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Commission Advances To the Real Estate Industry

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REALFACTOR PTY LTD
CASH ADVANCE APPLICATION FORM

APPLICANT INFORMATION

YOUR DETAILS

Name:

Surname:

Date of birth:

Current home address:

Suburb:

State:

Post Code:

Drivers license:

Real Estate license number:

Phone numbers:

Home : (0 )

Mobile

Work : (0 )

Email address:

Are you trading as a Company or Trust? Yes No

Are you a Director? Yes No

Company Name:

ABN/ACN:

Registered address:

Suburb:

State:

Post code:

Bank name:

Account name:

B.S.B:

Account number:

AGENCY INFORMATION

Agency Name:

Officer in Charge:

Email Address:

Office/Payroll Administrator:

Email Address:

Office Address:

State:

Post Code:

Telephone:

Fax:

Office email address:

PROPERTY AND SALE INFORMATION

Address of Property Sold:

Suburb:

State:

Post Code:

Date Contract Signed:

Final Settlement Date:

Is the contract unconditional:

Contract Price: $

Deposit Amount: $

Deposit Type:

SECTION A
DETAILS OF COMMISION TO BE ASSIGNED

Section A: Complete if you are applying as a principal of the agency. You must provide the agency’s total net share of commission.
Section A & B: Complete if you are applying as a salesperson.

Total amount of agency commission:
$

Your total share of Commission:
$

SECTION B
TO BE DEDUCTED BY AGENCY

Wages: $

Allowances (e.g.) Travel, Phone:
$

Desk Fees: $

Previous Commission Advances by Agency:
$

Direct Debits: $

Other:

Your share of the commission after the above deductions;

Tax to be deducted by the agency:

Your total net share of the commission to be assigned:

No other person is entitled to my share of this commission:

Signature:

Date:

Your cash advance will be banked directly into your bank account within 24 hours of approval and completion of the relevant documentation.

Please complete and return completed application form. (Fax: 07 55490 886)

We will then advise you of the maximum cash payment, which is determined by the number of days until settlement.

We will email our Commission Assignment Agreements to you for your signature.

Please fax these back to us together with copies of the following documents:

Agency selling agreement

Your Drivers license

Signed contract of Sale and any special conditions

Trust Account receipt of deposit bond

DECLARATION OF PURPHOSE

As required under the National Credit Code, Subsection 13 (5) the form of the declaration is to: Realfactor Pty Ltd

Loan To: (Name of Applicants)

Loan Amount:

Each applicant declares that the credit to be provided to that applicant by the credit provider will be applied wholly or predominantly for business or investment purposes (or for both purposes.)

Each applicant agrees to provide declarations of purpose of the credit whenever required by the credit provider.

IMPORTANT
You should not sign this declaration unless this loan is wholly or predominantly for business or investment purposes.

Investment purposes other than investment in residential property.

Applicant’s Name:

Signature:

Date:

Please return by fax or post or email

PO Box 609
Sanctuary Cove QLD 4212
Tel : 07 55490 884
Fax : 07 55490 886
Mobile : 0411 730 836
Email:info@realfactor.com.au