COMMISSION DISBURSEMENT STATEMENT
CBH Office
*
Please Select
Allentown
Bethlehem-Linden
Collegeville
Doylestown
Easton
Frenchtown
Hellertown
Huntingdon Valley
Lahaska
Lansdale
Newtown
Ottsville
Pocono
Wind Gap
Team Lead
Please Select
Chris Lawlor Team
Dan Russoli Team
Paige and Michael Patrick
Rennard Clayton Team
Sean Lasalle Team
Sergio Maciujec Team
Zito Brehm Team
Agent
*
First Name
Last Name
LLC Name and/or Team Name
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Settlement Date
-
Month
-
Day
Year
Date
Indicate
Listing Side
Buyer Side
Rental-Landlord
Rental-Tenant
Sale Price
Commission to CBH (%)
Extra Commission to CBH (Broker Fee, Bonus, etc)
Gross Commission
Less External Referral Fee Due (%)
examples. percentage to Zillow/Ramsey/etc
External Referral $ Due
Referral Company Name
Percentage to In-House Referral Agent (In-House Referral Sheet Required)
Agent Name For In-House Referral
Total In-House Referring Agent
Adjusted Commission to CBH for this Agent
Coldwell Banker Royalty 6%
Balance of Commission
Agent Split of (%)
*
CBHR CO$ (before other charges)
Manager Override total amount
CBHR CO$ Final
Commission to Agent
Less Payment of Coach (%)
In the field below please indicate who
Coach Payment
Coach's Name
Less (-)
In the field below please indicate who
Payable To
Less (-)
Amount of bill to be paid
Payable To
e.g. Home Warranty Company
Plus (+) (not common)
e.g. Reimbursment for expense
Transaction Coordination Fee
Amount of TC fee collected
TC Fee paid to:
e.g. TC fee was paid to Connect Closing on ALTA
Total Net Commission
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Attachments should include: Commission Check(s), Alta, Referral Sheet, Buyers Agency Contract, any Bills.
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Select the Included Documents - Attach ALL that apply:
Commission Check(s)
ALTA
Referral Sheet
Broker Fee/Additional Commission Check (if it was separate)
Buyers Agency Contract
Any Bills
TC Check (if separate check was issued)
Charge Sheet
Notes and Comments
Agents Signature
Date of Agent Signature
-
Month
-
Day
Year
Date
Managers Signature
Date of Managers Signature
-
Month
-
Day
Year
Date
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