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Text File  |  1992-01-02  |  2KB  |  44 lines
  1.  
  2. Escrow No.________
  3. Date______________
  4.  
  5. STATEMENT OF:___________________________
  6.  
  7.                                       DEBITS        CREDITS
  8. Deposits___________________________________________________
  9.    Loan Proceeds___________________________________________
  10. Demand for Deed and/or Note________________________________
  11. Interest___________________________________________________
  12. Prepayment Bonus___________________________________________
  13. Forwarding Fee_____________________________________________
  14. ___________________________________________________________
  15. Pro  Taxes_________________________________________________
  16. Rata Insurance_____________________________________________
  17. Commission_________________________________________________
  18. ___________________________________________________________
  19. ___________________________________________________________
  20. Mechanic's Lien Search_____________________________________
  21. Title Company's Charge_____________________________________
  22. Reconveyance Fee___________________________________________
  23. Recording Deed of Trust____________________________________
  24. Recording Reconveyance_____________________________________
  25. Recording Deed_____________________________________________
  26. ___________________________________________________________
  27. ___________________________________________________________
  28. Taxes______________________________________________________
  29. Special Assessments________________________________________
  30. Insurance__________________________________________________
  31. ___________________________________________________________
  32. Tax and Assessment Service_________________________________
  33. Impounds___________________________________________________
  34. Fee for Drawing Documents__________________________________
  35. Credit Report______________________________________________
  36. Appraisal Fee______________________________________________
  37. Advance Reconveyance Fee___________________________________
  38. Office Charge and Inspection Fee___________________________
  39. ___________________________________________________________
  40. Deposited to the account of________________________________
  41. Check Herewith_____________________________________________
  42.    Balance due ____________________________________________
  43.  
  44.