ATA Title Agency , Inc.
4400 N. Federal Highway
Suite 201-39
Boca Raton , FL 33431
877-234-6489
Fax-877-234-5101

Please fill out the following to order Title Insurance Services. All fields marked * are required to submit your order.

Once your order is placed, it will be immediately processed and you will receive confirmation of your title insurance order on this screen. We will also send a confirmation of order to your email address if it has been provided.

Please Note: All third-party search fees incurred by this company on your behalf, for the purpose of issuing a Title Commitment Binder, will be billed to you upon receipt of your order and placement of the search unless otherwise arranged with this office. Cancellation of processed orders prior to closing may result in document handling and prep charges in addition to third-party search fees. By submitting your order through our online service, you agree to these terms and conditions.

 

Contact Information
Name: * Person Ordering Title
Company Name: *
Address:*
Phone:*
Email:
Need By Date * Required if a Service has been selected
Title Service Requested * Please Choose one of the following:
Search Only Requests
Please list the type of search you would like on this property.
Loan Information
Transaction Type:*
Loan Type:*
Loan Amount:
Sales Price:
Street Address:*
City:*
State:*
Zip Code:
Block/Lot/PIN:
County:
Owner Information
Current Owner:*
Owner/Company Name:
Current Owner Phone:
Current Owner Email:
Additional Owner(s):
Additional Owner(s) Name:* If known, please list by full, legal name
Current Owner Address:* If known
Buyer Information
Buyer:
Name:
Address:
Phone:
Email:
Misc. Information
Is back title available? Would you like ATA Title to order a survey or life of loan flood certificate? Would you like ATA Title to contact all parties involved in this transaction via email?
Lender Information
Name:
Phone/Fax/Email:
Listing Real Estate Broker:
Listing Broker Phone/Fax/Email:
Seller's Attorney:
Seller's Attorney Phone/Fax/Email:
Borrower's Real Estate Broker:
Borrower's Broker Phone/Fax/Email:
Borrrower's Attorney:
Borrower's Attorney Phone/Fax/Email: