Internal Commission Authorization Form and Acknowledgement

(Do not send this form to Escrow)

    The Associates Realty Group
    Corporate Offices
    155 N. Riverview Dr. #123
    Anaheim Hills, Ca. 92808

    Todays Date :
    Closing Date :
    Sales Price $ :
    The Associates RG Commission $* :

    Property Address * :

    Below is the breakdown of the authorized disbursements and or deposits. The disbursements are going to be in separate checks as described below. If there are any changes to the disbursements below, then this must be approved by Corporate and a new ICAFA form is to be processed. Please check 1 of the commission delivery options below.

    Agent or Broker Associate:

    Name * :

    Email * :

    Brokerage fee $ :

    * On leases, or lower amount commission checks the amount collected for The Associates Realty Group is 10% up to $499.00 of the commission check per side.

    Assigned Office :


    TC Name :

    TC Email * :

    TC Amount $ :

    E & O $ :

    Other $ :

    Payable to/Name :

    Other $ :

    Payable to/Name :

    Total Commission Due : $

    Yes Direct Deposit to your bank account on file
    **Please make sure we have your account information on file at Corporate.

    Yes Standard USPS mail to the address below

    Number Street City State Zip Code

    Agent Signature:

    Date:

    Yes Approval: By clicking here you have approved commission paid *

    The Associates Realty Group Corporate
    Art & Michelle Acosta

    Once approved, If there are any changes after the commission check (s) have been issued, there will be a $10 charge to process any duplicate check.