Pay at Closing Request Form
Pay at Closing Requests MUST be submitted at least 2 business days before closing but no more than 5 business days.
All Loops must be in "Ready for Closing" status in order for the pay at closing to be processed.
Thank you for your understanding in this process.


We really need your help, please ensure that your request below is accurate to any changes that have occurred since the original greensheet submitted. DON'T FORGET - Referral Fees to outside brokers, Office Fees, or any other details that you may have not included originally. IT IS IMPORTANT THAT ALL AGENTS IN THE OFFICE ON THIS TRANSACTION WERE INCLUDED ON YOUR ORIGINAL GREENSHEET. IF THEY WERE NOT, PLEASE MAKE NOTE OF THAT IN THE ADDITIONAL DETAILS SECTION.

Agent Name *
Your answer
Agent Email Address *
Your answer
Office *
Property Address *
Your answer
Sales Price *
Your answer
Closing Date *
MM
/
DD
/
YYYY
Listing Side Commission % or $ (if not your listing n/a) *
Your answer
Selling Side Commission % or $ (if not your buyer n/a) *
Your answer
Closing Firm/Attorney *
Your answer
Closing Firm/Attorney Email Address to send Pay At Closing Authorization to *
Your answer
Holder of Earnest Money *
Any Additional Details or Additional Changes we need to be made aware of for the purpose of generating a pay at closing authorization
Your answer
I understand and have verified that MY loop in dotloop is currently in the "Ready for Closing" status and that should it not be I understand that my pay at closing request will not be processed. *
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