COMMISSION DISBURSEMENT AUTHORIZATION FORM
Broker LIC #586510
COMMISSION DISBURSEMENT AUTHORIZATION FORM
Title Company:_____________________________________________________
Phone:____________________________________ Fax:_____________________________________
Escrow Closer:_________________________________ Email: ___________________________________________
Property Address:________________________________________________GF#:_____________________________
Seller(s):____________________________________________Buyer(s):________________________________________
Listing Firm:___________________________________Agent Name:_________________________________________
Selling Firm:___________________________________Agent Name:_________________________________________
Sales Price: $__________________________Closing Date: ________________Funding Date:_________________
Mission Real Estate Group is to receive ________ % (Percent) commission as the Seller's
be distributed as follows:
Buyer's Broker, to
$_________________._____ to Mission Real Estate Group
$_________________._____ to __________________________________, an agent with Mission Real Estate Group.
(PLEASE MAKE AGENT PORTION PAYABLE DIRECTLY TO AGENT)
*If applicable, please pay a referral fee of: $_______________________ To be deducted from the commission of: ____________________________________________________ and paid at closing to: ____________________________________ (See Attached Referral Form for Referring Agent Information)
Checks should be made payable and mailed to:
Have Questions?
Mission Real Estate Group
2186 Jackson-Keller # 310 San Antonio, Texas 78217
Call: 210-201-6250 or Email: missionrealestategroup@
Agent must have CDA signed by broker prior to any disbursement.
_______________________________________________ BROKER SIGNATURE: (Company's Broker)
_________________________ DATE
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