Stearns County Abstract Co.


	Date:


				STEARNS COUNTY ABSTRACT CO. 21 Courthouse Square PO Box 1011 St. Cloud, MN 56302 Phone: (320) 251-5920 Fax: (320) 251-0367 e-mail: info@stearnscountyabstract.com

					Request for Closing Services

		Please fill out this application and click on the submit button at the bottom of the page to send it to SCAC.


	Buyer's Name:


	Address:


	Home Phone:


	His Work Phone:

	Her Work Phone:


	His SS#:

	Her SS#:


	Seller's Name:



	Address:


	Home Phone:


	His Work Phone:

	Her Work Phone:


	His SS#:

	Her SS#:


	Selling Agent:


	Phone:


	Listing Agent:


	Phone:


	(*Please fax or mail copies of Purchase Agreement and any Addendums to our closing department.)


	Outstanding Mortgage Information & Loan Numbers, etc.:


	Location of Abstract:


	Any bills to be paid at closing or reimbursements to anyone? (i.e. repair work, water test)


	To Whom?


	How Much?


	Commission Rate:


	Split Checks? Yes:


	How much to each agent? Selling:


	Lisitng:


	Administrative Fee:


	Estimated closing date if other than what is stated on p.a.:


	(Choose one)

	Title Insurance:


	Title Opinion:


	No:


	For cash, contract for deed, assumption, who will pay the closing fee? (choose one)


	Split:


	Buyer:


	Seller:


	Any wells on the property? Yes:


	No:


	Is there a septic system on the property? Yes:


	No:


	Other pertinent information:

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