentage.value == "") && (form203.gr_comm_dollars.value == "")){
alert ("Please enter Gross Commission percentage or Dollars")
form203.gr_comm_percentage.focus()
return false
}
if ((form203.OB_percentage.value == "") && (form203.OB_dollars.value == "")){
alert ("Please enter O/B Commission percentage or Dollars")
form203.OB_percentage.focus()
return false
}
}
if ((form203.list_type.value == 2) ){
if ((form203.gr_comm_percentage.value == "") && (form203.gr_comm_dollars.value == "")){
alert ("Please enter Gross Commission percentage or Dollars")
form203.gr_comm_percentage.focus()
return false
}
if ((form203.REO_list_percentage.value == "") && (form203.REO_list_dollars.value == "")){
alert ("Please enter REO Lisitng Agents Commission percentage or Dollars")
form203.REO_list_percentage.focus()
return false
}
if ((form203.REO_sale_percentage.value == "") && (form203.REO_sale_dollars.value == "")){
alert ("Please enter REO Selling Agents Commission percentage or Dollars")
form203.REO_sale_percentage.focus()
return false
}
}
if ((form203.comp_percentage.value == "") && (form203.comp_dollars.value == "")){
alert ("Please enter REO Gross percentage or Dollars")
form203.comp_percentage.focus()
return false
}
if (document.form203.order_cont.checked == true && document.form203.Style.selectedIndex == 0){
alert("Please select the sytle of Order Continuity");
document.form203.Style.focus();
return false;
}
if (form203.processedby.value == "") {
alert ("Please enter your name.")
form203.processedby.focus()
return false
}
return true
}
function PutAddValues(form203){
if (form203.same_address){
form203.seller_street.value = form203.property_street.value
form203.seller_city.value = form203.property_city.value
form203.seller_state.value = form203.property_state.value
form203.seller_zip.value = form203.property_zip.value
}
return true;
}
function getFSBOinfo(form203){
if ((form203.list_type.value == '4') || ((form203.list_type.value == '4') && (form203.same_address))){
if (form203.seller_comp.value == ''){
form203.OB_compname.value = '--'
}
else{
form203.OB_compname.value = form203.seller_comp.value
}
if (form203.seller_firstname1.value == ''){
form203.OB_firstname.value = '--'
form203.OB_lastname.value = '--'
}
else{
form203.OB_firstname.value = form203.seller_firstname1.value
form203.OB_lastname.value = form203.seller_lastname1.value
}
form203.OB_street.value = form203.seller_street.value
form203.OB_state.value = form203.seller_state.value
form203.OB_city.value = form203.seller_city.value
form203.OB_zip.value = form203.seller_zip.value
alert("Because it is a FSBO the O/B information is populated")
}
return true;
}
function getLastName(form203){
if(form203.Seller_Salutation.value == "Mr. & Mrs."){
form203.seller_lastname2.value = form203.seller_lastname1.value
}
return true;
}
function getLastNameBuyer(form203){
if(form203.Buyer_Salutation.value == "Mr. & Mrs."){
form203.buyer_lastname2.value = form203.buyer_lastname1.value
}
return true;
}
</script>
<cfinclude template="header.cfm">
<!--- <cfoutput>#firstname_value# - #lastname_value#</cfoutput> --->
<table width=95% align="center">
<tr><td><H2>Form 203</h2></td></tr>
<tr><td align="right"><font size=1, color="red">Fields marked with * are required fields</font></td></tr>
<tr><td align="right"><font size=1, color="red">** indicates either/or required fields</font></td></tr>
</table>
<Form Action="form_203_action.cfm" Method="post" name="form203" onKeyPress="if(window.event.keyCode == 13) {return false}">
<table width=95% cellpadding="1" cellspacing="1" border=1 bordercolor="black" align="center">
<tr>
<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tr>
<td>
<table width="100%">
<tr>
<td>Listing File No: <INPUT TYPE="text" Name="list_file_num" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>MLS No.: <cfoutput><INPUT TYPE="text" Name="mls_num" size="8" value="#mls_value#" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></cfoutput> </td>
<td><b>*Expected Closing Date:</b><INPUT TYPE="text" Name="exp_closeDate" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
<tr>
<td>Listing Type: <b><cfoutput><cfif #form.list_type# IS 1>REO List O/B Sale
