Brainerd (218) 829-4450 |
Staples (218) 541-5120

Realtor/Lender Order Form

Email*
Property Address
Street Address City State ZIP Code
Property County
Seller
Seller Address
Street Address City State ZIP Code
Seller Phone
Mortgage Company
Mortgage Company Phone
Listing Agent
Agent Phone
Buyer
Buyer Address
Street Address City State ZIP Code
Buyer Phone
Attorney
Attorney Phone
Selling Agent
Selling Agent Phone
Refinance ($)
Purchase Price ($)
Cash Amount ($)
Mortgage Amount ($)
Desired Closing Date
Date Format: MM slash DD slash YYYY
Special Instructions
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