BUYER INFORMATION SHEET

13954 Cypress Drive, Suite 200
Baxter, Minnesota 56425

Phone: (218) 829-4450
Fax: (218) 829-4617

Email: support@elitetitlemn.com

121 4th Street NE
Staples, Minnesota 56479

Phone: (218) 541-5120
Fax: (218) 541-5129

Email: support@elitetitlemn.com

*We need the following information in order to prepare and process your closing transaction. Please complete this form and return it to our office as soon as possible.

Property Address

1. We, the undersigned, have selected Elite title & Escrow, Corp. to facilitate the closing transaction for the above described property.

2. Will you be present for the closing?

Yes No

*We understand the decision we make regarding the way we take and hold title to this property is an important decision and we are hereby advised to seek advice from legal counsel.

3a. Buyers Name(s)

Buyer #1

Buyer #2

3b. We wish to take title to the property as (select one):

Spouses married to each other A single person and a single person

4. We wish to hold title to the property as (select one):

JOINT TENANTS: When two or more persons wish to share the ownership of a single property, they may do so as Joint Tenants. Upon the death of a joint tenant, the deceased’s interest passes to the remaining joint tenant(s), without the delay and expense of probate. TENANTS IN COMMON: When two or more persons wish to share the ownership of a single property, they may do so as Tenants in Common. Each owner’s interest need not be the same, and each owner can independently sell, give away, or devise his / her individual interest. Upon the death of a co-owner, his / her interest passes to their individual heirs, who then become Tenants in Common with the remaining co-owner(s). The remaining co-owner(s) do not acquire the deceased’s interest unless named to do so in the deceased’s will.

5. List Residences for the past 10 years

Residence 1

Residence 2

Residence 3

6a. Place(s) of Employment Employer: Seller #1:

6b. Place(s) of Employment Employer: Seller #2:

7. Will this property be used as your principal / primary residence?

Yes No

Planned Use For Property (select one):

Residential/Single Family Residential/Duplex, Triplex, etc. Cabin/Recreational Commercial Vacant Land Agricultural

Marital Status

Married Unmarried

Print Name

Phone Number

Email Address

example@example.com

Social Security Number

Print Name

Phone Number

Email Address

Social Security Number

Baxter Office Staples Office

BUYER INFORMATION SHEET