Escrow Release Form
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Escrow Release Form
Please complete this form to release funds from escrow.
Please attach a copy of the approved release letter from the texas Water development Board or the texas commission on
environmental quality.
1. Participant information
Date
Settlement Date
Participant Name
Location Number
Account Number
$
Amount
Authorized Representative
2. instructions
Please check all that apply.
Wire Withdrawal
acH Withdrawal
internal transfer (complete the information below)
from account
to account
Location Number
Location Number
Account Number
Account Number
3. Signature
Participant
texas treasury Safekeeping trust company
Signature of Authorized Representative
Signature of Authorized Representative
Printed Name
Printed Name
Title
Title
Telephone Number
Telephone Number
4. mailing instructions
The completed Escrow Release Form can be faxed to TexPool Participant Services at 1-866-839-3291. Please mail the original form to:
TexPool Participant Services
1001 Texas Avenue, Suite 1400
Houston, TX 77002
Original Signature and dOcument required
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1 Of 1
TexPool Participant Services
Managed and
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1001 Texas Avenue, Suite 1400
Houston, TX 77002
Serviced by
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Phone: 1-866-TEXPOOL (839-7665)
Fax: 1-866-839-3291
G45340-13 (7/15)
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Parent category: Legal