<cfelseif #form.list_type# IS 2>REO List and Sale
<cfelseif #form.list_type# IS 3>O/B List REO Sale
<cfelse>For Sale By Owner</cfif> </cfoutput></b>
</td>
<td>Company ID: <b><cfoutput>#session.CID#</cfoutput></b></td>
<td>Office ID: <b><cfoutput>#session.OID# </cfoutput> <cfif session.OID EQ '41'>(Commercial)</cfif></b></td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<!--- Property information section --->
<tr bgcolor="C0C0C0"><td><b> Property Information </b></td></tr>
<tr>
<td>
<table cellpadding="0" cellspacing="0" width="100%">
<!--- First Row in the Property Info section (begins with address) --->
<tr>
<td>
<table>
<cfoutput>
<tr>
<td><b>*Street Address:</b><INPUT TYPE="text" Name="property_street" size="22" value="#address_value#" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td> Unit No.:<INPUT TYPE="text" Name="property_unit" size="2" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*City:</b><INPUT TYPE="text" Name="property_city" size="6" value="#city_value#" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*State:</b><INPUT TYPE="text" Name="property_state" size="1" value="MI" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*ZipCode:</b><INPUT TYPE="text" Name="property_zip" size="3" value="#zip_value#" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
</tr>
</cfoutput>
</table>
</td>
</tr>
<tr>
<td>
<table>
<cfoutput>
<tr>
<td>List Date:<INPUT TYPE="text" Name="property_LDate" size="6" value="#DateFormat(list_date_value, 'mm/dd/yy')#" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*Accept Date:</b><INPUT TYPE="text" Name="property_ADate" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>List Price: $<INPUT TYPE="text" Name="property_LPrice" size="6" value="#list_price_value#" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'" onKeyPress="return checkIt(event)"> </td>
<td><b>*Sold Price:</b> $<INPUT TYPE="text" Name="property_SPrice" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'" onKeyPress="return checkIt(event)"> </td>
</tr>
</cfoutput>
</table>
</td>
</tr>
</table>
</td>
</tr>
<!--- Lease information section --->
<tr bgcolor="C0C0C0"><td><b> Lease Information </b></td></tr>
<tr>
<td>
<table cellpadding="0" cellspacing="0" width="100%">
<!--- First Row in the LeaseInfo section (begins with original lease date) --->
<tr>
<td width="46%">
<table>
<cfoutput>
<tr>
<td width="140"><b>Original Lease Date:</b><INPUT TYPE="text" Name="original_leasedate" size="8" value ="#DateFormat (list_date_value, 'mm/dd/yy')#" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Lease Expiration Date:<INPUT TYPE="text" Name="exp_leasedate" size="8" value ="#DateFormat (list_date_value, 'mm/dd/yy')#" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td width="213">Monthly Lease Payment: $<INPUT TYPE="text" Name="lease_pmt" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td></tr>
<tr><td>Option to extend: Y or N <INPUT TYPE="text" Name="option_extend" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Option to purchase: Y or N <INPUT TYPE="text" Name="option_purchase" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td>Option Price: $ : <input type="text" name="option_price" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'" /></td></tr>
<td>Tenant's Email Address: <input type="text" name="tenant_email" size="12" class="TextBox" onFocus="this.className='TextBoxSelected';select()" onBlur="this.className='TextBox'"></td>
<td>Tenant's Phone Number: <input type="text" name="tenant_phone" size="12" class="TextBox" onFocus="this.className='TextBoxSelected';select()" onBlur="this.className='TextBox'"></td>
</tr>
</cfoutput>
</table>
</td>
<!--- Seller's information section --->
<tr bgcolor="C0C0C0"><td><b> Seller's Information</b> </td></tr>
<tr>
<td>
<table cellpadding="0" cellspacing="0" width="100%">
<!--- First Row in the Seller's Section --->
<tr>
<cfoutput>
<td colspan=4><b>**Seller Company:</b><INPUT TYPE="text" Name="seller_comp" size="35" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> <b>OR</b></td>
</tr>
<tr>
<td><select Name="Seller_Salutation">
<option value="">--
<option value="Mr.">Mr.
<option value="Mrs.">Mrs.
<option value="Mr. & Mrs.">Mr.& Mrs.
