Common use of Disbursement Request Clause in Contracts

Disbursement Request. Pursuant to that certain Escrow Agreement dated effective as of October 26, 2007 by and among Fushi International, Inc., Xxxx Capital Partners, LLC and Tri-State Title & Escrow, LLC, Fushi International, Inc. and Xxxx Capital Partners, LLC hereby requests disbursement of funds in the amount and manner described below from account number 0000000, styled Tri-State Title & Escrow, LLC Escrow Account. Please disburse to: ________________________________ Amount to disburse: ________________________________ Form of distribution: ________________________________ Payee: Name: ________________________________ Address: ________________________________ City/State: ________________________________ Zip: ________________________________ Please disburse to: ________________________________ Amount to disburse: ________________________________ Form of distribution: ________________________________ Payee: Name: ________________________________ Address: ________________________________ City/State: ________________________________ Zip: ________________________________ Subscriptions Accepted From Subscriber Amount ___________________________ __________________________ ___________________________ __________________________ ___________________________ __________________________ ___________________________ __________________________ Total: __________________________ Statement of event or condition which calls for this request for disbursement: _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ FUSHI INTERNATIONAL, INC. By: _________________________ Name: ________________________ Title: _________________________ Date: _________________________ XXXX CAPITAL PARTNERS, LLC By: __________________________ Name: ________________________ Title: _________________________ Date: _________________________

Appears in 2 contracts

Samples: Escrow Agreement (Fushi International Inc), Escrow Agreement (Fushi International Inc)

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Disbursement Request. Pursuant to that certain Escrow Agreement dated effective as of October 26June 24, 2007 by and 2009, among Fushi InternationalOrient Paper, Inc., Xxxx Capital Xushui District Dongfang Trading Limited Company, Xxxxxx Partners, LLC LP, Xxxxxxxx Xxx and Tri-State Title & EscrowGolden1177 LP and Sichenzia Xxxx Xxxxxxxx Xxxxxxx LLP, LLCas escrow agent, Fushi International, Inc. Xxxxxx Partners and Xxxx Capital Partners, LLC the Company hereby requests request disbursement of funds in the amount and manner described below from account number 000000000000000, styled Tri-State Title & Escrow, LLC Sichenzia Xxxx Xxxxxxxx Xxxxxxx LLP Attorney Escrow Account. Please disburse to: ________________________________ Amount to disburse: ________________________________ Form of distribution: ________________________________ Payee: Name: ________________________________ Address: ________________________________ City/State: ________________________________ Zip: ________________________________ Please disburse to: ________________________________ Amount to disburse: ________________________________ Form of distribution: ________________________________ Payee: Name: ________________________________ Address: ________________________________ City/State: ________________________________ Zip: ________________________________ Subscriptions Accepted From Subscriber Amount __ORIENT PAPER, INC. Date: _________________________ _By: _________________________ ___________________________ __________________________ ___________________________ __________________________ ___________________________ __________________________ TotalName: __________________________ Statement Title: EXHIBIT D DISBURSEMENT REQUEST Pursuant to that certain Escrow Agreement dated effective as of event or condition which calls for this June 24, 2009, among Orient Paper, Inc., Xushui District Dongfang Trading Limited Company, Xxxxxx Partners, LP, Xxxxxxxx Xxx and Golden1177 LP and Sichenzia Xxxx Xxxxxxxx Xxxxxxx LLP, as escrow agent, Xxxxxx Partners and the Company hereby request for disbursementdisbursement of funds in the amount and manner described below from account number 00000000, styled Sichenzia Xxxx Xxxxxxxx Xxxxxxx LLP Attorney Escrow Account. Please disburse to: ________________________________ Amount to disburse: ________________________________ _______________________________Form of distribution: ________________________________ _______________________________Payee: Name: ________________________________ FUSHI INTERNATIONALAddress: ________________________________ City/State: ________________________________ Zip: ________________________________ Please disburse to: ________________________________ Amount to disburse: ________________________________ Form of distribution: ________________________________ Payee: Name: ________________________________ Address: ________________________________ City/State: ________________________________ Zip: ________________________________ ORIENT PAPER, INC. Date: _________________________ By: _________________________ Name: ________________________ Title: _________________________ Date: _________________________ XXXX CAPITAL PARTNERS, LLC By: __________________________ Name: ________________________ Title: _________________________ Date: _________________________:

Appears in 1 contract

Samples: Escrow Agreement (Orient Paper Inc.)

Disbursement Request. Pursuant to that certain Escrow Agreement dated effective as of October 26August [ ] , 2007 by 2008, among Universal Travel Group, [ ] and among Fushi InternationalSichenzia Xxxx Xxxxxxxx Xxxxxxx LLP, Inc.as Escrow Agent, Xxxx Capital Partners, LLC and Tri-State Title & Escrow, LLC, Fushi International, Inc. and Xxxx Capital Partners, LLC the Escrowing Parties hereby requests request disbursement of funds in the amount and manner described below from account number 0000000_____________, styled Tri-State Title & Escrow, LLC ____________________________ Escrow Account. Please disburse to: ________________________________ Amount to disburse: ________________________________ Form of distribution: ________________________________ Payee: Name: ________________________________ Address: ________________________________ City/State: ________________________________ Zip: ________________________________ Please disburse to: ________________________________ Amount to disburse: ________________________________ Form of distribution: ________________________________ Payee: Name: ________________________________ Address: ________________________________ City/State: ________________________________ Zip: ________________________________ Subscriptions Accepted From Subscriber Buyer Amount ___________________________ __________________________ ___________________________ __________________________ ___________________________ __________________________ ___________________________ __________________________ Total: __________________________ Statement of event or condition which calls for this request for disbursement: _______________________________________________________________ _______________________________________________________________ _______________________________________________________________________________ FUSHI INTERNATIONAL, INC. UNIVERSAL TRAVEL GROUP Date: _________________________ By: _________________________ Name: ________________________ Title: _________________________ Access America Fund, LP Date: _________________________ XXXX CAPITAL PARTNERS, LLC By: __________________________ Name: ________________________ Title: _________________________ Date: _________________________:

Appears in 1 contract

Samples: Escrow Agreement (Universal Travel Group)

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Disbursement Request. Pursuant to that certain Escrow Agreement dated effective as of October 26August __, 2007 by and 2007, among Fushi InternationalHeilongjiang Yanglin Soybean Group Co., Inc., Xxxx Capital Partners, LLC Ltd and Tri-State Title & Escrow, LLC, Fushi International, Inc. and Xxxx Capital Partners, LLC the Escrowing Party hereby requests disbursement of funds in the amount and manner described below from account number 00000005060024931, styled Tri-State Title & Escrow, LLC Escrow Account. Please disburse to: ________________________________ Amount to disburse: ________________________________ Form of distribution: ________________________________ Payee: Name: ________________________________ Address: ________________________________ City/State: ________________________________ Zip: ________________________________ Please disburse to: ________________________________ Amount to disburse: ________________________________ Form of distribution: ________________________________ Payee: Name: ________________________________ Address: ________________________________ City/State: ________________________________ Zip: ________________________________ Subscriptions Accepted From Subscriber Amount ___________________________ __________________________ ___________________________ __________________________ ___________________________ __________________________ ___________________________ __________________________ Total: __________________________ Statement of event or condition which calls for this request for disbursement: _______________________________________________________________ _______________________________________________________________ Heilongjiang Yanglin Soybean Group Co. Ltd 263 Date: _________________________ By: ____________________ Name: Xxxxxx Xxx Title: President & CEO 264 EXHIBIT F-2 TO THE SERIES A CONVERTIBLE PREFERRED STOCK PURCHASE AGREEMENT _______________________________________ FUSHI INTERNATIONALESCROW AGREEMENT INVESTOR AND PUBLIC RELATIONS THIS ESCROW AGREEMENT (this “Agreement”) is made as of October 3, INC2007, by and among Victory Divide Mining Company, a Nevada corporation (the “Company”), Vision Opportunity Master Fund, Ltd., a Cayman Islands company, as representative of the Purchasers (“Vision”) and Loeb & Loeb LLP (the “Escrow Agent”). By: _________________________ Name: ________________________ Title: _________________________ Date: _________________________ XXXX CAPITAL PARTNERSARTICLE CXXX ESTABLISHMENT OF THE ESCROW AGENCY AND ESCROW ACCOUNT Section 130.1 The parties hereby appoint the Escrow Agent, LLC By: __________________________ Name: ________________________ Title: _________________________ Date: _________________________and the Escrow Agent hereby accepts, the escrow agency established under this Agreement.

Appears in 1 contract

Samples: Registration Rights Agreement (Victory Divide Mining CO)

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