Participating Broker Program Registration
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Thank you for choosing Olthof Homes for your customer. We look forward to including you in our Broker Participation Program. Please fill out the form below to be eligible to recieve the benefits of working with Olthof Homes. Please take the time to read the Participating Broker Program Policy for more information regarding this program. If you have additional questions, please call (219) 252-7643 or (219) 558-8080 x304


Broker Information:

Agent First Name:*


Agent Last Name:*


Company:*


Street Address:


City:


State:


Zip Code:


Office Phone:*
- - Ext.

Office Fax:
- -

Email:*
Customer Information:

First Name:*


Last Name:*


Street Address:


City:


State:


Zip Code:


Customer phone number:
- - Ext.


Email:*



Community Of Interest:

* I have read and agree to the terms of the Participating Broker Policy (required)

The above form must be fully completed to be valid.

  • LIMITED TIME- A commission of 3% of the base purchase price will be paid to the Procuring Broker with a valid registration upon closing and funding,
    for any contract written between January 1st, 2012 and June 30th, 2012. Any contracts written after June 30th, 2012 will be paid a standard commission
    of 2.5%. See policy for details.
  • We are pleased to provide you with a copy of this Broker Registration Form for your records and we look forward to working with you and your customer.
  • We appreciate your interest and value your participation. Please let us know if we can provide any additional services to assist you in your sales effort.