Escrow Number: LTC-14835 Escrow Officer: Brandi K. Jensen Buyer/Borrower: Carol Lynn Montgomery Seller: Property: LAND TITLE & ESCROW COMPANY OF ISLAND COUNTY 7202 2676 St. N.W., Suite 101 / P.O.Box 1769 Stanwood, WA 98292 Tel: (360) 629-9737 • Fax: (360) 629-2152 BUYER/BORROWER STATEMENT Estimated Gilbert A. Powell and Patricia A. Powell Title Order Number: 5207133715 Date: 12/21/2015 - 2:46:01PM Closing Date: 12/23/2015 DESCRIPTION DEBITS CREDITS TOTAL CONSIDERATION I 05,000 00 Earnest Money 5,000.00 PRORATIONS/ADJUSTMENTS: Property Tax @ 231.37 per 12 month(s) 12/23/2015 to 12/31/2015 5.71 TITLE CHARGES Deed Recording Fee: Old Republic Title & Escrow 79.00 ESCROW CHARGES TO: Land Title & Escrow Escrow Fee 590.00 Escrow Fee - Tax 51.92 Courier Fee 10,i;b 42131: BALANCE DUE TO ESCROW 100,759.27 TOTALS , 1er Carol ynn naty 105,759.27 105,759.27 THESE FIGURES ARE ESTIMATED AND ARE SUBJECT TO CHANGE PRIOR TO CLOSING/DISBURSING OF FUNDS EFTA01121771