EMD Form

Deposit Verification and Transmittal Form

Note: This form applies to all SETCO branches.

Pam Jarvis, Finance Manager
12815 Emerald Coast Parkway, Suite #124, Miramar Beach, FL 32550

Today's Date *

Deposit Amount *

Purchaser's Name *

Property Address *

This Correspondence is being provided to SETCO Services, LLC to satisfy the

Licensed Broker three (3) day verification request requirement in accordance with Chapter

61J2-14-008 of the Florida Admin Code.

Please Select One
SETCO To Hold EMD And Shall Be Closing AgentSETCO To Hold EMD Only

Agent & Broker Information Note: *Please be sure to fill out the Broker Information*

Purchasing Agent's Company *

Phone #

Broker Name *

Broker Email *

Purchasing Agent Name *

Email *

Additional Information

Listing Agent's Company *

Phone #

Broker Name *

Broker Email *

Listing Agent's Name *

Email *


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