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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Section I, where you will enter the Escrow Company Information. Fill in the Company Name, Address (Street Address or P.O. Box, City, State, Zip), and the Escrow Agent's Name.
  3. Move to Section II for Lienholder Information. Select your Lienholder Status by checking one of the options: Legal Owner, First Junior Lienholder, or Second Junior Lienholder. Then provide the Lienholder Name and Address details.
  4. In Section III, input the Registered Owner(s) Information including their Name(s) and Loan Number.
  5. Proceed to Section IV to describe the unit. Enter details such as Manufacturer Trade Name, Manufacture Year, Manufacturer Serial Number(s), and Decal (License) Number(s).
  6. In Section V, complete the Lienholder Certification by certifying under penalty of perjury that all information is correct. Include the total payment amount required and its expiration date.
  7. Finally, in Section VI, fill out the Escrow Agent Certification with similar certification details and signatures from both parties.

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