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Brokerage Statement Request- Seller

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

You are responsible for the accuracy of the information provided.

Brokerage Statement

Please complete the information below so Kale Realty can prepare the green sheet and confirm how the total commission will be distributed.

TRANSACTION INFORMATION

Closing Date*

Month

Day

Year

Kale Broker Name*

Transaction Type:*

Sale

Other

Complete Property Address

Address*

City*

Zip / Postal Code*

Seller Name (s)*

Buyer / Tenant Name (s)*

Are you working with other brokers?*

Yes

No

Sales Price / Lease Amount ($):

Total Commission (Both Sides) $ or %:

$ or % to listing brokerage:

$ or % to buyer's brokerage:

Title Company:*

Buyer's Broker's Company:

Earnest Money

Total Earnest Money Held ($):

Who is holding the earnest money:*

Amounts Owed to Kale

Will Kale be collecting any backend or minus fees?*

Yes

No

Does this transaction include any admin fees?*

Yes

No

Who is paying?

Seller

Seller (paid at listing)

Buyer's Broker

Listing Broker

Are there any additional fees to deduct from this transaction?*

Yes

No

Transaction and Coaching Fees

Does a Transaction fee apply?*

Yes

No

Does a Transaction Coaching fee apply?*

Yes

No

Does a Productivity or Launch Coaching fee apply?*

Yes

No

Commission Advance

Do you currently have an advance on commission for this transaction?*

Yes

No

Additional Deductions

Do you have any wage garnishments?*

Yes

No

Commission Disbursement at Closing

Gross Commission $:

Kale Realty Split $ or %:

Referral Source (if applicable):

Referral Fee (amount) $ or %:

Net Commission to Broker $ or %:

Broker Split $ 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

Additional notes or special instructions:

Submission Instructions

Please upload the settlement statement to Dotloop.

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