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Page 1: Report of Change for Listings for Long Island Realtors

REPORT OF CHANGEIN LISTING CONTRACT

_______YES ______ NO The following changes have been entered into the computer. (REMINDER: Thereis a charge for these changes to be entered at the service office.)

ML Number _____________________ MLS Office Name __________________________________________

Address of property ____________________________________ Town _______________________________

Owner ____________________________________________________________________________________

It is agreed between the parties that the following changes are to be made in the original listing agreement dated___________________________________ 20 ____ concerning the above mentioned property.

_____ 1. Listing Price has been changed to: $ ______________________

_____ 2. Expiration Date of listing agreement is amended to: ______________________ 20 ________

_____ 3. Premises will be available for occupancy on _____________________________________________

_____ 4. The Following additional information or changes are to be included in the herein mentioned listing

agreement _________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

The above changes in the herein mentioned listing agreement are effective immediately. Owner herebyacknowledges receipt of a copy of this Report of Change in Listing Contract which they are entitled tounder the law.

MLS-LI-5 (04/2009)

Owner Signature _____________________________

Office Name_________________________________

Date _______________________________________

Owner Signature _____________________________

Listing Agent ________________________________

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