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MUNICIPAL LEASE-PURCHASE AGREEMENT – PAGE 14 <br /> <br /> <br /> <br /> <br />Escrow Disbursement Request Form – Instruction Sheet <br /> <br /> <br /> <br /> <br />*** THE FOLLOWING FORM IS TO PAY YOUR <br />VENDOR FROM THE ESCROW ACCOUNT*** <br /> <br /> <br /> <br />To process the payment to your Vendor, please make sure to: <br /> <br />1) Print or make copies of the blank Escrow Disbursement Request Form if there are multiple <br />disbursements. <br /> <br />2) Complete an Escrow Disbursement Request Form for each Vendor. <br /> <br />3) Attach a copy of your Vendor’s Invoice(s). <br /> <br />4) Have the Authorized Signer sign the Disbursement Form in BOTH places as well as date the form at the <br />bottom. <br /> <br />5) You can fax or e-mail the Disbursement Form to start/begin the disbursement process; however, please <br />send the original by regular mail to avoid delays. <br /> <br /> <br />WHEN YOU ARE READY TO PAY YOUR VENDOR, PLEASE FOLLOW THE ABOVE PROCEDURES, <br />AND SEND FORMS TO: <br /> <br /> <br />Government Capital Corporation <br />Attn.: Doc. Dept. <br />345 Miron Drive <br />Southlake, TX 76092 <br />Phone: 817-421-5400 <br />Fax: 817-251-3208 <br />docdept@govcap.com <br /> <br /> <br /> <br /> <br />