Gold Sheet

(House #, Street, Unit, City, State)

Buyer or Seller

(Example formula: 3% - $250)

(Enter Amount in $ that match total Commission)

(Enter % of your Split)

(Street, Unit, City, State, ZIP)

(for our listings only, to close out MLS)

(Enter Amount in $)

(For all outside Referral to be paid out of commission due to MKA)

(Enter Amount in $)

(Attach/Scan & Upload W-9 Form)

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