Escrow Intake

Escrow Intake

This is NOT for commission checks.
If you deposit an EMD electronically, please do not submit the physical check to the office unless requested by staff. Retain the check for your records until the transaction has closed.
Date Submitted

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Proposed Settlement Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Subject Property Street Address
Do not include the city, state and zip code
Agent Submitting the Escrow
Agent Email
example@example.com
Branch Office
Payment Method
Check/Money Order Number
If more than one, enter remaining numbers in 'Notes' (below)
Total Amount
$25,000 MAXIMUM/ Enter as a whole dollar amount with no dollar sign or comma.
Please note: Uncertified funds (personal checks or business checks) will not be available for disbursement until four (4) business days following the submission date of the escrow deposit. Money Orders, bank checks, cashier's checks and certified checks are considered certified funds.
Buyer's Name
Use one name/ Primary buyer
Seller's Name
Use one name/ Primary seller
Additional Notes/ Check Numbers
Please submit a SCANNED image of the payment method below. It is very important that you provide a clear, high quality image to avoid issues with depositing. ABSOLUTELY NO PHOTOS! ONLY SCANNED IMAGES!
Upload image here

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