Place Title Order

Agent Requesting Order:

Agent Name *

First

Last

Agent Email *

Agent Phone Number *

Closing Date:

mm/dd/year *

Seller Information:

Seller Name *

First

Last

Seller Email *

Seller Phone Number *

Buyer Information:

Buyer Name *

First

Last

Buyer Email *

Buyer Phone Number *

Property Information:

Property Address *

Line 1

Line 2

City

State

Zip Code

Country

Strap # or Parcel ID *

HOA/Condo:

Name *

Contact Person *

HOA/Condo Contact Email *

HOA/Condo Contact Phone Number *

Purchase Price:

Enter Price *

Cash/Financing:

Select One *

Loan Details:

Loan Amount *

Lenders Name *

Lender's Phone Number *

Listing Office Information:

Listing Company Name *

Listing Agent Name *

First

Last

Listing Agent Email *

Listing Agent Phone Number *

Selling Office Information:

Selling Company Name *

Selling Agent Name *

First

Last

Selling Agent Email *

Selling Agent Phone Number *

Commission %:

Listing Agent % *

Buyers Agent % *

Split, if any:

Split Details *

Other Fees, i.e. HOA transfer fee:

Other Fees Details *

Additional information/Special instructions:

Upload File (i.e. Contract, Listing agreement, Addendums, Lease agreement (if application), etc.)

Max file size: 20MB

Place Title Order

(239) 425-1825

> Located in SW Florida
9001 Daniels Parkway
Suite 100
Fort Myers, FL 33912

> Title Insurance Rate Schedule
Download a PDF of the rate schedule.

> Additional Resources
Collier County Clerk of Courts
Lee County Clerk of Courts
Lee County Tax Collector
Collier County Tax Collector
Lee County Property Appraiser
Title Insurance Risk Rate Premiums