Commission

The Associates Realty Group

(Do not send this form to Escrow)

Corporate Office
155 N. Riverview Dr. #123
Anaheim Hills, CA 92808

Today's Date *

Closing Date *

Sales Price ($) *

Commission Amount ($) *

This is a dual agency transaction.

Disbursements will be issued in separate checks. Changes must be approved by Corporate with a new ICAFA form.

Name *

Email *

* 10% up to $499 applies to leases or lower commission checks.

TC Name *

TC Email *

TC Amount ($) *
E & O Insurance ($) *

Other Charge 1 ($)
Payable To
Other Charge 2 ($)
Payable To

Total Commission Due ($)

Agent Signature *

Date *

Yes I confirm the information above and approve commission disbursement. *

The Associates Realty Group Corporate
Art & Michelle Acosta

Changes after check issuance require a $10 fee for reprocessing.