Brokerage Statement Request- Seller

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

Your name

Seller's Name (s)

Buyer's Name(s)

Co-Lister (if applicable)

Are you working on a team?

Yes

No

Property Address

Country/Region

Address

City

Zip / Postal code

Sales Price

Earnest Money Held By:

Buyer's Brokerage

Title Company

Attorney

If you selected "Title Company" in the previous question, which Company is it?

Rivers Title

Other

Total Earnest Money Held ($)

Buyer's Broker's Company

Closing Date

Month

Day

Year

Based on Sales Price, what is the total amount ($) Kale will receive?

Who is paying the $250 admin fee?

Seller

Buyer

If seller is not paying the full commission to Kale, how much is coming from the buyer ($)?

Total Compensation PERCENTAGE to Procuring Brokerage (%)

What PERCENTAGE of the Procuring Brokerage compensation is being paid by the SELLER (%)?

How much of the Procuring Brokerage compensation is being paid by the SELLER ($)?

Calculate the percentage and place the dollar amount here.

Name of Mentor (if applicable)

Name of Transaction Coach (if applicable)

Name of Referral Agent, Brokerage, and % (if applicable)

Do you want to be paid at the closing table?

Yes

No

Is there anything else we need to know?