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Escrow No.________ Date______________
STATEMENT OF:___________________________
DEBITS CREDITS Deposits___________________________________________________ Loan Proceeds___________________________________________ Demand for Deed and/or Note________________________________ Interest___________________________________________________ Prepayment Bonus___________________________________________ Forwarding Fee_____________________________________________ ___________________________________________________________ Pro Taxes_________________________________________________ Rata Insurance_____________________________________________ Commission_________________________________________________ ___________________________________________________________ ___________________________________________________________ Mechanic’s Lien Search_____________________________________ Title Company’s Charge_____________________________________ Reconveyance Fee___________________________________________ Recording Deed of Trust____________________________________ …

Escrow »

Escrow No.________ Date______________
Checks for Collection:
On_________________________________________ Maker______________________________________ On_________________________________________ Maker__________________Endorser____________ Received above from: _____________________ to be used_ in accordance with written instructions in said escrow.
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By_____________________