Fill and Sign the Escrow Account Form

Assignment of Escrow Account Agreement made on the ________________ (date) , between ____________________ (Name of Assignor) of _________________________________________________________ ____________________ (street address, city, county, state, zip code) , referred to herein as Assignor , and ____________________ (Name of Assignee) , of _______________________ _____________________________________ (street address, city, county, state, zip code) , referred to herein as Assignee . The undersigned Assignor does hereby assign, transfer, and set over unto Assignee all right, title and interest in and to $_______________ in __________________ (Account No.) in the Branch of _________________________ (Name of Bank) of ______________________ ___________________________________ (street address, city, county, state, zip code) , in the name of ______________________ (Name of Account Holder) with full power and authority to demand, collect, and receive said deposit and to give receipt and acquittance therefore. It is understood and agreed that _______________________ (Name of Bank) Branch holds said Account in its possession. The interest shall be payable to Assignee. Witness my signature this ____________________ (date) . _________________________ (P rinted name) _________________________ (Signature of Assignor) ACCEPTANCE The undersigned hereby accepts the foregoing Assignment of Escrow Account Number _______________, in the amount of $_____________ this _____ day of _____________, 20___. Witness my signature this _________________ (date) . ___________________________________ (Name of Bank) By_______________________________________ (P rinted name and Office Held with Bank) __________________________ (Signature of Bank Officer)