<option value="Ms.">Ms.
</select>
</td>
<td align="left"><b>**First Name:</b><INPUT TYPE="text" Name="seller_firstname1" size="10" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td align="left"><b>**Last Name:</b><INPUT TYPE="text" Name="seller_lastname1" size="10" onchange ="javascript:getLastName(form203);" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<!--- <td align="center">Soc.Sec. No:<INPUT TYPE="text" Name="seller_SSN1" size="15" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td> --->
</tr>
<!--- Sellers Name if Mr and Mrs.--->
<tr>
<td> </td>
<td> First Name:<INPUT TYPE="text" Name="seller_firstname2" size="10" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td> Last Name:<INPUT TYPE="text" Name="seller_lastname2" size="10" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<!--- <td align="center"> Soc.Sec. No:<INPUT TYPE="text" Name="seller_SSN2" size="15" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td> --->
</tr>
<!--- Street Address Row --->
<tr>
<td valign="top" colspan="3" >
<table align="left" cellpadding="0" cellspacing="0">
<tr>
<td>Address same as above:<INPUT TYPE="checkbox" Name="same_address" value=1 onClick="javascript:PutAddValues(form203);getFSBOinfo(form203);" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
<tr>
<td> <b>*Street Address:</b><INPUT TYPE="text" Name="seller_street" size="25" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
</cfoutput>
</table>
</td>
<td width="39%" align="right" rowspan="4">
<table align="left" cellpadding="0" cellspacing="0" border="1" >
<!--- Gross Commissions Row --->
<tr >
<td><cfoutput><cfif #form.list_type# IS 1 OR #form.list_type# IS 2><b>*</b></cfif></cfoutput>Gross Comm </td>
<td><input type="Text" name="gr_comm_percentage" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'">% </td>
<td>$<input type="text" name="gr_comm_dollars" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
<tr>
<cfoutput>
<cfif #form.list_type# IS 2>
<td><b>*</b>REO List </td><!---Comp. Dollar--->
<td><input type="Text" name="REO_list_percentage" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'">% </td>
<td>$<input type="text" name="REO_list_dollars" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<cfelseif #form.list_type# IS 1 ><td><b>*</b>Amt Pd to O/B</td>
<td><input type="Text" name="OB_percentage" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'">% </td>
<td>$<input type="text" name="OB_dollars" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'" > </td>
<cfelse><td>Amt Pd to O/B</td>
<td><input type="Text" name="OB_percentage" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'">% </td>
<td>$<input type="text" name="OB_dollars" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</cfif>
</cfoutput>
</tr>
<tr>
<cfoutput>
<cfif #form.list_type# IS 2>
<td><b>*</b>REO Sale </td><!---Comp. Dollar--->
<td><input type="Text" name="REO_sale_percentage" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'">% </td>
<td>$<input type="text" name="REO_sale_dollars" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'" > </td>
<cfelse><td><b>*</b>REO Gross</td>
<td><input type="Text" name="comp_percentage" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'">% </td>
<td>$<input type="text" name="comp_dollars" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</cfif>
</cfoutput>
</tr>
<tr>
<td>Listing Ref </td>
<td><input type="Text" name="list_percentage" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'">% </td>
<td>$<input type="text" name="list_dollars" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
<tr>
<td>Selling Ref</td>
<td><input type="Text" name="sell_percentage" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'">% </td>
<td>$<input type="text" name="sell_dollars" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
</table>
</td>
</tr>
<!--- City, State Row --->
<tr>
<td valign="top" colspan="3">
<table>
<tr>
<td><b>*City:</b><INPUT TYPE="text" Name="seller_city" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*State:</b><INPUT TYPE="text" Name="seller_state" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*ZipCode:</b><INPUT TYPE="text" Name="seller_zip" size="4" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'" onchange="javascript:getFSBOinfo(form203);"> </td>
</tr>
</table>
</td>
</tr>
<!--- Phone, Email Row --->
<tr>
<td valign="top" colspan="3">
<table>
<tr>
<td>Home/Cell Phone:<INPUT TYPE="text" Name="seller_homephone" size="10" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>WorkPhone:<INPUT TYPE="text" Name="seller_workphone" size="10" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
</table>
</td>
</tr>
<tr>
<td valign="top" colspan="4">
<table>
<tr>
