Escrow Request Form – New: Based on Casa Palmero Changes (SAMPLE)

YOUR COMPANY

ESCROW COMPANY INFO

Escrow/Company Name :

Acct# :

Escrow/Company Address :

Apt, suite, etc.

Country

City

State

Zip code

Attn :

Escrow/Loan# :

Fax# :

CONFIRMATION

NOTE: Information will “NOT” be given without completed form & prepaid document fees to “CAC MANAGEMENT.” Processing begins upon receipt of form & fees. Documents will be ready for pick-up or mailed within 7-10 business days unless Rush Fee applied.

I understand that all fees are to be paid up front. I Will be sending payment to CAC:

via USPS

via FedEx / UPS

I will deliver to the CAC office in person.

SEND FEE PAYMENTS TO:

CAC Property Management
Attn: Escrow Requests
13637 Hawthorne Blvd. Ste. 200
Hawthorne, CA 90250

RUSH FEE : Please Apply a Rush Fee.

I do not need a rush – $0.00

5 DAY \”Rush Fee\” charge of $50.00

3 DAY \”Rush Fee\” charge of $100.00

1 DAY \”Rush Fee\” charge of $200.00 (If time permits)

Electronic Signature:

(Use your computer mouse or pen tool to sign a digital signature on the line provided below.)
I understand that all requests on this form must be prepaid and are non-refundable. I further understand that by signing my name below and submitting this form, that I have provided an electronic signature and agree to the prepaid non-refundable terms.

Reset Signature

Refund Policy :

YES, I understand that I am submitting my electronic signature and understand that all fees are to be prepaid & are non-refundable.

PRINT YOUR FULL NAME :

I am the authorized person submitting this request.

Phone Number :

Date

YOUR COMPANY

PROPERTY

CONFIRMATION