Escrow

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 ____________________________________
Recording Reconveyance _____________________________________
Recording Deed _____________________________________________
___________________________________________________________
___________________________________________________________
Taxes ______________________________________________________
Special Assessments ________________________________________
Insurance __________________________________________________
___________________________________________________________
Tax and Assessment Service _________________________________
Impounds ___________________________________________________
Fee for Drawing Documents __________________________________
Credit Report ______________________________________________
Appraisal Fee ______________________________________________
Advance Reconveyance Fee ___________________________________
Office Charge and Inspection Fee ___________________________
___________________________________________________________
Deposited to the account of ________________________________
Check Herewith _____________________________________________
Balance due ____________________________________________

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