Change Mortgage/Lienholder Service Request Form

Change Mortgage / Lienholder Request Form

"*" indicates required fields

What is your name?*

Email*

Phone Number*

New Mortgage / Lienholder Information. Must include full bank/lender name, all special language, and complete address.*

What is your preferred E-mail to receive the Evidence of Insurance?*

What is the date you would like to see this change effective? (Request only, not confirmation.)*

Please Read and Affirm the Statement Below*

I understand this request is not confirmed until the agency or carrier has confirmed.

Our Mission

Our mission is simply stated, yet earnest. We provide families and business owners peace of mind by safeguarding their assets through risk management expertise. Our proven process ensures you understand your risk tolerance while feeling informed, educated, and protected.

How Can We Help?

Wayzata

1907 Wayzata Blvd Ste 210,
Wayzata, MN 55391

Call or Text

952-930-3661

Hours

Mon. – Thurs.: 8:00 am – 4:30 pm
Friday 8:00 am – 2:00 pm

Coon Rapids

8960 Springbrook Drive, Suite 100
Coon Rapids, MN 55433

Call or Text

763-755-7000

Hours

Mon. – Thurs.: 8:00 am – 4:30 pm
Friday 8:00 am – 2:00 pm