Digital Agent Commission Request Form

DUEK REALTY
COMMISSION REQUEST FORM
MonthDayYear
2 digit month, 2 digit day, 4 digit yearForm Fill Date
Agents Name
First NameLast Name
Agent's Name
Desired Name on Check
John Smith P.A.
Name on Check
Type of Transaction
Payment Installment
Property Type
Lead Type
Closing Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Client's Full Name or Companys Name
First NameLast Name
Client or Company's Name
Property Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Total Contract Amount
% Comission of Contract
Ex: 3%, 5%, 7%
DR Gross Commission
Check amount
Referral Fee
Name of Ref. Check
Referral Fee
Name of Ref. Check
% Office Split
Ex: 25%
Office Commission Amount
Amount stays in the office
Processing Fee
Realtor Net Commission
Amount that goes to realtor
Copy Of Contract & Addendums
Upload a File
Cancelof
HOA or Condo Disclosure
Upload a File
Cancelof
Settlement (HUD) Statement
Upload a File
Cancelof
MLS print out
Upload a File
Cancelof
Copy of Articles of Corporation or LLC
Upload a File
Cancelof
Copy of Check Deposit
Upload a File
Cancelof
Exclusive Right to Lease
Upload a File
Cancelof
HOA or Condo Approval
Upload a File
Cancelof
Additional Comments
Should be Empty: