Substitue Irs Form 1099S

2240 Hicks Road, Suite 240  Rolling Meadows, IL 60008  Phone 847-797-9200 Fax 847-797-8150

DATE: ______ESCROW NUMBER To: Freedom Title Corporation

MONEY LENDER ESCROW INSTRUCTIONS LENDER Hereby deposits / will deposit a mortgage or Trust Deed made by and between: ______as mortgagor to ______, as mortgagee / trustee conveying the premises legally described in Tract Search No. . and attached hereto as exhibit “A”.

Hereby deposits / will deposit the sum of $ ______as proceeds of loan with an attached loan statement and lender’s closing instructions.

When all deposits have been made, and subject only to the following:

1. Taxes for the year (s) ______and subsequent years.

2. Recorded mortgage shown as exceptions . 3. Addition exceptions shown on the search

And the following exceptions specifically:

4 . ______5. ______

The following matters much be cleared prior to disbursement of funds.

1. ______

2. ______And provided you have received fire and extended coverage insurance policy and assignments thereof, if necessary, or mortgagee has advised you in writing that they are satisfied as to the insurance requirements,

Your are to proceed as follows:

1. Make all disbursements in accordance with the Settlement Statement and;

2. ______3. ______

No escrow or title fees are to be billed to lender.

If you are not prepared to disburse the funds deposited pursuant to the above instruction on or before ______, then upon the written demand of the lender and without notice to any other party, you are directed to return all deposits herein to respective depositors; provided , however, that if the mortgage and any other documents given as additional security, have been recorded, a release or releases thereof of that mortgage and any other recorded document and the note(s) secured thereby that have been deposited herein, and you have canceled said mortgage documents and filed the release(s) for record. Until such a written demand is received by you, you are to continue to comply with the escrow instructions without reference to the date mentioned above.

Whenever under the terms of these instructions, the time for performance of a condition falls on a Saturday, Sunday or holiday, such time for performance shall be extended to the next business day.

Accepted by Freedom Title Corporation

FTCmnlenesc