Thanks for submitting your referral. Please review the information you submitted below. If you discover that anything is incorrect, you should contact us immediately via telephone at (319) 631-6100 or via email at bill@billwittig.com.
Date:
Re: Buyer Referral Listing Referral
Referred Party's Name(s):
Current Address:
Address of property to be sold (if different from above):
Home Phone:
Work Phone:
Additional Information:
The above party is being referred to (Broker):
The preferred agent for this referral is:
By the acceptance of this referral a ($) flat amount referral fee will be paid to the originating broker within three (3) business days after the final settlement. The above fee is to be based on the Listing Selling (or Both) side only.
Originating Agent:
Originating Broker: | Fed ID #:
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