<td>Email:<INPUT TYPE="text" Name="seller_email" size="12" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Emp/Sales Ass.<INPUT TYPE="checkbox" name="seller_emp_sales" value="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<!--- <td>Home-Link:<select Name="contact_seller">
<option value="Yes">Yes
<option value="No">No
</select>
</td> --->
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<!--- Other Information --->
<tr bgcolor="C0C0C0"><td><b> Other Information </b></td></tr>
<tr>
<td>
<table cellpadding="0" cellspacing="0" width="100%">
<tr>
<td>
<table>
<tr>
<tr>
<td> Seller's Source:</td>
<td> <select Name="Seller_Source">
<option>UNKNOWN
<option>Internet
<option>Floor Call/Walk IN
<option>Referral: Past Customer
<option>Referral: Relocation/Corporate Services
<option>Referral: Friend/Neighbor/Relative
<option>Referral: From REO Sales Associate
<option>Past Customer
<option>Relist/Extension
<option>OpenHouse
<option>Other Broker Expired
<option>For Sale By Owner(FSBO)
<option>Cold Calls
<option>Call Nights
<option>Social Farming: Sphere of Influence
<option>Geographic Farming
<option>Company Paid Ad
<option>Personal Ad: Newspaper/Photo Guide
<option>Personalized Sign: For Sale/Open House
<option>Direct Mail-postcards, newsletter etc.
<option>Other
</select>
</td>
<td> Buyer's Source:</td>
<td> <select Name="Buyer_Source">
<option>UNKNOWN
<option>Internet
<option>Floor Call/Walk IN
<option>Referral: Past Customer
<option>Referral: Relocation/Corporate Services
<option>Referral: Friend/Neighbor/Relative
<option>Referral: From REO Sales Associate
<option>Past Customer
<option>Relist/Extension
<option>OpenHouse
<option>Other Broker Expired
<option>For Sale By Owner(FSBO)
<option>Cold Calls
<option>Call Nights
<option>Social Farming: Sphere of Influence
<option>Geographic Farming
<option>Company Paid Ad
<option>Personal Ad: Newspaper/Photo Guide
<option>Personalized Sign: For Sale/Open House
<option>Direct Mail-postcards, newsletter etc.
<option>Other
</select>
</td>
<!--- <td> Source Of Listing/Sale:</td>
<td> <select Name="seller_Source">
<option>UNKNOWN
<option>01- Floor Call/Walk IN
<option>02-Referral: Past Customer
<option>03-Referral: Relocation/Corporate Services
<option>04-Referral: Friend/Neighbor/Relative
<option>05-Referral: From REO Sales Associate
<option>06-Past Customer
<option>07-Relist/Extension
<option>08-OpenHouse
<option>09-Other Broker Expired
<option>10-For Sale By Owner(FSBO)
<option>11-Cold Calls
<option>12-Call Nights
<option>13-Social Farming: Sphere of Influence
<option>14-Geographic Farming
<option>15-Company Paid Ad
<option>16-Personal Ad: Newspaper/Photo Guide
<option>17-Personalized Sign: For Sale/Open House
<option>18-Direct Mail-postcards, newsletter etc.
<option>19-Other
</select>
</td> --->
<!---<td>Virtual Tour<input type="Checkbox" name="virtual_tour" value = 1> </td>--->
<!--- <td>Home Warranty<input type="Checkbox" name="home_warranty" value = 1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Past Title<input type="Checkbox" name="past_title" value = 1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td> --->
</tr>
</table>
</td>
</tr>
<tr>
<td >
<table>
<tr>
<td>Home Warranty<input type="Checkbox" name="home_warranty" value = 1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Past Title<input type="Checkbox" name="past_title" value = 1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Order Continuity<input type="Checkbox" name="order_cont" value = 1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td> Style:
<select Name="Style">
<option>None
<option>Humorous Style
<option>Traditional Style
</select>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table>
<td >Financing:
<select Name="financing">
<option>Mortgage
<option>Cash
<option>Land Contract
</select>
</td>
<tr>
<td >If Mortgage, Mortgage Co.<input type="text" name="mortgage_co" size=12 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td>Rep.Name:<input type="text" name="mortgage_rep" size=12 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td>Phone:<input type="text" name="mortgage_phone" size=10 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td>Fax:<input type="text" name="mortgage_fax" size=10 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<!--- Buyer's Information begins --->
<tr bgcolor="C0C0C0"><td><b> Buyer's Information </b></td></tr>
<tr>
<td>
<table cellpadding="0" cellspacing="0" width="100%">
<!--- First Row in the Buyer's Section (begins with name) --->
<tr>
<td>
<table>
<tr>
<td colspan=3><b>**Buyer Company:</b><INPUT TYPE="text" Name="buyer_comp" size="35" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> <b>OR</b></td>
</tr>
<tr>
<td><select Name="Buyer_Salutation">
<option value="">--
<option value="Mr.">Mr.
