ESCROW DEPOSIT RELEASE
222 East Pine Street
Lakeland, Florida 33801
Direct: (863) 937-9126
***SUBMIT ORDERS VIA***
F: (863) 937-9129 OR E:
Note: Escrow check will be ready for Realtor within 24 hours, provided the check has cleared the Escrow
Account. (Usually takes 10 Business Days)
Realtor, please choose one of the following:
______By my signature, as Realtor, I hereby certify the offer made by this Buyer(s) to the Seller(s), was never
an accepted contract. The offer was never fully executed by all parties.
Funds are to be released to the Buyer, as stated below
______By my signature, as Realtor, I hereby certify this offer has been fully accepted by all parties, and is
being closed at the following attorney’s firm or title office. Please make check payable to the below Closing
Firm/Office.
______By my signature, as Realtor, and with the attached, fully executed “Cancellation of contract and Release
of Escrow” Form; I hereby request funds to be released as stated below.
From: _______________________________________________ Date: __________________
(Realtor, Sign and Print Name)
Re:
___________________________________________________
(Property Address)
___________________________________________________
(Seller/Buyer Last Name)
_______________________
(Check No.)
______________________________________________________________________________
**NOTE: If the escrow is to be wired, please attach wire instructions to this form.
Please release the Deposit Check in the amount of: $___________________________________
Payable to: ____________________________________________________________________
(Seller, Buyer, Title Company or Attorney)
____________________________________________________________________
(Address)
____________________________________________________________________
(City, State, Zip)