Commission Disbursement NRG AGENT(Required) NRG AGENT (if needed) REPRESENTED: SELLER – BUYER – BOTH – REFERRAL (CIRCLE ONE)Available(Required)---------Select---------SellerBuyerBothReferralPROPERTY ADDRESS(Required) Street Address SELLER(Required) BUYER(Required) ESCROW CO(Required) ESCROW #(Required) LENDER (if cash, write 'cash')(Required) COE(Required) TITLE CO(Required) SALES PRICE(Required)COMMISSION %(Required)GROSS COMMISSION(Required)REFERRAL TO (BROKER ONLY) $(-)GROSS COMMISSION TO OFFICE $FEES PAID BY AGENT $COMMISSION BEFORE SPLIT & TRANSACTION FEE $AGENTSPLIT %$TRANSACTION FEE $COMMISSION BEFORE OFFICE EXPENSES $OFFICE EXPENSE BREAKDOWNLESS: E & O INSURANCE $OFFICE BILL $TRANSACTION COORDINATOR FEE $TOTAL DEDUCTIONS $(-)CHECK TO AGENT $NATIONAL REALTY GROUP REAL ESTATE AGENT Signature(Required)
