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Brokerage Statement Request- Buyer

This is NOT the official brokerage statement. COMPLETE 1 WEEK PRIOR TO CLOSING.

You are responsible for the accuracy of the information provided.

Commission Invoice

Commission Receipt / Transaction Breakdown Form

Please complete the information below so Kale Realty can prepare the green sheet, confirm commission distribution, and process the closing file.

Important: Only fields with confirmed information will be completed. Any field not provided or marked N/A will remain blank on the green sheet returned to the broker.

Transaction Information

Closing Date*

Month

Day

Year

Kale Broker Name*

Transaction Type:*

Sale

Other

Complete Property Address

Address*

City*

Zip / Postal Code*

Seller / Landlord Name (s)*

Buyer / Tenant Name (s)*

Are you working with other Kale brokers?*

Yes

No

Sales Price / Lease Amount ($):*

Kale Commission paid by Seller ($ or %):*

Kale Commission paid by Buyer ($ or %):*

Back End or Minus Fees

Will the listing broker be collecting any backend or minus fees (fees taken out of buyer's broker's commission)*

Yes

No

Who is paying?

Buyer's Broker

Buyer

N/A

Transaction and Coaching Fees

Does a Transaction Coaching fee apply?*

Yes

No

Does a Productivity / Launch Coaching fee apply?*

Yes

No

Commission Advance

Do you currently have an advance on commission?*

Yes

No

Commission Disbursement at Closing

Kale Realty Commission ($ or %):

Referral Source (if applicable)

Referral Fee (amount) $ or %:

Final Notes

Do you want to be paid at the closing table? (Some title companies are set up to cut a check directly to the agent at closing. If you plan on attending, you may be able to get paid right at the closing table. Just let us know how to instruct the title company to make out the check.)

Do you want to be paid at the closing table?

Yes

No

Brokerage Information

Prepared by (Kale Realty):

Date Prepared:

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