Minnesota Direct Operations

Letter of Indemnity/Undertaking Request

LOI Requestor Information
	* Denotes required field
LOI Requestor Name:	*
LOI Requestor Company:	*
LOI Requestor Phone:	*	-- ext.
LOI Requestor Fax:	*	--
LOI Requestor Email Address:	*
LOI Requestor Confirm Email Address:	*
Nature of Request
Letter of Indemnity?	*	Yes No
Certificate of Release of Mortgage, If possible?:	*	Yes No
Letter of Undertaking?	*	Yes No
New Transaction Type:	*	Sale/Purchase Refinance Foreclosure
Name and Address of Party to be Indemnified
Name:
Address:
City:
State:
Zip Code:
Transaction File Number Reference:
Transaction Name Reference:
Property Information
Address:
City:
State:
Zip Code:
County:
File Number (If available):
Issuing Office/Agent:
Closing Date:
Indemnity Required For:

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