Commission Disbursement Authorization Form

Commission Disbursement Authorization Form
Property Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Buyer(s)
Seller(s)
Sale Price
Buyer Agent Commission
Seller Agent Commission
Additional Fees
Closing Date
MonthDayYear
1
Payment Instructions:
Notice: ABC Real Estate does NOT accept paper checks.
Please see attached wiring instructions for remittance.
Please scan and email copies of the closing documents and this commissiondisbursement authorization to.
IF documents have to be mailed - Send them to the following address
ABC Real Estate
1111 XYZ AveBay City, MI 11111
Thank you,
Joan H Bolster
Broker/Owner
FRIENDLY REMINDER: Please remember to turn in the settlement statementto the office within 48 Hours of the close of escrow. If documents are being mailed please upload the required documents. No payment will be authorizeduntil compliance is 100% met.
PLEASE NOTE: THE AGENT IS NOT AUTHORIZED TO MAKE ANY CHANGES TO THE ATTACHED INSTRUCTIONS. IF ANY CHANGES ARENECESSARY, A REVISED COMMISSION DISBURSEMENT AUTHORIZATION FORM WILL BE ISSUED.
Date Approved
MonthDayYear
2
Should be Empty: