"Escrow Agency Authorization to Examine Trust Account(S)" - Idaho

Escrow Agency Authorization to Examine Trust Account(S) is a legal document that was released by the Idaho Department of Finance - a government authority operating within Idaho.

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ESCROW AGENCY
AUTHORIZATION TO EXAMINE TRUST ACCOUNT(S)
To:
State of Idaho, Department of Finance, Securities Bureau
For:
Escrow Agency Company Name
The undersigned, a principal officer or authorized signer of the above applicant/licensee, hereby certifies that such firm
has established and maintains a trust account(s) in compliance with the Idaho Escrow Act, Idaho Code § 30-901 et seq.,
and that each trust account held for this purpose is correctly identified below:
Trust Account No.:
Financial Institution:
Idaho Branch:
Street Address:
City
State
Zip Code
The undersigned hereby authorizes the Director of the Department of Finance, or designee, to examine the above described
Trust Account(s).
The undersigned further authorizes the above listed financial institution(s) to release to the Director, or designee, information
relating to the Trust Account(s) listed above, such information to include all account records and information.
The undersigned acknowledges responsibility to notify the Department of any change of financial institution and/or account
number(s).
________________________________________________________
________________________________
Signature of officer/authorized signer
date
________________________________________________________
________________________________
Print name legibly
title
BANK VERIFICATION
Account No.: __________________________________ Date Established: ____________________________
Verified by: ___________________________________ On Behalf of: __________________________________
Print bank representative name and title
Print name of bank or financial institution
Signature: ____________________________________ Date:
__________________________________
(BANK SIGNATURE MUST BE NOTARIZED)
Signed and sworn before me by: ____________________________________this ____ day of _____________ 20 ____.
Print bank representative name
________________________________________________________
________________________________________________________
Signature of notary public
Print name of notary public
My Commission Expires: _____________
Notary Public in and for the
State or Commonwealth of _____________________________, County / Parish of ___________________________
SECURITIES BUREAU
800 Park Boulevard, Suite 200, Boise, ID 83712
Phone: (208) 332-8004 Fax: (208) 332-8099
Mail To: P.O. Box 83720, Boise ID 83720-0031
http://www.finance.idaho.gov
ESCROW AGENCY
AUTHORIZATION TO EXAMINE TRUST ACCOUNT(S)
To:
State of Idaho, Department of Finance, Securities Bureau
For:
Escrow Agency Company Name
The undersigned, a principal officer or authorized signer of the above applicant/licensee, hereby certifies that such firm
has established and maintains a trust account(s) in compliance with the Idaho Escrow Act, Idaho Code § 30-901 et seq.,
and that each trust account held for this purpose is correctly identified below:
Trust Account No.:
Financial Institution:
Idaho Branch:
Street Address:
City
State
Zip Code
The undersigned hereby authorizes the Director of the Department of Finance, or designee, to examine the above described
Trust Account(s).
The undersigned further authorizes the above listed financial institution(s) to release to the Director, or designee, information
relating to the Trust Account(s) listed above, such information to include all account records and information.
The undersigned acknowledges responsibility to notify the Department of any change of financial institution and/or account
number(s).
________________________________________________________
________________________________
Signature of officer/authorized signer
date
________________________________________________________
________________________________
Print name legibly
title
BANK VERIFICATION
Account No.: __________________________________ Date Established: ____________________________
Verified by: ___________________________________ On Behalf of: __________________________________
Print bank representative name and title
Print name of bank or financial institution
Signature: ____________________________________ Date:
__________________________________
(BANK SIGNATURE MUST BE NOTARIZED)
Signed and sworn before me by: ____________________________________this ____ day of _____________ 20 ____.
Print bank representative name
________________________________________________________
________________________________________________________
Signature of notary public
Print name of notary public
My Commission Expires: _____________
Notary Public in and for the
State or Commonwealth of _____________________________, County / Parish of ___________________________
SECURITIES BUREAU
800 Park Boulevard, Suite 200, Boise, ID 83712
Phone: (208) 332-8004 Fax: (208) 332-8099
Mail To: P.O. Box 83720, Boise ID 83720-0031
http://www.finance.idaho.gov