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Page 1: Escrow Check ReceiptEscrow Check Receipt. Property Address: City: State: Zip Code: Agent Name (PRINT) Date Original Deposit. Additional DepositDate On Check: Check # Amount: Include

Escrow Check Receipt

Property Address:

City: State: Zip Code:

Agent Name (PRINT) Date

Additional DepositOriginal Deposit

Amount:Check #Date On Check:

Include copy of check below:

By Mail

In Person

Check Received:

Mail

Courier

Delivered to URG Corporate by:Branch Location:

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