Heritage Building Group - Seller Questionnaire

Country Code ("1" for US and Canada)

Area Code or Intl City Code (if reqd.)

Your Local Number


	If you have a property of 15 acres or more in the Delaware Valley and you are thinking of selling, please fill out the form below. One of our Land Specialists will contact you shortly. Fields marked are required. Our Privacy Statement can be found at the bottom of this page.

Courtesy Title:

First Name:

Last Name:

This address is:

Home Business

Company:
(if applicable)

Street Address:

(Apt, Unit, etc.)

City:

State or
Province:

Country:

Zip or Postal
Code:

Phone
Numbers:

Voice:

Fax:

E-mail:

Property Information

Street Address:

Township:

County:

Size (in acres):

Zoning:

Public Water?

Yes No

Public Sewer?

Yes No

Additional Information
or Comments:

How did you find
this Web site:

	Print
	Search Engine
	Word of mouth / personal referral
	Link from other Web site (please specify below)
	Other (please specify below)

Privacy Statement: Heritage Building Group values our customers and visitors. We will always respect your right to privacy. Any personal information you provide us will be held in the strictest confidence and will only be used within our company to provide you with the customer service you deserve - we will never resell or redistribute your information.