Code of Federal Regulations Title 7. Agriculture 7 CFR Pt. 1806, Subpt. A, Exh. A Exhibit A—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 __________