<option value="Mrs.">Mrs.
<option value="Mr. & Mrs.">Mr.& Mrs.
<option value="Ms.">Ms.
</select>
</td>
<td valign="top"><b>**First Name:</b><INPUT TYPE="text" Name="buyer_firstname1" size="12" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td valign="top"><b>**Last Name:</b><INPUT TYPE="text" Name="buyer_lastname1" size="12" onchange ="javascript:getLastNameBuyer(form203);" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<!--- <td>Soc. Sec. No:<INPUT TYPE="text" Name="buyer_SSN1" size="15" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td> --->
</tr>
<tr>
<td> </td>
<td valign="top"> First Name:<INPUT TYPE="text" Name="buyer_firstname2" size="12" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td valign="top"> Last Name:<INPUT TYPE="text" Name="buyer_lastname2" size="12" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<!--- <td valign="top">Soc. Sec. No:<INPUT TYPE="text" Name="buyer_SSN2" size="15" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td> --->
</tr>
</table>
</td>
</tr>
<tr>
<td valign="top" colspan="3">
<table>
<tr>
<td><b>*Street Address:</b><INPUT TYPE="text" Name="buyer_street" size="20" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Unit No.:<INPUT TYPE="text" Name="buyer_unit" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Emp/Sales Ass.<INPUT TYPE="checkbox" name="buyer_emp_sales" value="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
</tr>
</table>
</td>
</tr>
<!--- City, State Row --->
<tr>
<td valign="top" colspan="3">
<table>
<tr>
<td><b>*City:</b><INPUT TYPE="text" Name="buyer_city" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*State:</b><INPUT TYPE="text" Name="buyer_state" size="5" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*ZipCode:</b><INPUT TYPE="text" Name="buyer_zip" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*Contact Email:</b><INPUT TYPE="text" Name="buyer_email" size="10" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
</table>
</td>
</tr>
<!--- Phone, --->
<tr>
<td valign="top" colspan="3">
<table>
<tr>
<td colspan="2"><b>*Home/Cell Phone:</b><INPUT TYPE="text" Name="buyer_homephone" size="15" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Work Phone:<INPUT TYPE="text" Name="buyer_workphone" size="15" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<!--- <td>Home-Link:<select Name="contact_buyer">
<option value="Yes">Yes
<option value="No">No
</select>
</td> --->
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<!--- Listing Agent Information --->
<!---REO List O/B Sale OR REO List and Sale--->
<cfif (#form.list_type# IS 1) OR (#form.list_type# IS 2) >
<tr bgcolor="C0C0C0"><td><b> Listing Agent - REO Information </b></td></tr>
<tr>
<td>
<table cellpadding="0" cellspacing="0" width="100%">
<cfset number_listing_agents = #form.list_agents#>
<cfset number = 1>
<cfloop from="1" to="#number_listing_agents#" index="number">
<!--- First Row in the REOAgent Section (begins with Office #) --->
<tr>
<td >
<cfoutput>
<table width="100%" ><!--- <cfif number EQ 1>value="#payno_value#"</cfif><cfif #number# EQ 1>value="#office_id_value#" </cfif> --->
<tr>
<td>#number#.</td>
<td><b>*Pay No:</b><INPUT TYPE="text" Name="LREO#number#_Paynum" size="1" onChange="javascript:AgentInfo(form203)" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*Office No.</b>:<INPUT TYPE="text" Name="LREO#number#_Officenum" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td><b>*First Name:</b><INPUT TYPE="text" Name="LREO#number#_firstname" size="8" <cfif number EQ 1>value="#firstname_value#"</cfif> class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*Last Name:</b><INPUT TYPE="text" Name="LREO#number#_lastname" size="8" <cfif number EQ 1>value="#lastname_value#"</cfif> class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*Assoc port:</b><INPUT TYPE="text" Name="LREO#number#_assoport" size="2" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'" >$ OR % </td>
</tr>
</table>
</cfoutput>
</td>
</tr>
<!--- </cfif> --->
</cfloop>
<!--- Port. Information for REO1 --->
<tr>
<td colspan="3">
<table>
<tr>
<!--- <td valign="top">Gr. Comm. Port.:<INPUT TYPE="text" Name="LREO_grcommport" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td> --->
