Disbursement Authorization Request "DA"
Request must be UPLOADED or EMAILED well in advance of closing and NO LATER than 72 business hours prior to Closing.
It is Agent’s responsibility to make sure file is complete & compliant in Paperless Pipeline
If this is a “quick closing” remember that personal checks for earnest money must be held for 10 days
No DA will be issued on incomplete files nor on files where agent has received a Commission Advance
No DA will be written without written request at least 72 business hours prior to closing
Upload to Paperless Pipeline or Email to: Compliance@MyMaximumOne.com
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Agent Name: ________________________ MX1 Office Location: ____________________
Closing Date: ___________________ Binding Date: _______________
Property Address: ____________________________________________________
Sale Price: $_________________ Gross Commission: $___________________
FMLS Amount $____________ (Sales Price x .0012)
Buyer: _______________________________ Seller: ______________________________
Closing Attorney Office: __________________________ Location: ___________________
Closing Attorney Email: _______________________________ Phone: ________________
Who do you want check payable to: ____________________________________________
Is there anything we need to know about this DA: _________________________________
Is Maximum One holding Earnest Money: YES / NO (Circle One)
If “Yes” you must take earnest money with you to the closing.
Do you want to: PICK UP / HAVE FED EX’d (with $25 fee for FedEx) (Circle One)
Amount of Earnest Money: $______________
After Closing:
Deliver to office:
Checks payable to Maximum One & FMLS & Anyone else that is not you
Upload into Paperless Pipeline:
Original HUD-1 Settlement Statement
Copy of this DA
FMLS #118 – Notice of Closing
Change Status of Listing (if it is your listing) in GAMLS
