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Application form

How to get started
Application form

If you are an existing client, log in below to request a new advance.

user id

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You can complete the application online using the form on the right, or download the application form ( 240 KB), print it, fill it in and fax it to us on 1300 731 840.

Please contact us if you need help with the application.

Part 1: Information About You and Your Agency

Fields denoted by * are mandatory.

Your details
first name *
last name *
date of birth *
driver licence # *
home address *
suburb *
state *
postcode *
tel: mobile *
tel: home *
your primary email address *
real estate licence #
are you trading as a company / trust?
yes no
are you a director?
yes no
please list the names of all directors
company name
abn / acn
registered address
bank *
account name *
bsb *
account no *
money will be paid into this account
select a user id *
select a password *
remember this username and password - you will use it to access your account... minimum 6 characters required for username
how did you hear about express commission?
I want to get updates on the latest tools, tips, technology, industry news & trends delivered free to my inbox.

Agency Information

agency name *
officer in charge / principal *
email address *
office / payroll administrator
email address
office address *
suburb *
state *
postcode *
telephone *
fax *
office email address *

Part 2: Property & Sale Information

If you want to assign more than one commission, we will ask you for the details of the other commissions after you submit this application.

address of property sold *
suburb *
state *
postcode *
date contract signed *
date final settlement *
is contract unconditional? *
yes no
date unconditional
contract price ($) *
amount of deposit ($) *
deposit type *
cheque deposit bond cash other

Details of the commission to be assigned

Are you assigning your commission as a *
principal of agency OR salesperson

agency's net share sales commission (ex GST) ($)

after subtracting any commission splits with other agencies
and any other fees & expenses

unpaid vendor marketing (ex GST) ($)

subtotal ($)

GST ($)

total agency entitlement ($)

enter advance amount required

(if less than maximum available)

No other party is entitled to my share of this commission
your comments / questions
I have read and accepted the terms of service.
I certify under penalty of perjury and of obtaining money under false pretences that the information provided in this application is true and correct. As of today's date and acknowledge my understanding that any intentional or negligent misrepresentations of the information contained in this application may result in civil liability and/or criminal penalties and liability for monetary damages to Express Commission, it's agents, successors, and assigns or any other person who may suffer loss due to reliance upon any misrepresentation which I have made on this application.