Sample Copy Escrow Agreement Page 3
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41991-92 COMPILATION BULLETINS
DOMESTIC/FOREIGN INSURERS BULLETINS
IN WITNESS WHEREOF, the parties have executed this Escrow Agreement by their duly authorized
corporate officers the day and year first above written.
COMPANY NAME
(CORPORATE SEAL)
BY:_______________________
TITLE:_____________________
ATTEST:___________________
BANK
(CORPORATE SEAL)
BY:________________________
TITLE:______________________
ATTEST:____________________
Attachments:
Schedule A Compensation Agreement for Services as Custodian
SCHEDULE A
TO
ESCROW AGREEMENT BETWEEN
_____________________________
AND
_____________________________
ESCROW DEPOSIT
CASH OR CASH EQUIVALENTS
MARKET VALUE AT DATE
Receipt of the above cash or cash equivalents is acknowledged this ___________ day of
_______________, 19____.
BANK
BY:_______________________
TITLE:_____________________
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