FirstTrust Realty, Inc.
Telephone (386) 252-5500

www.DaytonaVisit.com/hotels

Hotels - Motels - Resorts - Land - Commercial Property - Waterfront Property

Buyer's Client Disclosure

 

 

 
 *required: I AGREE: Yes, I the Client or Client's Agent, agree with the terms of the above "Client Disclosure".

 Check One *required
 I am a buyer purchasing property in my own name or for my company. (no broker)
 I am a buyer represented by the following licensed real estate broker: (broker name, full address, phone)


Optional: Show Property #, and short property description (maximum 3 properties)


  1. Your First Name: *required

 2. Your Last Name: *required

 3. Company Name (if any):

 4. Address: *required Suite No:

 5. City: State: Zip Code: *all required

 6. Country (If outside U.S.A.):

 7. Home Phone (with area code):

 8. Work Phone (with area code): *required

 9. Cell Phone (with area code):

 10. FAX (with area code):

 11. E-mail address: *required

 12. Confirm E-mail address: *required

 STOP - Verify that your email address is spelled correctly

 

FOR A PRINTED VERSION OF THE CLIENT DISCLOSURE (CLICK HERE)

 

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