TM

 



c/o Jeffrey S. Raynor, Esquire
Jeck, Harris, Raynor & Jones, P.A.
790 Juno Ocean Walk, Suite 600
Juno Beach, Florida 33408-1121
info@jhrjpa.com

Upon submission of a title order on the form provided below, a representative of Raynor Law Firm will contact you to confirm receipt of the title order and to schedule a tentative closing date.
Property Address:
City: State: Zip:
Brief Legal:
Plat Book:
Page:
Mortgage Holder (1st):
Mortgage Holder (2nd):
SELLER
Name:
Social Security:
Present Address:
City: State: Zip:
Telephone:
Marital Status:
BUYER
Name:
Present Address:
City: State: Zip:
Telephone:
Marital Status:
 
Insurance:
Homeowners/Condo Association:
  (approval required?)
Mortgage Lender for New Financing:
Telephone:
Contact:
 
Listing Agent:
Telephone:
Company:
 
Selling Agent:
Telephone:
Company:
 
Processing Fee:
Commission:
Deposit Held By:
Amount:
Home Warranty:
Mail Away To:
Projected Closing Date: / /
Other:
Sender's Email:

c/o Jeffrey S. Raynor, Esquire
Jeck, Harris, Raynor & Jones, P.A.
790 Juno Ocean Walk, Suite 600
Juno Beach, Florida 33408-1121
info@jhrjpa.com