Commission Disbursement Authorization Form
Commission Disbursement Authorization Form
Please complete this Commission Disbursement Authorization Form Template to authorize and document the disbursement of commission payments.
Property Address
Buyer(s)
Seller(s)
Sale Price
Buyer Agent Commission
Seller Agent Commission
Additional Fees
Closing Date
Payment Instructions:
Notice:
Please see attached writing instructions for remittance.
Please scan and email copies of the closing document and this commission disbursement authorization to.
IF documents have to be mailed - Send them to the following address
Thank you,
FRIENDLY REMINDER: Please remember to turn in the settlement statement to the office within 48 Hours of the close of escrow. If documents are being mailed please upload the required documents. No payment will be authorized until compliance is 100% met.
Date Approved
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Thank you for completing this form!
If you have any questions, please contact [Company Email Address].
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