Escrow Agreement Real Property Insurance

Date (Name of bank) (City or town) (State) Gentlemen: Attached is Draft No. ______, for $______, issued by the ____________ Insurance Company in payment of ______ loss which damage the buildings on the farm of __________________, of ______________ County, State of ______________. This draft has been endorsed by the undersigned payees who request that you collect these funds and issue cashier's checks to the following payees for the following amounts: ________________, First Mortgage $______ ________________, Second Mortgage $______ ________________, Third Mortgage $______ The balance only, if any, will be paid to ________________, the owner of the property. First Mortgagee Second Mortgagee Third Mortgagee Owner