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ࡱ> 685q` FbjbjqPqP 5 ::F2D v#&&&&&&&&XZZZIH H 3#$h$h&W#&&&&&W#&&l#000&&&X0&X000& p;; &0L #0#0'&'0'0&&0&&&&&W#W#& &&&#&&&&vvv vvv $. Please complete form and give to your financial institution. REQUEST TO ESTABLISH IOLTA ACCOUNT TO [Institution]: Date: ________________ _________________________________________ _________________________________________ FROM CCO(LPO)/Closing Firm __________________________________________ As provided by the Administrative Practice Rules - APR 12 (h) and APR 12.1 the undersigned Certified Closing Officer (CCO), also known as a Limited Practice Officer (LPO), or CCOs working in the undersigned firm are required to ensure that the funds resulting from work under my/their licenses as an LPO are placed in an interest-bearing account with the interest to be paid to the Legal Foundation of Washington, a nonprofit charitable organization. (Check one) ______ We presently have a noninterest-bearing trust account, Account No. , which we request you convert to an interest-bearing IOLTA, checking account. _______ We presently do not have a checking account for our nominal or short-term closing funds and wish to establish an IOLTA checking account for those funds. We understand that you may require a supplemental account agreement in addition to your usual signature cards and other documentation. Please advise us as to what you need, in addition to our agreement to the following terms and conditions governing our IOLTA account: 1. Funds deposited in the interest-bearing IOLTA checking account must be kept separate from the general account or the individual client trust accounts of the undersigned CCO or closing firm. 2. Interest or dividends, net of reasonable check and deposit processing charges which shall only include items deposited charge, monthly maintenance fee, per item check charge and per deposit charge, on the average monthly balance, or as otherwise computed in accordance with your standard accounting practice, should be remitted monthly, but at least quarterly to the Legal Foundation of Washington. Remittances should be made directly by your check to the Foundations lockbox, Legal Foundation of Washington, P.O. Box 84383, Seattle Terminal Annex, Seattle, Washington 98124-5683. If your institution has more than one IOLTA account, please submit a single check for all of them. 3. With each remittance to the Foundation, please transmit a completed Interest on IOLTA Accounts Remittance Report. APR 12.1 (c) 4 (ii) requires this report to include the name of the Certified Closing Officer for whom the remittance is sent, the rate of interest applied, the amount of service charges deducted, if any, and the account balances for the period in which the report is made. A report form is attached. Information contained within this report must be transmitted to the undersigned CCO or closing firm. If your remittance combines interest from multiple IOLTA accounts, the information required by the Interest on IOLTA Accounts Remittance Report must be submitted for each separate account. Please attach this report to the check. 4. Please utilize the Foundations tax identification number on IOLTA accounts: 91-1263533. Because the Legal Foundation of Washington, the beneficiary of the Interest on IOLTA accounts, is a section 501 (c)(3) charitable organization, IRS form 1099 should not be completed for IOLTA accounts. . Inquiries may be directed to the Legal Foundation of Washington at (206) 624-2536. Thank you for your prompt attention to this request. Your cooperation and support for this important program is greatly appreciated. Sincerely yours, __________________________________ LPO/Closing Firm AceU X ]MF h8>* h85 h85CJh8 ?@Aefg 4 5 7 Z N O _ ` `]`$a$F` #$qr$UV+EF30&PP/ =!"#$% L@L Normal5$7$8$9DH$CJ_HmH sH tH DA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k@(No List (O( Style1F  z zF?@Aefg 457  ZNO_`#$qr $  U V +EH$x$x$x$5$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x$x?@Aefg 457  ZNO_`#$qr $  U V +EHI0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0F ` F FH8H@\\lfw\Canon iR2200-3300 PCL6Ne03:winspool\\lfw\Canon iR2200-3300 PCL6\\lfw\Canon iR2200-3300 PCL6l W odXLetterCanonu Canon iR2200-3300 PCL6ddd      d d d d dd@@d  d  d dd d"edd    dd     d!!d      !"#$ddA     A d @8o ((G o ((G AXXd2\SRGBCO~1.ICM\SRGBCO~1.ICM\SRGBCO~1.ICM CONFIDENTIALCONFIDENTIALHArialDefault Settings@\\lfw\Canon iR2200-3300 PCL6l W odXLetterCanonu Canon iR2200-3300 PCL6ddd      d d d d dd@@d  d  d dd d"edd    dd     d!!d      !"#$ddA     A d @8o ((G o ((G AXXd2\SRGBCO~1.ICM\SRGBCO~1.ICM\SRGBCO~1.ICM CONFIDENTIALCONFIDENTIALHArialDefault Settings@RF@UnknownGz Times New Roman5Symbol3& z Arial"hĚĚDCfD WD W!xx4003HX(?82>Please complete form and give to your financial institution. Barbara Clark Sys AdminOh+'0 $4 HT t   @Please complete form and give to your financial institution. Barbara ClarkNormal Sys Admin2Microsoft Office Word@Ik@d锿@P;@P;D ՜.+,0 hp  # Legal Foundation of WashingtonW0 ?Please complete form and give to your financial institution. Title?Please complete form and give to your financial institution.   !"#$&'()*+,./012347Root Entry Fp;91Table'WordDocument5 SummaryInformation(%DocumentSummaryInformation8-CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q