Sales Commission Request Form
This form is to be used to request your commission from a closed and funded Purchase and Sale Agreement (PSA). This is not to be used for Leases or otherwise.
Date
*
-
Month
-
Day
Year
Property Information
Seller
*
Buyer
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payment Information
How is payment remitted?
*
Wire Transfer
To be billed
Wire Sender Information
Company
*
Contact
*
Phone Number
*
Email
*
Bill To Information
Company
*
Contact
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
Commissions
Gross Commission $ Total
*
TRG Agent
Agent
*
First Name
Last Name
Role
*
Buyer Rep
Both Sides
Seller Rep
Is Commission Shared with another Agent?
*
No
Yes
Agent Share %
*
Your Commission After Share
*
Your Commission Split %
*
Are there any deductions?
*
No
Yes
Yes, more than one
Deduction Total $
*
Please Explain
*
Your Net Commission $
*
Other Agent
TRG or Outside Agent?
*
TRG
Outside Agent
Agent
*
First Name
Last Name
Phone Number
*
Email
*
Agent Share Commission %
*
Other Agent Gross Commission $
*
Outside Agent Brokerage Information
Brokerage Name Payable To
*
Brokerage Contact
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
*
.
Email
*
Supporting Documentation
Have required documents been added to OneDrive?
*
Rows
Yes
No
Not Applicable
Executed PSA
Closing Statement
Commission Agreement
Property URL in OneDrive
*
Submit
Should be Empty: