Deed And Money

Application No............ Escrow No............

Chicago,..................19....

Chicago Title and Trust Company:

hereby deposit with you.....................deed from...............to................................. conveying.......................

................................hereby deposits with you $...................................................................................................................................................

The said deed is to be filed for record at once and when you are prepared to issue your Owners' Guarantee Policy, in usual form, guaranteeing the title of said grantee................................subject only to:

1. Rights or Claims of parties in possession, not shown of record, and questions of survey.

2. Mechanics' Lien Claims, if any, where no notice thereof appears of record.

3. Special Assessments not confirmed, or confirmed after..........

............................19 ......................................................

4. Taxes for the year 19....

5. Building Line established in instrument recorded as Document

6. Restrictions contained in instrument recorded as Document...........................................................................................

7. Agreement for party wall, recorded as Document...............

8. Mortgage Incumbrance, recorded as Document.................

Amount due thereon................Interest since..............to be paid by...................Old Coupons?................

9. Special Assessment, Warrant No............................

10. Acts done or suffered by, or judgments against said grantee......

You are then hereby authorized and directed to disburse said money as follows: ...........................................................................................................................................................................................

Is there any commission to be adjusted through this escrow?.........

Are Fire Insurance Policies to be brought in?..........Are Mortgage

Clauses to be attached?............$........

1 See provisions in contracts of sale, Forms 19 and 20.

Are Leases to be brought in?.............

Are Water Taxes paid?..........Is receipt to be produced?........

Objections Nos..................erased before signing.

Deliver Abstract and Policy to...................................

Your charges are to be paid as follows:..........................................................................................................................................................................................................................................................................................................................................................................................................

Form 33. - Assignment of Contract.