Title and Escrow Order Form:
Please use the form on this page to order your title work. You can download a copy by selecting the link at the bottom of this page. It will provide you a copy in Adobe Acrobat format. Print out and complete the order form, and fax it to our office (239) 772-1273. An agent will contact you to answer any questions, and complete your order request.
All State Florida Title, LLC
2002 Del Prado Blvd. South, #101
Cape Coral, Florida 33990
(239) 772-1242
Fax: (239) 772-1273
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TITLE INSURANCE AND ESCROW INFORMATION
Date Ordered: _________________
Referred By: ___________________
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Buyer/Mortgagor: ______________________ Co-Buyer/Mortgagor: _____________________
(Include title, if any)
Social Security Nos.: (Primary) _____________ _____ (Secondary): __________________
Current Address: _______________________________________________________________
(Street) (City) (State) (Zip Code)
Forwarding Address: ________________________________________________________________
(Street) (City) (State) (Zip Code)
Phone Number: Home: (____)__________ Work:(____)__________ Cell/Pager: (____) ___________
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Seller:___________________________________________________________________
(Include Name of Contact if Seller is not an individual)
Current Address: ____________________________________________________________________
(Street) (City) (State) (Zip Code)
Phone Number: Home:(____) ___________ Work:(____) __________ Other: (____) ____________
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Purchase Price: $__________________ Mortgage Amount: $______________
_____ Lot/Land only _____ Lot & Improvements ____ Improvements Only
Loan Type: ____ New Construction ____ Purchase Real Estate (Land Only)
____ Refinance ____ Purchase Real Estate (Improved)
____ Fixed Rate ____ Variable Rate
Endorsements:
(4) Condominium ____ (7) Manufactured Housing ____ Equity Line ____
(5) Planned Unit ____ (8.1) Environmental ____ Simultaneous ____
(6.1) Variable Rate____ (9) Florida Form ___ First Mort: ____
(6.2) Negative AM____ (9.1) ____ Second Mort.:____
Other: ______________ (9.2) ____ Third Mort.: ____
Property Address (If Available): ______________________________________________________
Legal Description: Lot ______, Block _______, Unit _________, ____________________________
_______________________________________, Public Records of ______________ County, FL.
Closing Date:_________________ Mailaway: ___ Yes ___No
Prior Title Policy Available: _________________________________________________________
(Name of company and Policy No., if available)
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Payoffs To Obtain:
First: _____________________________________________________________________________
(Lender Name) (Address) (Phone) (Loan Number)
Second:___________________________________________________________________________
(Lender Name) (Address) (Phone) (Loan Number)
Homeowner/Condo Association: ______________________________________________________
(Name) (Contact Person/Phone #)
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