Earnest Money Form

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Please note: This document requires the signature of all Exchangers in order to generate the earnest
money deposit. Please print, sign and fax or email the signed copy to the above fax number or email to ezform@havenexchange.com.

Request for Earnest Money Deposit (internal use only)

Exchange#


	Haven Exchange is hereby named as substituted Buyer in the below referenced escrow for the purposes of the undersigned's 1031 exchange and in compliance with the pertaining purchase contract you are hereby instructed and authorized to forward earnest money funds immediately from:

Property, known as
	(Fill in Property Address Above)

To		(Fill in name of Escrow Company above.)


	Escrow Officer
	Escrow Phone


	Escrow#
	Escrow Fax

Delivery Method:(Initial by the method of delivery you would like us to use in sending your earnest money deposit.)

Since time is of the essence ALL earnest money deposits will be sent by Federal wire and deposited as cash into the bank account of the Closing Agent. Please complete below with the wire instructions provided by your Closing Agent.

	WIRE INSTRUCTIONS: (Complete this only if you want your deposit sent by wire)


	(Fill in Escrow Company’s Bank Name, Bank City and Bank State above.)

ESCROW BANK Routing #

Account #

I HEREBY ACKNOWLEDGE THAT I AM RESPONSIBLE FOR CHOOSING THE AMOUNT OF ANY NEW LOAN FOR ANY REPLACEMENT PROPERTY AND THAT IF I DESIRE THAT ALL EXCHANGE FUNDS BE UTILIZED IN THE ACQUISITION OF THE ABOVE REFERENCED REPLACEMENT PROPERTY THAT I MUST SET ANY NEW LOAN AMOUNT ACCORDINGLY SO THAT ALL FUNDS WILL BE REQUIRED TO CLOSE THE ESCROW.

I AM AWARE AND I UNDERSTAND THAT IF ANY PORTION OF THIS REQUEST IS INCOMPLETE, NO ACTION WHATSOEVER WILL BE TAKEN BY HAVEN EXCHANGE, INCLUDING CALLING ANYONE FOR MORE INFORMATION. I WARRANT HAVING BEEN ADVISED THAT FAXING THIS DOCUMENT TO HAVEN EXCHANGE WITH INCOMPLETED BLANKS IS EQUAL TO NOT FAXING IT AT ALL. I WARRANT THAT I HAVE ADDED ALL THE REQUESTED INFORMATION ABOVE, AND THAT THE AMOUNT OF THE EARNEST MONEY DEPOSIT REQUESTED REFLECTS THAT NAMED IN THE PURCHASE CONTRACT PERTAINING TO SAID REPLACEMENT PROPERTY REQUIRED SIGNATURES:

	Approved by Exchanger

	Escrow Officer

Haven Exchange, Inc.2124 Main Street, Suite 165 - Huntington Beach, CA 92648

Toll-Free: (866) 794-1031 Phone: (714) 960-9101 Fax: (866) 342-6162 Alt-Fax: (714)2000120