KENT COUNTY REGISTER OF DEEDS
APPLICATION TO ESTABLISH AN ESCROW ACCOUNT
(PLEASE TYPE OR PRINT)
COMPANY NAME:
______________________________________________________
CONTACT NAME:
______________________________________________________
ADDRESS:
______________________________________________________
______________________________________________________
TELEPHONE:
___________________________________
AUTHORIZED USERS
PASS WORD
(UP TO 10 CHARACTERS)
____________________________ _________________________________
____________________________ _________________________________
____________________________ _________________________________
Note: This password may be used by authorized users to purchase
index reports
and/or copies of recorded documents while visiting the KCROD office, but not
from www.accesskent.com
. The KCROD staff may ask for this password when
requesting a withdrawal from an escrow account by telephone or in person.
AMOUNT ENCLOSED
: $______________ ____
CHECK ____ MONEY ORDER
___________________________________________
AUTHORIZED SIGNATURE
___________________________________________
TYPE OR PRINT AUTHORIZED SIGNATURE
___________________________________________
DATE
KC APPROVED: ____________________________
DATE: ____________________________________
ESCROW ID: ______________________________
