FrickTrent, PLLC
141 Providence Road STE 110
Charlotte, NC 28207
Phone: 704-376-8181
Email info@fricktrent.com

Buyer's Agent Info Form

If you would like to submit the information below via fax instead, then please download our buyer's agent info offline form.

Be assured that all information submitted here is safe and secured.

FrickTrent, PLLC will handle the closing. *
Your Email Address *
Purchaser's Information
Purchaser's Name(s) to appear on Deed *		Purchaser's Social Security Number(s) *
Mortgage Lender
Lender *		Lender Contact Name *
Lender Phone		Lender E-mail
Homeowners Information
Insurance Company Name *
Agent's Name *		Agent's Phone Number *
Buyer's Agent Information
Agent's Name *		Agent's Company *
Agent's Phone No. *		Agent's Commission on sale *
What is the Commission split? Selling Agent % Listing Agent % Selling Bonus %
Does Buyer want attorney to order Survey? Yes No
Was termite inspection performed? Yes No If yes, please fax a copy of the Termite inspection AND invoice.
Please fax us any invoices which are to be paid at closing.

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