Reset Form
Associate Name:
Goldmine
Transaction Worksheet
Source of Business
LIST
BUY
Sales Contract Lease Referral Fee MLS Area______
Corporate Referral Ad Sign Phone Duty Open House Farming Area Internet Lead New Home Acct. Personal Ref. Previous Client
Property Type
Contract Date: __ Closing Date:___________ List Price: _____________ Sales Price: __
0.00% Commission Rate:___________ Bonuses: ___________________
Resale / Individually Owned New Home Commercial Lease Farm & Ranch
REO Sale HUD/VA Sale Lot Other
PROPERTY Property Address: City, State, Zip: Subdivision: SELLER
Sellers Name: _________________________________________________
First Name (s) Last Name (s)
MLS #:
Sellers New Address: _________________________________________________________________________ Seller Contact info: (Phone or E-mail):______________________________________________________________________
BUYER
Buyers Name: _________________
First Name (s) Last Name (s) Buyer Contact info: (Phone or E-mail):_______________________________________________________________________
Company Name: Address: Phone:
CO-BROKER (Agent on the other side) Agent Name: City, State, Zip: Fax: Email: LOAN INFORMATION Mortgage Company: Type of Loan: Cash FHA VA Conventional Fax: Concessions: Please note any seller concessions
TITLE COMPANY Title Company: Address: City, State, Zip: Phone: Escrow Officer:
FOR USE IN CREATION OF
Disbursement Authorization (DA)
This is an information sheet ONLY. The computer will generate the actual Disbursement Authorization with this data. Copies of the DA will be faxed to the title company & given to the associate. ******THIS IS NOT THE ACTUAL DA******
CALCULATION COLUMN Listing Lease Sales Price Commission = (+) Bonuses or transaction fees (-) Concessions = (-) Referral Fee ***(if any) = Sub-total A Total from above x Commission Split (75%) Minus E & O Insurance $75 Agents Net Commission Less 50.00 fee if capped = = = less = $ $ $ 0 $ = $ $ $ Sale (Buyer) Referral Listing Lease
SAMPLE Sale (Buyer) Referral $100,000.00
0.00
X (3%) = $3,000.00 + 2000 bonus - $295 survey X25% to Lending Tree =$726.25 $3528.75 X 75% = $2,646.56 - $75.00 $2571.56 -$50.00 $2521.56
0.00
$ 75.00
75.00
($50.00)
TOTAL CHECK
50.00
(*** from above)
REFERRAL FEE DETAIL
To be used only when paying a referral feeNOT when you are the recipient.
Please provide all information below. This is necessary for 1099 purposes. We WILL need a copy of the recipient W-9. Recipients will be taxed on any amounts received.
Broker / Company Name / Agent: Address: City, State, Zip: Tax ID or Social Security #: