Agent Application
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ResNet ID *
Must be an active agent in ResNet to be considered to be a broker for PHOENIX.
Were you referred to PHOENIX?
*
If referred, by whom?
What zip codes do you cover?
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Agent Personal Information
Name (First, Middle Initial and Last)
*
Agent or Broker Designation
*
License Number
*
License Expiration Date
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MM
/
DD
/
YYYY
Company/Brokerage Name
*
Broker Address
*
City *
County *
State *
Zip Code *
Primary Phone Number *
Brokerage Phone Number *
Email Address *
MLS Office ID#
*
Website URL  
Name of current primary real estate board
*
Agent Transaction History
Only provide stats for listings sold by you personally in the MLS
Years selling REO
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Years selling Short Sale
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Total number of Short Sales you personally closed as the Listing Agent in the last 12 months?
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Total number of REO listings you personally closed as the Listing Agent in the last 12 months?
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Number of closed transactions in the last 12 months?
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Total number of all listings you personally closed as the Listing Agent for over $600,000 in the last 12 months?
*
What is the average sales price in your primary market MLS for the past 12 months?
*
Most REO listings closed in a year by you personally as the Listing Agent?
*
Number of active listings?
*
Agent Performance & Expertise
Areas of expertise?
Fallout ratio?
Average days to close?
Average percentage of sales price to BPO?
Average days to complete BPO’s?
Clear selection
Are you willing to perform Cash for Keys/Relocation?
*
Your average days on market for the prior 6 months?
*
Are the closed sales you have listed above located in the same area that you are applying to have REO coverage in?
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Agent Questionnaire
Number of years you have sold real estate in this market area?
*
How many agents work for you personally?
*
Do you have vendors to complete initial services, repairs, rekeys, and maintenance?
*
Which REO associations do you belong to? 
*
Example: NRBA or US REO Partners
Have you ever had disciplinary action taken against you from the State Licensing Board or National Association of Realtors?  If yes, please explain.
*
Have you ever lost a litigation brought against you regarding a real estate transaction?  If yes, please explain.
*
Have you ever had a client, bank, servicer or outsourcer take any disciplinary action against you for any reason?
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Disciplinary action explanation:
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Have you ever been convicted of a felony?
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Detail any felonies convicted of with dates, charges and any explanation:
*
Are you an active member in all MLS in your market territory?
*
Do you agree to accept listings regardless of price?
*
Describe Your Support Staff
Number of non-agent people employed by you personally?
*
License & Insurance
Type of real estate license?
*
States licensed in?
*
Years licensed?
*
License number?
*
License expiration date?
*
MM
/
DD
/
YYYY
Have you ever had your license suspended?
*
If yes, why?
*
REO Client References
Company 1
Company Name *
Reference Name
*
Reference Title
*
Reference Phone
*
Reference E-mail
*
Company 2
Company Name *
Reference Name
*
Reference Title
*
Reference Phone
*
Reference E-mail
*
Company 3
Company Name
Reference Name
Reference Title
Reference Phone
Reference Email
Acknowledgment & Authorization
PHOENIX REO Listing Agents Must Meet The Following Minimum Standards:  Exceed Client Performance & Scorecard Expectations. Adheres To All Local, State & Federal Laws As Well As Regulations. No History Of Department Of Real Estate Discipline. The Commitment To Exceed All Client Scorecard Performance Expectations. The Integrity & Professionalism Dealing With Both Clients & The Public.
I Certify That I Meet The Above Minimum Requirements & I Am Interested In Becoming A Broker that works with Phoenix Asset Management
*
Please sign your full name below
I Certify That Answers Given Herein Are True & Complete To The Best Of My Knowledge. I Understand & That False Or Misleading Information Given In My Application Or Interview(S) May Result In being terminated as an independent contractor. I Understand That I Am Required To Abide By All Rules & Regulations Of The Company As Described In The Phoenix Asset Management Agent Manual
*
Please sign your full name below
Applicants Are Evaluated Without Regard To Race, Color, Religion, Gender, National Origin, Age, Marital Or Veteran Status And/Or The Presence Of A Non-Job Related Handicap Or Any Other Legally Protected Status. 
Agent Supplier Diversity
Phoenix Asset Management believes that a diverse supplier network can better assist us in serving our diverse customer base. Companies that do business with Phoenix Asset Management are asked to participate with us in this effort by virtue of their own status as a diverse supplier and/or through the utilization of certified diverse suppliers in the performance of contracts for services to Phoenix Asset Management (to the extent it is economically viable and cost effective for the companies to do so). Please be advised that should you do business with Phoenix Asset Management, you may be asked to participate in a plan designed to achieve our diverse supplier network utilization goals.

For this questionnaire, to be considered as a diverse business your firm must be at least 51% owned and operated by any of the classifications listed below and be certified as such by a certifying entity.

Please check below if your company qualifies as one or more of the supplier diversity classifications listed:
Note: Please ensure a valid proof of certification is provided for any diverse classification(s) indicated.
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