This form is furnished to give you a statement of actual settlement costs. Checks for State Deed Tax should be made out to 'Lake County Auditor'.Minnesota Uniform Conveyancing Blanks. The County will always send out a copy of the Tax Statement to the property owner for your records. This mortgage is given as "additional security" for Tom's loan. Establish property records and record real estate transactions within Hennepin County. Individual partners who are not included on the composite income tax also complete Form M1, the individual income tax return. Before you fill out the Loan Qualification Worksheet, find out the current industry numbers from a loan officer or mortgage broker. 504. Payoff of first mortgage loan. 103. Settlement charges to borrower (line 1400). 403. 108. Assessments. 408.