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Property Address

Seller 1

Seller 2

Is the forwarding address known/available?

Current Loans, Mortgages, Home Equity Loans, Lines of Credit, or Contract for Deeds

Is Second Loan applicable?

Seller 1

Seller 2

Clear Signature
Clear Signature

**Your Social Security Number is needed to request your mortgage payoff information and to file the Certificate of Real Estate Value with the Minnesota Department of Revenue (if applicable).

Borrower(s)/Mortgagor(s) hereby authorize any agent of Secure Title Inc. to order payoff/lien releases necessary to complete the closing of the above-referenced property.