New York Branch
Corporate Headquarters
ATA Affinity of PA
300 Park Ave.
100 South Jeffereson Road
1500 Market Street
17 Floor, Suite 1700
1st Floor
East Tower, 12th Floor
New York, NY 10022
 Whippany, NJ 07981
Philadelphia, PA 19102
877-234-6489
973-739-0100
877-234-6489
Fax-877-234-5101
Fax-973-739-0098
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.

Application For Title Insurance
*Date Ordered:
*Ordered by:
*Date Required:
*Company:
*Anticipated Closing Date:
*Contact Phone:
*Affinity Acct. Exec.:
*Loan Officer:
*Policy to be issued:
$
*Address of Premises:
*County:
*Municipality:
*State:
Block: Lot:
*Purchaser's/Borrower's Name(s):
SS#:
Maiden Name/Additional Names:
Phone:
Purchaser's Attorney:
Attorney's Phone:
Attorney's Address:
Seller's Name(s):
SS#:
Maiden Name/Additional Names:
Seller's Attorney:
Attorney's Address:
Attorney's Phone:
Lender's Name:
Lender's Address:
Survey: Order Flood Cert.?:
Back Title:
Additional Information: