REALTY ONE GROUP
Emerald Coast
Commission Disbursement
Authorization

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DO Review: to_email, agent_name, prop_address, sales_price, agent_check, brok_check, review_link Agent Confirm: to_email, agent_name, prop_address, closing_date, gross_comp, agent_check, brok_check, do_name, title_company, submitted_date Agent Signing: to_email, agent_name, tc_name, prop_address, sales_price, sign_link Final Signed: to_email, agent_name, prop_address, agent_check, brok_check, do_name Revision: to_email, agent_name, prop_address, reason, edit_link, do_name
Director of Operations
Google Drive (optional — auto-archive signed PDFs)
Status
Step 1 of 8Filing Party

Who is Submitting This DA?

Select whether the agent is filling this out directly, or a Transaction Coordinator is submitting on their behalf.

Filing Party

Agent Information

Enter agent details and select their commission structure. This drives all fee calculations.

Commission Structure

Property & Commission Details

Enter the property details and compensation sources. Gross Compensation auto-calculates from the sources below.

Property
Transaction Type
Representation
Compensation Sources  Enter one, two, or all three — each used only once
Each source is calculated separately. Gross Compensation = total of all entered sources.

% of Sales Price

% of Sales Price

% of Sales Price

Co-Agent (if applicable)
Concession

Flat dollar amount

Title Company & Referral

Provide title company details for disbursement instructions. Complete the referral section only if applicable.

Title Company
Referral (leave blank if none)

Fee Questions

All three questions are required. Any "Yes" amounts are deducted from your agent check and sent to the brokerage via title.

Monthly Fees
Are you behind on monthly fees? *
Would you like to pay monthly fees ahead? *

E&O / Risk Management
Would you like to pay your E&O (Risk Management) ahead? * — $250 per period (March & September)

Disbursement Summary

Review the auto-calculated breakdown. The title company will issue checks based on these amounts.

Check Disbursement
📬 Title Company Instructions · Mail brokerage check to: Realty ONE Group Emerald Coast · 4460 Legendary Dr, Suite 300A · Destin, FL 32541 · Provide agent check to agent if present or per arrangement · Mail referral checks to referring brokerage or combine with brokerage check.

Authorization & Signature

By signing, I authorize the disbursement as outlined and authorize ROGEC to deduct applicable fees from my commission proceeds as shown.
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Submitted!