Registration Of Escrow Bank Account Form printable pdf download

NEBRASKA REAL ESTATE COMMISSION

P.O. Box 94667

Lincoln, Nebraska 68509

Registration of Escrow Bank Account

having filed an application for registration of

_______________________________________________________________________

(Name of Developer)

as a Time-Share Project under the

_______________________________________________________________________

(Name of Time-Share Project)

Nebraska Time-Share Act and/or being approved for registration under the Nebraska Time-Share Act, does register with the Nebraska

Real Estate Commission the following escrow bank account in which any deposit(s) made in connection with the purchase or reservation of

a time-share interval from a developer shall be placed and held until: (1) delivered to the developer at the expiration of the time for recision

or any later time specified in any contract of sale; (2) delivered to the developer because of the purchaser's default under a contract to

purchase the time-share interval; or (3) refunded to the purchaser. The escrow account, to be used solely for the above purpose, is carried

with the following financial institution, which accounts are insured by a governmental agency or instrumentality, under the following account

name and number:

_________________________________________________

__________________________________ ____________________

(Name of Financial Institution)

(City)

(State)

_______________________________________________________

_________________________________________________

(Exact Title of Account)

(Account Number)

does hereby covenant and agrees to authorize

______________________________________________________________________

(Name of Developer)

to allow, at anytime a duly authorized

___________________________________________________________________________

(Name of Financial Institution)

representative of the Nebraska Real Estate Commission to examine the aforementioned escrow account as required by Neb. Rev. Stat.

76-1715.

Executed at ________________________________________________ this __________ day of ___________________, _________.

______________________________________________

(Signature of Developer)

CERTIFICATION OF FINANCIAL INSTITUTION

The undersigned, a duly authorized official of

______________________________________________________________________

(Name of Financial Institution)

on behalf of said financial institution, does hereby certify that

of __________________________________ ____________________,

(City)

(State)

the above developer does maintain an escrow account as set forth above and agrees that

_______________________________________

(Name of Financial Institution)

will allow a duly authorized representative of the Nebraska Real

of __________________________ ______________________

(City)

(State)

Estate Commission to examine the aforementioned escrow account upon demand and agrees that it is subject to the personal jurisdiction

and venue of the state district court in Nebraska located in the county of the residence or principal office of each purchaser having funds

placed in said escrow.

Executed at

this

day of

___________________________________________

____________

____________________, ___________.

____________________________________________

(Name of Financial Institution)

(SEAL OF FINANCIAL INSTITUTION)

BY: ____________________________________________

If Applicable

(Name)

____________________________________________

(Official Title)

Copy to Real Estate Commission

Copy to Developer

Copy to Financial Institution

Revised 8/01

Registration Of Escrow Bank Account Form

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