<td valign="top">Ref. Port.:<INPUT TYPE="text" Name="LREO_refport" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td valign="top">Corp. Ref.:<INPUT TYPE="checkbox" Name="LREO_corpref" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<!--- <td valign="top">Contact Client:<INPUT TYPE="checkbox" Name="LREO_concl" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td> --->
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<!--- O/B list and REO sale--->
<cfelse>
<tr bgcolor="C0C0C0"><td><b> Listing Agent - O/B Information </b></td></tr>
<tr>
<td>
<table cellpadding="0" cellspacing="0" width="100%">
<!--- First Row in the O/B Section (begins with name) --->
<tr>
<td>
<table><cfoutput>
<tr>
<td><b>*Comp. Name:</b><INPUT TYPE="text" Name="OB_compname" size="35" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'" value=" "> </td><!---#OB_compname_value# --->
<td><b>*First Name:</b><INPUT TYPE="text" Name="OB_firstname" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'" value=""></td><!---#OB_firstname_value# --->
<td><b>*Last Name:</b><INPUT TYPE="text" Name="OB_lastname" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'" value=""></td><!---#OB_lastname_value# --->
<td>O/B No.:<INPUT TYPE="text" Name="OB_num" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
</tr></cfoutput>
</table>
</td>
</tr>
<!--- Address row for O/B --->
<tr>
<td>
<table>
<tr>
<td>*Street:<INPUT TYPE="text" Name="OB_street" size="12" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Suite/Unit:<INPUT TYPE="text" Name="OB_suite" size="2" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>*City:<INPUT TYPE="text" Name="OB_city" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>*State:<INPUT TYPE="text" Name="OB_state" size="3" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>ZipCode:<INPUT TYPE="text" Name="OB_zip" size="5" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
</table>
</td>
</tr>
<!--- contact info for O/B --->
<tr>
<td>
<table>
<tr>
<td>Email:<INPUT TYPE="text" Name="OB_email" size="10" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Phone:<INPUT TYPE="text" Name="OB_phone" size="10" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Fax:<INPUT TYPE="text" Name="OB_fax" size="10" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Contact:<INPUT TYPE="text" Name="OB_contact" size="12" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</cfif>
<!--- Listing Referral Information--->
<tr bgcolor="C0C0C0"><td><b> Listing Referral Information </b></td></tr>
<tr>
<td>
<table cellpadding="0" cellspacing="0" width="100%">
<tr>
<td>
<table>
<tr>
<td>Name:<INPUT TYPE="text" Name="LRef_name" size="15" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Street:<INPUT TYPE="text" Name="LRef_street" size="25" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Comp. Name:<INPUT TYPE="text" Name="LRef_compname" size="20" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table>
<td>City:<INPUT TYPE="text" Name="LRef_city" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>State:<INPUT TYPE="text" Name="LRef_state" size="3" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Zip:<INPUT TYPE="text" Name="LRef_zip" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Phone:<INPUT TYPE="text" Name="LRef_num" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<!--- Selling Agent Information --->
<!--- REO List and Sale OR O/B List REO Sale--->
<cfif (#form.list_type# IS 2) OR (#form.list_type# IS 3) OR (#form.list_type# IS 4) >
<tr bgcolor="C0C0C0"><td><b> Selling Agent - REO Information </b></td></tr>
<tr>
<td>
<table cellpadding="0" cellspacing="0" width="100%">
<cfset number_selling_agents = #form.sell_agents#>
<cfset number = 1>
<cfloop from="1" to="#number_selling_agents#" index="number">
<!--- First Row in the REOAgent Section (begins with Office #) --->
<tr>
<td>
<cfoutput>
<table width=100%>
<tr>
<td>#number#.</td>
<td><b>*Pay No.:</b><INPUT TYPE="text" Name="SREO#number#_Paynum" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td><b>*Office No.:</b><INPUT TYPE="text" Name="SREO#number#_Officenum" size="1" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td><b>*First Name:</b><INPUT TYPE="text" Name="SREO#number#_firstname" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td><b>*Last Name:</b><INPUT TYPE="text" Name="SREO#number#_lastname" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*Assoc. port.:</b><INPUT TYPE="text" Name="SREO#number#_assoport" size="2" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'">$ OR % </td>
