Buyer Agent Form

/Buyer Agent Form
Buyer Agent Form 2017-10-23T13:49:21+00:00

Fill out the form below and someone will be in contact with you soon.

All field with an * are required.

Buyer Name*
Buyer Contact Phone Number*
Buyer Email Address*
Will Buyer Be Living at The Property? YesNo

Settlement date, time and location, if available:

Date
Time
Location
Commission (%)*
Split*
Other Fees/Credit
Lender Name*
Lender Phone*
Lender Email*
Attorney for Buyer(s)? YesNo
If yes, contact info
Property in an HOA/Condo? YesNo
If yes, contact info
Property Address

Quakertown, PA – Main Office

(888) 700-7118
1803 W. Broad St. Quakertown, PA 18951
Coopersburg | Landsdale | Perkasie | Sellersville | Souderton

Whitehall – Corp Office

(610) 266-6057
1080 Schadt Avenue Whitehall, Pa. 18052
Coplay | Northampton | Schnecksville | Slatington | Wescosville

Muncy, PA Office – Corp Office

(866) 774-3340
414 W. 4th Street Williamsport, Pa. 17701
Bloomsburg | Lewisburg | Milton | Sunbury | Williamsport

Bethlehem Office – Corp Office

(610) 266-6057
2416 Emrick Blvd. Bethlehem, Pa. 18020
Bath | Easton | Hellertown | Nazareth | Saucon Valley

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