Broward

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Escrow Account Application

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This application is to request a Prepaid Escrow Account with the Broward County Records Taxes & Treasury Division. Payments from the Prepaid Escrow Account can be made for all Recording related fees including:

1. Recording Fees. 2. Taxes (Documentary Stamps and Intangible). 3. Copies and Certifications of Official Records. 4. Any other services provided by Recording and Search Sections.

THE ORIGINAL OF THIS FORM MUST BE SUBMITTED IN PERSON OR MAILED TO:

Broward County Records Taxes & Treasury Division Attention: Supervisor / Escrow Accounts 115 South Andrews Avenue, Room 114 Fort Lauderdale, Florida 33301 (954) 357‐7289

Upon receipt and review of this application, a Prepaid Escrow Account Agreement will be forwarded to the person listed below. This Agreement must be entered into prior to setup of the account.

Company Name *

Agent Code *

Address *

Email *

Must be Owner/Officer/Director of Company

Title *

Phone *

Fax # *

Print Name *

In order to provide you with the proper escrow account form, please indicate the purpose(s) for which you plan to use the account by checking the appropriate statements below:

The account is for general Recording and Search Section fees.

The account is for payment of Documentary Stamp Tax on Certificates of Title after auction.

The account will be used for both of the above purposes.

Created by AIPSS

Broward

Escrow Account Application

Details

Authorized Representative