Escrow Information Form

ESCROW INFORMATION FORM

Escrow Company Information

Phone:    Email:

Property Identification

Property Address:

Parcel / APN Number:    County:

Parties to Transaction

Phone:    Email:

Phone:    Email:

Transaction Summary

Purchase Price: $    Earnest Money Deposit: $    Initial Deposit Released To Escrow On:

Source of Funds for Deposit:

Proposed Closing Date:    Possession Date:

Escrow Instructions and Conditions

Escrow Agent shall hold and disburse funds, documents and keys only upon receipt of mutually executed closing documents and satisfaction of conditions set forth in the purchase agreement or written joint instructions. Escrow Agent is authorized to rely on signed joint escrow instructions from Buyer and Seller and may charge reasonable escrow fees to the party designated in the contract unless otherwise agreed in writing.

Title Insurance Required: Yes No    Prorations to be made as of closing for:

Required Documents & Checklist

The following documents are provided to escrow or are required to be delivered prior to closing (check all that apply):

Government Issued ID    Deposit Check / Wire Confirmation    Loan Commitment / Payoff Statements

HOA Documents / CC&Rs    Proof of Hazard Insurance    Other:

Disclosures and Special Matters

Lead-Based Paint (if applicable): Yes No

Known Material Defects, Mold or Prior Damage: Yes No

Wire Transfer & Tax Reporting Information

Wire fraud warning: Parties acknowledge that escrow funds are sensitive and authorize escrow to verify wire instructions by telephone or other secure communication before disbursing funds. Escrow shall not be liable for transfers made in accordance with written, signed instructions provided by the parties.

Bank Name:    Account Number:

Routing / ABA:    Bank Address:

Wire Contact Phone:

Certifications, Authorizations and Legal Terms

By signing below, Buyer and Seller certify that the information supplied herein is true and correct to the best of their knowledge. Buyer and Seller each authorize Escrow Agent to act as their agent to receive, hold and disburse funds and documents as set forth in the purchase agreement and these escrow instructions. Each party indemnifies Escrow Agent from claims arising from reliance on signed instructions or documentation provided by the parties, except to the extent caused by Escrow Agent’s gross negligence or willful misconduct.

Disputes arising from Escrow Agent’s handling of funds shall be resolved first by good faith negotiation between the parties and Escrow Agent. If not resolved, disputes shall be submitted to binding arbitration in the county where the property is located under the rules of a recognized arbitration forum, and judgment on the award may be entered in any court of competent jurisdiction. This Escrow Information Form constitutes the entire agreement between the parties and supersedes prior written or oral statements regarding the subject matter herein. Governing law shall be the law of the state in which the property is located.

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