Revised 4/3/20
My Deals Change Form
Send the completed form to HomeBase for upload into your transaction.
*Please send all contractual forms related to this change to HomeBase.
Agent Name:
Property Address: City: State: Zip:
Use this form to notify your office of changes to your transaction.
List Price*: Expiration Date:
Sales Price*: Estimated Close Date:
Add/Change Commission Reduction** (ex: pay for home warranty, credit to buyer, etc.):
**Subject to local approval process.
Reduction For: Amount:
Reduction For: Amount:
Reduction For: Amount:
Additional Commission Changes: ☐ List Side ☐ Buyer Side
Add/Change Referral Information: ☐ List Side ☐ Buyer Side
Referral Brokerage Name:
Referring Agent Name:
Referral Brokerage Address:
Referral %: Referral Flat Fee Amount $:
Add/Change Agent Information: ☐ List Side ☐ Buyer Side
Agent Name: Deal Split %: or Flat Fee $
Other: