Express Commission Apply

You may also download a printable version of the application form, if you want to fill it in offline.

Part 1: Information about you and your agency

Login details

Choose username (cannot be changed later)

New password

Agency details

Agency name

Agency real estate license number

Company ACN or ABN

Are you trading as a company or trust?

No Yes

Company name

Names of directors

Trust Name and ABN

Agency office manager name

Agency office manager email

Agency address

Suburb

State

Postcode

Agency phone

Agency fax

Agency email

Agency website

Number of sales agents

Years agency operated

Is there a rent roll?

No Yes

Rent roll owned by

Number of properties

Bank details

Facilities with a bank?

No Yes

Overdraft limit

Loans

Bank name

Account name

BSB

Account number

Principal's / director's details

First name

Middle name

Last name

Date of birth

Driver's licence number

Real estate licence number

Home address

Suburb

State

Postcode

Years at this address

Do you own or rent your home?

Rent Own

Home phone

Mobile phone

Primary email address

Years with agency

Emergency contact person

Emergency contact relationship (e.g. spouse)

Emergency contact primary phone

Emergency contact home address

Is there a second principal/director?

No Yes

Second principal/director's details

First name

Middle name

Last name

Date of birth

Driver's licence number

Real estate licence number

Home address

Suburb

State

Postcode

Years at this address

Do you own or rent your home?

Rent Own

Home phone

Mobile phone

Primary email address

Years with agency

Emergency contact person

Emergency contact relationship (e.g. spouse)

Emergency contact primary phone

Emergency contact home address

Other details

How did you hear about Express Commission?

Do you have colleagues who'd be interested in our services?

No Yes

Have you dealt with a commission advance company before?

No Yes

Please tell us who

Part 2: Information about the property and sale

This part is optional; would you like to request your first commission advance now?

No Yes

Please confirm the following:

I/We have read and accepted the Terms of Service.
I/We have read and accepted the Privacy Policy.
No other person is entitled to my/our share of the Commission.
I/We certify the information provided in the Application is true and correct. I/We acknowledge any inentional or negligent misrepresentations of the information contained herein may result in civil liability and/or criminal penalties and liability for damages to Express Commission.
I/We absolutely and unconditionally offer to sell, transfer, and assign my/our legal and beneficial right, title, and interest in and to the Commission to Express Commission and grant a Security Interest in the Commission to Express Commission.
I/We acknowledge the principals, directors, shareholder, and proprietors consent and agree to guarantee my/our performance.

Application form

Part 1: Information about you and your agency

Login details

Agency details

Bank details

Principal's / director's details

Second principal/director's details

Other details

Part 2: Information about the property and sale

Sale details

Commission details

Please confirm the following: