Agent Order

Agent Order Worksheet

Agent Application

Fill out the form as completely as possible and click the submit button to send your application to our office. Be sure to include all contact information. We will be contacting you as soon as possible.

View our Privacy Policy to see how we use the information you submit.

Estimated Closing Date:
Date Format: MM slash DD slash YYYY
Upload a Copy of your Purchase Agreement
Accepted file types: jpg, png, pdf, doc, docx.
A copy of your purchase agreement must be included with your title application. We accept documents in MS Word, PDF, PNG or JPG formats.
Additional Documents
Accepted file types: jpg, gif, png, pdf, doc, docx.
You may upload any additional documentation pertinent to the closing file (ex. invoices to be paid, HOA documentation, etc.)
Sales Price
Property Information
County:*
PID#:
Agent Information
Agent Company:
Agent Name:
First Last
Phone:
Fax:
Agent is Representing:*
Full Commission %
Commission % to Listing Broker
Co-Agent Company
Co-Agent Name:
First Last
Phone Number:
Email
Admin fee to Buyer:
Admin fee to Seller:
Seller Concession Amount:
Seller Information
Seller Name:
First Last
Spouse:
First Last
Is address for Seller same as property address on Purchase Agreement?
- Yes
- No
Address
Street Address Address Line 2 City State ZIP Code
Home Phone:
Other Phone:
Buyer Information
Buyer:
First Last
Co-Buyer:
First Last
Address
Street Address Address Line 2 City State ZIP Code
Home Phone:
Other Phone:
Is Buyer Getting Financing:
- Yes
- No
Lender:
Loan Officer
First Last
Phone:
Email
Additional Property Information
Is there a Homeowner's Association?
Name of Association
Contact Person
Phone:
Is this a short sale transaction?
Water Status
Account Status
Will invoices be paid at closing for private well/septic?
Additional Comments/Info:
You may enter any additional information that would be helpful to our file. (i.e. abstract location, prior title company, power of attorney, pre-signing requirements, etc.)
Applicant Information:
Contact Name (Ordered By):*
First Last
Contact Email:*
Send this application to:*
- Elk River Office
- Milaca Office
- Princeton Office

Why Title Insurance is needed to Refi your mortgage
December 12, 2019

Agent Order

Agent Order Worksheet

Agent Application

Property Information

Agent Information

Seller Information

Buyer Information

Additional Property Information

Applicant Information: