Commission Request Form

Julie Woods & Associates Commission Request Form
Please complete and submit this form prior to the close of each transaction.

* Indicates required field

Your Name *

Closing Date *

Property Address *

What was the Seller's name? *

What was the Buyer's name? *

Closing Company/Closing Agent *

Did you represent the buyer or the seller? *

Contract Price *

Buyer's Agent Commission Percentage *

Listing Agent Commission Percentage *

Amount to JWA *

Amount to Agent *

Amount to Broker *

Amount to Referring Agent *

Was this closing a result of a referral from your broker? *

Yes No

Did you receive the $300 filing fee? *

Yes No

Year to Date Amount to Broker *

Have you picked up sign & lockbox? *

Yes No

Submit