Commission Request Form

Agent or Teams Name*

Property or Loop Name*

Select Transaction Type*

Sales Price / Rental Price*

Commission Earned*

Ex. 3%+100, 2.5%-$100, 1/2 month -$25

Was There Any Change to Sales Price that would Impact Commission Earned

If no, write NO, if YES please explain and upload supporting docs to loop

Are you on a TEAM?

If NO, leave blank. If YES input % of how commission should be split between team partners

NOTES