</tr>
</table>
</cfoutput>
</td>
</tr>
</cfloop>
<!--- Port. Information for REO1 --->
<tr>
<td>
<table>
<tr>
<!--- <td valign="top">Gr. Comm. Port.:<INPUT TYPE="text" Name="SREO_grcommport" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td> --->
<td valign="top">Ref. Port.:<INPUT TYPE="text" Name="SREO_refport" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td valign="top">Corp. Ref.:<INPUT TYPE="checkbox" Name="SREO_corpref" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<!--- <td valign="top">Contact Client:<INPUT TYPE="checkbox" Name="SREO_concl" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td> --->
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<cfelse>
<tr bgcolor="C0C0C0"><td><b> Selling Agent - O/B Information </b></td></tr>
<tr>
<td>
<table cellpadding="0" cellspacing="0" width="100%">
<!--- First Row in the O/B Section (begins with name) --->
<tr>
<td>
<table>
<tr>
<td><b>*Comp. Name:</b><INPUT TYPE="text" Name="OB_compname" size="20" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td><b>*First Name:</b><INPUT TYPE="text" Name="OB_firstname" size="10" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td><b>*Last Name:</b><INPUT TYPE="text" Name="OB_lastname" size="10" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td>O/B No.:<INPUT TYPE="text" Name="OB_num" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
</tr>
</table>
</td>
</tr>
<!--- Address row for O/B --->
<tr>
<td>
<table>
<tr>
<td>*Street:<INPUT TYPE="text" Name="OB_street" size="20" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Suite/Unit:<INPUT TYPE="text" Name="OB_suite" size="4" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>*City:<INPUT TYPE="text" Name="OB_city" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>*State:<INPUT TYPE="text" Name="OB_state" size="4" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>*ZipCode:<INPUT TYPE="text" Name="OB_zip" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
</table>
</td>
</tr>
<!--- contact info for O/B --->
<tr>
<td>
<table>
<tr>
<td>Email:<INPUT TYPE="text" Name="OB_email" size="12" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Phone:<INPUT TYPE="text" Name="OB_phone" size="12" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Fax:<INPUT TYPE="text" Name="OB_fax" size="12" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Contact:<INPUT TYPE="text" Name="OB_contact" size="12" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</cfif>
<!--- Selling Referral Information--->
<tr bgcolor="C0C0C0"><td><b> Selling Referral Information </b></td></tr>
<tr>
<td>
<table cellpadding="0" cellspacing="0" width="100%">
<tr>
<td>
<table>
<tr>
<td>Name:<INPUT TYPE="text" Name="SRef_name" size="20" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Street:<INPUT TYPE="text" Name="SRef_street" size="25" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Comp. Name:<INPUT TYPE="text" Name="SRef_compname" size="20" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table>
<tr>
<td>City:<INPUT TYPE="text" Name="SRef_city" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>State:<INPUT TYPE="text" Name="SRef_state" size="4" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Zip:<INPUT TYPE="text" Name="SRef_zip" size="6" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Phone:<INPUT TYPE="text" Name="SRef_num" size="8" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<!--- Disclosure Statement --->
<tr bgcolor="C0C0C0" ><td align="center"><b> Disclosure Statement Certification </b></td></tr>
<tr>
<td>
<table cellpadding="0" cellspacing="0" width="100%">
<tr> </tr>
<tr>
<td align="center"> According to Company Policy, the following documents are on file with respect to the above referenced property. </td>
</tr>
<tr><td><hr></td></tr>
<!--- Disclosure Information --->
<tr>
<td>
<table width="450" border="0">
<tr>
<td > </td>
<td align="center" colspan="2"><u>Other Broker's Side</u></td>
<td> </td>
<td align="center"colspan="2"><u>Real Estate One's Side</u></td>
