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Click ‘Get Form’ to open it in the editor.
In Part 1, select whether you are requesting verification for an initial or additional deposit by checking the appropriate box. Fill in the deposit amount and request date.
Provide your details as the Selling Broker, including your name and phone number, along with the Selling Sales Associate's name.
Complete the Buyer, Seller, and Property Address fields accurately to ensure proper identification of the transaction.
In Part 2, if you are the Escrow Agent, indicate whether it is an initial or additional deposit. Fill in the received amounts and dates accordingly.
Sign and date where indicated as the Authorized Representative of the Escrow Agent.
In Part 3, notify either the Listing Broker or Seller by filling in their details and selecting whether a written Binder Deposit Receipt was received.
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