If you would like to contact us directly, please call (516) 280-5510 email:
carolyn@uatitleagency.com or complete the form below.
United American Title Agency
100 Garden City Plaza, 2nd Floor - Garden City, NY 11530
Office: (516) 280-5510                          Fax: (516) 280-5505
Click Here for our Title Insurance Application

*The application is in PDF format and requires Adobe Reader to be viewed.
If you do not already have Adobe installed on your computer, click the icon below for a free
download:
Refinance (10 Year Search)
Purchase (40 Year Search)
Premises:
Order Placed By:
Zip:
City:
 State:
Application Date:
Section:
 Lot:
Name:
 Block:
Residential:
 Condo:
Company:
Commercial:
 Co-op::
Address:
City:
 Lender:
State:
 Zip:
Purch Amt$
Phone:
 Fax:
Mtg Amt$
Seller(s)/ Owner(s)
 Purchaser(s)
List All Names
List All Names
Name:
Name:
Seller's Attorney
 Purchaser's Attorney
Name:
Name:
Firm:
Firm:
Address:
Address:
City:
 State:
 Zip:
 City:
 State:
 Zip:
Phone:
 Fax:
Phone:
 Fax:
Survey:
Bank Attorney
NEW Survey
Name:
Firm:
Locate/ Inspect Survey
Address:
Special Instructions:
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 Zip:
Bank:
 Comments: