General Information
(* required
information)
Select Closing
Office*
Select one
Anoka Closing
Office; Apple Valley Closing
Office;
Bloomington Closing
Office;
Minnetonka Closing
Office;
Roseville Closing
Office;
Transaction Type*
Select one
Auction
Assumption
Cash
Contract for Deed
Equity
Exchange
Foreclosure
Gift
Junior Lien
Leasehold
New Construction
Owner Finance
Real Estate Owned
(REO)
Refinance
Relocation
Resale\Purchase
2nd Mortgage
Loan Type*
Select one
Cash
Conventional Insured
Conventional Uninsured
FHA
FMHA
VA
Sales Price
Loan Amount
Property Information
(* required
information)
Street Address*
City, State, Zip*
County
Hennepin
Ramsey
Anoka
Dakota
Scott
Washington
Wright
Carver
Other
If non-metro area county, please indicate county name:
P.I.D. Number
Legal
Description
Party Information (* required
information)
Primary Buyer
Buyer is a Company
Company Name
Name of First Buyer*
Social Security/TaxID
of First Buyer*
Name of Second
Buyer
(if applicable)
Social Security/TaxID
of Second Buyer
Additional Buyers
Mailing Address:
Street Address*
City, State, Zip*
Work Phone Number*
Home Phone Number*
Primary Seller
Seller is a Company
Company Name
Name of First Seller*
(not required for refinance)
Name of Second
Seller
(if applicable)
Mailing Address:
Street Address
City, State, Zip
Work Phone Number
Home Phone Number
Payoff Information (* required
information)
1st Mortgage Co.
Name
Account #:
Phone #:
2nd Mortgage Co.
name
Account #:
Phone #:
3rd Mortgage Co.
name
Account #:
Phone #:
Real Estate Agent Information
(* required
information)
Company Name
Buyer's Agent Name
Mailing Address:
Street Address
City, State, Zip
Phone Number
Fax
Number
Listing Agent Information
(* required
information)
Company Name
Listing Agent's
Name
Mailing Address:
Street Address
City, State, Zip
Phone Number
Fax
Number
Title Services (* required
information)
Services
Select one
Commitment/Prelim/Binder/Title
Policy
Foreclose Search/TSG
Limited
Liability/Home Equity Policy
Search/Title Report
Need
by Date
(MM/DD/YYYY)
Other
Service
Plat Drawing
Special Assessment Search
Name Search
Other
Special
Instructions
How to contact me (the lender)
(* required
information)
Company Name*
Loan Officer's
Name*
Processor's Name
Street Address
City, State, Zip
Phone*
Fax
Number
e-mail
Comments
Important
Attachments that I will be faxing to 952-842-9978 (some are
required for us to process order)
Purchase Agreement
Loan Application
Realtor Information - including commission information
Other