Transcription of COMMISSION DISBURSEMENT AUTHORIZATION - …
1 First United Realty, 360 Driver Circle Court, Alpharetta, GA 30022 770-650-2825 Office Phone, 770-650-7352 Fax, COMMISSION DISBURSEMENT AUTHORIZATION Closing Agent / Law Firm name: Phone: Fax: Closer: Email address: Property Located at: Seller name: Buyer name: FUR Listing Agent Name: FUR Selling Agent Name: Sales Price: Closing Date.
2 COMMISSION Paid to First United Realty: INSTRUCTIONS TO CLOSING AGENT / LAW FIRM: First United Realty authorizes the COMMISSION of to be paid in the following manner by separate checks and delivered as indicated below: $ to PAY DIRECTLY TO FUR AGENT $ to FIRST UNITED REALTY Mail the check and final HUD-1 to: First United Realty 360 Driver Circle Court Alpharetta, GA 30022 ** IMPORTANT MESSAGE FOR THE CLOSER FOR THIS TRANSACTION: 1.
3 IF THIS FORM IS NOT SIGNED BY THE AUTHORIZED SIGNER LISTED BELOW, 100% OF THE COMMISSION DUE TO FIRST UNITED REALTY MUST BE MADE PAYABLE TO FIRST UNITED REALTY. 2. SALES AGENTS DO NOT HAVE AUTHORIZATION TO MODIFY THIS FORM IN ANY WAY. 3. IF YOUR AMOUNTS DIFFER FROM THIS AUTHORIZATION FORM, YOU MUST OBTAIN A REVISED AUTHORIZATION FORM FROM THE OFFICE. 4. FIRST UNITED REALTY. CHECK MUST EQUAL THE DOLLAR AMOUNT LISTED ABOVE. Authorized Signature ONLY / Roman Feigin / Principal Broker Date