</tr>
<tr>
<td> </td>
<td align="center" colspan="1"> Listing </td>
<td colspan="1"> Sale </td>
<td> </td>
<td align="center" colspan="1"> Listing </td>
<td colspan="1"> Sale </td>
</tr>
<tr>
<td> Agency Disclosure </td>
<td align="center"><input type="checkbox" name="Agency_Broker_Listing" value=1 disabled></td>
<td><input type="checkbox" name="Agency_Broker_Sale" value=1 disabled></td>
<td> </td>
<td align="center"><input type="checkbox" name="Agency_REO_Listing" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td><input type="checkbox" name="Agency_REO_Sale" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
</tr>
<!--- added on 6/30/2008 --->
<tr>
<td> RESPA Disclosure </td>
<td align="center"><input type="checkbox" name="RESPA_Broker_Listing" value=1 disabled></td>
<td><input type="checkbox" name="RESPA_Broker_Sale" value=1 disabled></td>
<td> </td>
<td align="center"><input type="checkbox" name="RESPA_REO_Listing" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td><input type="checkbox" name="RESPA_REO_Sale" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
</tr>
<tr>
<td> Seller's Disclosure </td>
<td align="center"><input type="checkbox" name="Seller_Broker_Listing" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td><input type="checkbox" name="Seller_Broker_Sale" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td> </td>
<td align="center"><input type="checkbox" name="Seller_REO_Listing" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td><input type="checkbox" name="Seller_REO_Sale" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
</tr>
<tr>
<td> Lead Paint Disclosure </td>
<td align="center"><input type="checkbox" name="LeadPaint_Broker_Listing" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td><input type="checkbox" name="LeadPaint_Broker_Sale" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td> </td>
<td align="center"><input type="checkbox" name="LeadPaint_REO_Listing" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
<td><input type="checkbox" name="LeadPaint_REO_Sale" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
</tr>
<tr>
<td> Buyer Agency Contract </td>
<td align="center"><input type="checkbox" name="Buyer_Broker_Listing" value=1 disabled></td>
<td><input type="checkbox" name="Buyer_Broker_Sale" value=1 disabled></td>
<td> </td>
<td align="center"><input type="checkbox" name="Buyer_REO_Listing" value=1 disabled></td>
<td><input type="checkbox" name="Buyer_REO_Sale" value=1 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></td>
</tr>
</table>
</td>
</tr>
</table>
<tr bgcolor="C0C0C0"><td align="center"><b> Comments/Special Instructions</b>
</td></tr>
<tr>
<td>
<table width="100%">
<tr>
<td><TextArea name="Comments" value="Comments" cols=65 rows=5 class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></textarea></td>
</tr>
</table>
</td>
</tr>
<!--- Signature and Date --->
<tr>
<td>
<table width="100%">
<tr>
<td><b>*Processed By:</b> <input type="text" name="processedby" size="20" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"> </td>
<td>Date Processed: <cfoutput><input type="text" name="date_processed" value="#DateFormat(Now(), 'mm/dd/yy')#" size="10" class="TextBox" onfocus="this.className='TextBoxSelected';select()" onblur="this.className='TextBox'"></cfoutput> </td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table width="100%">
<tr>
<td align="center"><input type="submit" name="Save_Close_Btn" value="Save and Close" onClick="return formCheck(form203)" > </td>
<td align="center"><input type="submit" name="Completed_Btn" value="Submit Completed/Updated Form" onClick="return formCheck2(form203)" > </td>
<td align="center"><input type="RESET" value="Clear Form"> </td>
<cfoutput>
<input type="HIDDEN" value="#form.list_type#" name="list_type">
<input type="HIDDEN" value="#form.sell_agents#" name="sell_agents">
<input type="HIDDEN" value="#form.list_agents#" name="list_agents">
<!--- <input type="HIDDEN" value="#URL.UID#" name="UID">--->
<input type="HIDDEN" value="#session.CID#" name="CID">
<input type="HIDDEN" value="#session.OID#" name="OID">
</cfoutput>
</tr>
</table>
</td>
</tr>
</table>
</form>
</body>
</html>
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